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

The standard set of blood tests done early in pregnancy.

- Insurer: Centene (Ambetter, Health Net, Fidelis, QualChoice)
- Billing code: 80055 (Women's health & maternity)
- Price shown: negotiated in-network price, any setting, doctor's fee
- Prices as of: 2026-08-31
- 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 | 3,020 | $15.00 | $23.91 | $23.91 | $23.91 | $119.41 | $47.81 | 0.5x Medicare |
| Alaska | 30 | $15.00 | $47.81 | $87.85 | $90.00 | $103.50 | $47.81 | 1.8x Medicare |
| Arizona | 258 | $15.00 | $23.91 | $48.77 | $95.52 | $119.41 | $47.81 | about what Medicare pays |
| Arkansas | 14,425 | $20.08 | $47.81 | $54.98 | $90.00 | $119.41 | $47.81 | 1.1x Medicare |
| California | 4,497 | $15.00 | $15.00 | $15.00 | $15.00 | $119.41 | $47.81 | 0.3x Medicare |
| Colorado | 230 | $15.00 | $23.91 | $76.50 | $95.62 | $119.41 | $47.81 | 1.6x Medicare |
| Connecticut | 48 | $15.00 | $23.91 | $47.81 | $95.52 | $119.41 | $47.81 | about what Medicare pays |
| Delaware | 14 | $23.91 | $25.10 | $48.29 | $95.62 | $119.41 | $47.81 | about what Medicare pays |
| District of Columbia | 31 | $15.00 | $23.91 | $25.10 | $95.57 | $119.41 | $47.81 | 0.5x Medicare |
| Florida | 2,527 | $15.00 | $19.12 | $20.32 | $20.32 | $119.41 | $47.81 | 0.4x Medicare |
| Georgia | 257 | $15.00 | $23.91 | $47.81 | $90.00 | $119.41 | $47.81 | about what Medicare pays |
| Guam | 1 | $15.00 | $15.00 | $15.00 | $15.00 | $15.00 |  |  |
| Hawaii | 35 | $15.00 | $23.91 | $47.81 | $95.57 | $119.41 | $47.81 | about what Medicare pays |
| Idaho | 76 | $15.00 | $48.77 | $95.62 | $95.62 | $119.41 | $47.81 | 2.0x Medicare |
| Illinois | 347 | $15.00 | $23.91 | $48.77 | $90.00 | $119.41 | $47.81 | about what Medicare pays |
| Indiana | 332 | $15.00 | $23.91 | $23.91 | $74.11 | $119.41 | $47.81 | 0.5x Medicare |
| Iowa | 1,723 | $15.00 | $48.77 | $48.77 | $48.77 | $119.41 | $47.81 | about what Medicare pays |
| Kansas | 168 | $15.00 | $47.81 | $48.77 | $95.52 | $119.41 | $47.81 | about what Medicare pays |
| Kentucky | 449 | $15.00 | $23.91 | $23.91 | $47.81 | $119.41 | $47.81 | 0.5x Medicare |
| Louisiana | 164 | $15.00 | $23.91 | $47.81 | $87.85 | $119.41 | $47.81 | about what Medicare pays |
| Maine | 31 | $15.00 | $23.91 | $23.91 | $88.39 | $119.41 | $47.81 | 0.5x Medicare |
| Maryland | 115 | $15.00 | $23.91 | $47.81 | $87.85 | $119.41 | $47.81 | about what Medicare pays |
| Massachusetts | 105 | $15.00 | $23.91 | $74.11 | $95.62 | $119.41 | $47.81 | 1.6x Medicare |
| Michigan | 380 | $15.00 | $23.91 | $23.91 | $74.11 | $119.41 | $47.81 | 0.5x Medicare |
| Minnesota | 294 | $15.00 | $23.91 | $48.77 | $90.00 | $119.41 | $47.81 | about what Medicare pays |
| Mississippi | 543 | $20.08 | $23.91 | $23.91 | $23.91 | $119.41 | $47.81 | 0.5x Medicare |
