# Pregnancy blood test panel: what CareSource pays, by state

The standard set of blood tests done early in pregnancy.

- Insurer: CareSource
- Billing code: 80055 (Women's health & maternity)
- Price shown: negotiated in-network price, any setting, doctor's and facility fees
- Prices as of: unknown
- All of the insurer's plans pooled; the map also shows single networks

| State | Providers | Lowest | 25th pct | Median | 75th pct | Highest | Medicare pays | Median vs Medicare |
|---|---|---|---|---|---|---|---|---|
| Alabama | 56 | $44.48 | $54.98 | $59.19 | $66.93 | $107.57 | $47.81 | 1.2x Medicare |
| Alaska | 12 | $44.48 | $48.05 | $58.77 | $63.35 | $90.84 | $47.81 | 1.2x Medicare |
| Arizona | 101 | $28.33 | $51.74 | $59.19 | $66.93 | $107.57 | $47.81 | 1.2x Medicare |
| Arkansas | 26 | $35.68 | $51.74 | $59.19 | $66.93 | $107.57 | $47.81 | 1.2x Medicare |
| California | 188 | $28.33 | $54.98 | $59.19 | $66.93 | $107.57 | $47.81 | 1.2x Medicare |
| Colorado | 78 | $46.38 | $51.74 | $60.32 | $66.93 | $107.57 | $47.81 | 1.3x Medicare |
| Connecticut | 24 | $28.33 | $51.16 | $59.19 | $66.93 | $107.57 | $47.81 | 1.2x Medicare |
| Delaware | 14 | $44.48 | $47.81 | $59.19 | $65.74 | $67.41 | $47.81 | 1.2x Medicare |
| District of Columbia | 12 | $44.48 | $58.98 | $62.15 | $66.93 | $107.57 | $47.81 | 1.3x Medicare |
| Florida | 485 | $28.33 | $57.09 | $59.19 | $66.93 | $107.57 | $47.81 | 1.2x Medicare |
| Georgia | 306 | $28.33 | $54.98 | $57.09 | $64.54 | $148.74 | $47.81 | 1.2x Medicare |
| Hawaii | 8 | $44.48 | $56.67 | $59.19 | $64.54 | $76.50 | $47.81 | 1.2x Medicare |
| Idaho | 27 | $42.82 | $49.19 | $58.77 | $62.15 | $78.89 | $47.81 | 1.2x Medicare |
| Illinois | 222 | $28.33 | $49.70 | $59.19 | $64.54 | $107.57 | $47.81 | 1.2x Medicare |
| Indiana | 1,739 | $28.33 | $47.81 | $59.76 | $62.15 | $129.08 | $47.81 | 1.2x Medicare |
| Iowa | 19 | $44.48 | $51.74 | $59.19 | $66.93 | $76.50 | $47.81 | 1.2x Medicare |
| Kansas | 22 | $44.48 | $59.33 | $63.35 | $66.93 | $107.57 | $47.81 | 1.3x Medicare |
| Kentucky | 13,088 | $29.66 | $57.88 | $62.15 | $66.93 | $161.35 | $47.81 | 1.3x Medicare |
| Louisiana | 43 | $44.48 | $54.98 | $59.19 | $66.93 | $107.57 | $47.81 | 1.2x Medicare |
| Maine | 25 | $42.82 | $52.55 | $60.87 | $66.93 | $107.57 | $47.81 | 1.3x Medicare |
| Maryland | 75 | $38.25 | $54.98 | $59.19 | $66.93 | $107.57 | $47.81 | 1.2x Medicare |
| Massachusetts | 44 | $28.33 | $54.98 | $62.15 | $67.17 | $107.57 | $47.81 | 1.3x Medicare |
| Michigan | 122 | $35.68 | $56.67 | $60.87 | $66.93 | $107.57 | $47.81 | 1.3x Medicare |
| Minnesota | 175 | $29.66 | $51.74 | $60.87 | $69.32 | $107.57 | $47.81 | 1.3x Medicare |
| Mississippi | 24 | $35.68 | $54.98 | $60.03 | $69.44 | $107.57 | $47.81 | 1.3x Medicare |
| Missouri | 111 | $35.68 | $54.98 | $60.87 | $66.93 | $107.57 | $47.81 | 1.3x Medicare |
| Montana | 11 | $46.39 | $51.74 | $60.87 | $65.74 | $69.32 | $47.81 | 1.3x Medicare |
| Nebraska | 18 | $47.81 | $59.09 | $62.15 | $66.93 | $107.57 | $47.81 | 1.3x Medicare |