| Missouri | 1,120 | $15.00 | $48.77 | $48.77 | $87.85 | $119.41 | $47.81 | about what Medicare pays |
| Montana | 40 | $15.00 | $23.91 | $76.50 | $95.62 | $119.41 | $47.81 | 1.6x Medicare |
| Nebraska | 3,810 | $15.00 | $95.52 | $101.49 | $119.41 | $119.41 | $47.81 | 2.1x Medicare |
| Nevada | 81 | $15.00 | $21.34 | $47.81 | $90.00 | $119.41 | $47.81 | about what Medicare pays |
| New Hampshire | 22 | $15.00 | $24.80 | $87.85 | $95.62 | $119.41 | $47.81 | 1.8x Medicare |
| New Jersey | 116 | $15.00 | $23.91 | $33.20 | $87.85 | $119.41 | $47.81 | 0.7x Medicare |
| New Mexico | 85 | $15.00 | $21.34 | $25.10 | $48.77 | $103.50 | $47.81 | 0.5x Medicare |
| New York | 309 | $15.00 | $23.91 | $25.10 | $90.00 | $119.41 | $47.81 | 0.5x Medicare |
| North Carolina | 294 | $15.00 | $23.91 | $31.87 | $76.50 | $119.41 | $47.81 | 0.7x Medicare |
| North Dakota | 37 | $19.12 | $25.10 | $51.88 | $76.50 | $119.41 | $47.81 | 1.1x Medicare |
| Northern Mariana Islands | 1 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 |  |  |
| Ohio | 16,394 | $15.00 | $23.91 | $23.91 | $23.91 | $119.41 | $47.81 | 0.5x Medicare |
| Oklahoma | 258 | $15.00 | $47.81 | $87.85 | $90.00 | $119.41 | $47.81 | 1.8x Medicare |
| Oregon | 137 | $15.00 | $25.10 | $87.85 | $95.62 | $119.41 | $47.81 | 1.8x Medicare |
| Pennsylvania | 396 | $15.00 | $23.91 | $23.91 | $87.85 | $119.41 | $47.81 | 0.5x Medicare |
| Puerto Rico | 11 | $15.00 | $20.26 | $23.91 | $30.78 | $90.00 | $47.81 | 0.5x Medicare |
| Rhode Island | 16 | $19.12 | $23.91 | $47.81 | $95.52 | $119.41 | $47.81 | about what Medicare pays |
| South Carolina | 133 | $15.00 | $23.91 | $23.91 | $88.93 | $119.41 | $47.81 | 0.5x Medicare |
| South Dakota | 1,426 | $19.12 | $76.50 | $76.50 | $76.50 | $119.41 | $47.81 | 1.6x Medicare |
| Tennessee | 438 | $15.00 | $47.81 | $54.98 | $90.00 | $119.41 | $47.81 | 1.1x Medicare |
| Texas | 5,304 | $15.00 | $20.08 | $21.34 | $25.10 | $119.41 | $47.81 | 0.5x Medicare |
| U.S. Virgin Islands | 2 | $47.81 | $47.81 | $47.81 | $51.40 | $54.98 | $47.81 | about what Medicare pays |
| Utah | 68 | $15.00 | $23.91 | $48.77 | $95.60 | $119.41 | $47.81 | about what Medicare pays |
| Vermont | 13 | $20.08 | $23.91 | $48.29 | $95.62 | $119.41 | $47.81 | about what Medicare pays |
| Virginia | 207 | $15.00 | $23.91 | $47.81 | $90.00 | $119.41 | $47.81 | about what Medicare pays |
| Washington | 2,767 | $15.00 | $95.62 | $95.62 | $95.62 | $119.41 | $47.81 | 2.0x Medicare |
| West Virginia | 164 | $19.12 | $23.91 | $23.91 | $23.91 | $119.41 | $47.81 | 0.5x Medicare |
| Wisconsin | 150 | $15.00 | $23.91 | $48.77 | $95.52 | $119.41 | $47.81 | about what Medicare pays |
| Wyoming | 34 | $15.00 | $23.91 | $76.50 | $95.62 | $119.41 | $47.81 | 1.6x 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/centene/statemap_80055_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)