| Nevada | 39 | $38.25 | $53.19 | $59.19 | $66.93 | $107.57 | $47.81 | 1.2x Medicare |
| New Hampshire | 5 | $44.48 | $54.17 | $62.71 | $67.53 | $107.57 | $47.81 | 1.3x Medicare |
| New Jersey | 38 | $23.91 | $52.55 | $59.19 | $66.93 | $144.16 | $47.81 | 1.2x Medicare |
| New Mexico | 14 | $46.39 | $57.63 | $59.19 | $73.03 | $107.57 | $47.81 | 1.2x Medicare |
| New York | 117 | $28.33 | $56.67 | $60.87 | $66.93 | $107.57 | $47.81 | 1.3x Medicare |
| North Carolina | 137 | $28.33 | $54.98 | $59.76 | $66.93 | $107.57 | $47.81 | 1.2x Medicare |
| North Dakota | 15 | $46.38 | $57.88 | $62.15 | $67.41 | $107.57 | $47.81 | 1.3x Medicare |
| Ohio | 3,680 | $29.66 | $56.67 | $64.54 | $64.54 | $138.97 | $47.81 | 1.4x Medicare |
| Oklahoma | 36 | $46.38 | $54.98 | $59.19 | $66.93 | $107.57 | $47.81 | 1.2x Medicare |
| Oregon | 45 | $35.68 | $49.19 | $58.98 | $66.93 | $107.57 | $47.81 | 1.2x Medicare |
| Pennsylvania | 141 | $29.66 | $54.98 | $59.19 | $66.93 | $107.57 | $47.81 | 1.2x Medicare |
| Puerto Rico | 7 | $46.38 | $58.77 | $62.15 | $66.93 | $107.57 | $47.81 | 1.3x Medicare |
| Rhode Island | 11 | $46.39 | $59.19 | $64.54 | $66.93 | $107.57 | $47.81 | 1.4x Medicare |
| South Carolina | 86 | $38.25 | $57.09 | $60.87 | $66.93 | $107.57 | $47.81 | 1.3x Medicare |
| South Dakota | 9 | $49.19 | $59.19 | $62.15 | $66.93 | $107.57 | $47.81 | 1.3x Medicare |
| Tennessee | 315 | $28.33 | $48.17 | $59.19 | $66.93 | $107.57 | $47.81 | 1.2x Medicare |
| Texas | 290 | $28.33 | $51.74 | $60.87 | $66.93 | $107.57 | $47.81 | 1.3x Medicare |
| Utah | 26 | $28.33 | $49.19 | $58.77 | $67.17 | $107.57 | $47.81 | 1.2x Medicare |
| Vermont | 2 | $54.98 | $57.37 | $59.76 | $62.15 | $64.54 | $47.81 | 1.2x Medicare |
| Virginia | 150 | $31.08 | $54.98 | $60.87 | $69.32 | $107.57 | $47.81 | 1.3x Medicare |
| Washington | 136 | $46.38 | $49.19 | $57.23 | $66.93 | $107.57 | $47.81 | 1.2x Medicare |
| West Virginia | 753 | $38.25 | $55.71 | $57.37 | $64.54 | $107.57 | $47.81 | 1.2x Medicare |
| Wisconsin | 81 | $28.33 | $54.98 | $62.15 | $67.23 | $107.57 | $47.81 | 1.3x Medicare |
| Wyoming | 9 | $44.48 | $51.74 | $59.19 | $62.15 | $69.32 | $47.81 | 1.2x Medicare |

**“x Medicare”** compares each price with what original Medicare pays for the same lab test under its clinical laboratory fee schedule (26CLABQ4, in force from 2026-10-01): one national price, the same in every state. Insurers write their contracts as a share of Medicare, so 1.3x means the insurer pays 30% more than Medicare would; Medicare Advantage plans generally pay close to 1.0x.

Prices are what the insurer has agreed to pay, not what you will be billed. This is a statewide summary: prices vary far more between towns and between practices than these medians suggest, and "providers" counts everyone with a contracted price, not only those who perform the procedure.

Map: https://medicalpricetransparency.netlify.app/insurers/caresource/statemap_80055_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)