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

The standard set of blood tests done early in pregnancy.

- Insurer: EmblemHealth
- Billing code: 80055 (Women's health & maternity)
- Price shown: negotiated in-network price, any setting, doctor's and facility fees
- Prices as of: 2026-08-01
- 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 | 38 | $28.21 | $28.21 | $28.21 | $33.47 | $90.84 | $47.81 | 0.6x Medicare |
| Alaska | 5 | $28.21 | $28.21 | $28.21 | $28.21 | $33.47 | $47.81 | 0.6x Medicare |
| Arizona | 23 | $22.47 | $33.47 | $43.99 | $62.63 | $90.84 | $47.81 | 0.9x Medicare |
| Arkansas | 8 | $28.21 | $44.95 | $49.01 | $62.27 | $103.27 | $47.81 | about what Medicare pays |
| California | 160 | $22.47 | $43.99 | $62.63 | $69.32 | $103.27 | $47.81 | 1.3x Medicare |
| Colorado | 36 | $22.47 | $28.21 | $43.99 | $69.23 | $103.27 | $47.81 | 0.9x Medicare |
| Connecticut | 248 | $22.47 | $40.23 | $47.81 | $62.63 | $143.43 | $47.81 | about what Medicare pays |
| Delaware | 33 | $28.21 | $50.20 | $62.63 | $69.28 | $103.27 | $47.81 | 1.3x Medicare |
| District of Columbia | 17 | $28.21 | $42.13 | $62.63 | $64.06 | $103.27 | $47.81 | 1.3x Medicare |
| Florida | 188 | $19.12 | $43.99 | $62.63 | $69.32 | $103.27 | $47.81 | 1.3x Medicare |
| Georgia | 56 | $22.47 | $43.99 | $62.63 | $69.32 | $103.27 | $47.81 | 1.3x Medicare |
| Hawaii | 11 | $33.47 | $43.99 | $62.63 | $65.97 | $90.84 | $47.81 | 1.3x Medicare |
| Idaho | 1 | $28.21 | $28.21 | $28.21 | $28.21 | $28.21 | $47.81 | 0.6x Medicare |
| Illinois | 81 | $22.47 | $28.21 | $62.63 | $62.63 | $103.27 | $47.81 | 1.3x Medicare |
| Indiana | 37 | $28.21 | $33.47 | $47.81 | $62.63 | $90.84 | $47.81 | about what Medicare pays |
| Iowa | 14 | $28.21 | $44.15 | $62.63 | $69.32 | $90.84 | $47.81 | 1.3x Medicare |
| Kansas | 27 | $22.47 | $28.21 | $28.21 | $38.73 | $103.27 | $47.81 | 0.6x Medicare |
| Kentucky | 13 | $28.21 | $57.97 | $62.63 | $69.25 | $90.84 | $47.81 | 1.3x Medicare |
| Louisiana | 21 | $28.21 | $28.21 | $43.99 | $62.63 | $103.27 | $47.81 | 0.9x Medicare |
| Maine | 28 | $28.45 | $40.49 | $66.89 | $69.32 | $143.43 | $47.81 | 1.4x Medicare |
| Maryland | 65 | $22.47 | $61.20 | $62.63 | $90.84 | $103.27 | $47.81 | 1.3x Medicare |
| Massachusetts | 151 | $22.47 | $61.20 | $69.32 | $90.84 | $103.27 | $47.81 | 1.4x Medicare |
| Michigan | 50 | $9.56 | $40.42 | $62.63 | $69.32 | $103.27 | $47.81 | 1.3x Medicare |
| Minnesota | 32 | $28.21 | $41.37 | $62.63 | $69.32 | $103.27 | $47.81 | 1.3x Medicare |
| Mississippi | 5 | $28.21 | $28.21 | $47.81 | $47.81 | $62.63 | $47.81 | about what Medicare pays |
| Missouri | 25 | $22.47 | $43.99 | $61.20 | $69.32 | $103.27 | $47.81 | 1.3x Medicare |
| Montana | 4 | $28.21 | $28.21 | $30.84 | $42.41 | $69.23 | $47.81 | 0.7x Medicare |
| Nebraska | 6 | $28.21 | $53.31 | $62.63 | $62.63 | $62.63 | $47.81 | 1.3x Medicare |
| Nevada | 11 | $22.47 | $28.21 | $33.47 | $48.65 | $90.84 | $47.81 | 0.7x Medicare |
| New Hampshire | 22 | $26.30 | $58.93 | $69.32 | $90.84 | $90.84 | $47.81 | 1.4x Medicare |
| New Jersey | 4,419 | $19.12 | $62.63 | $62.63 | $62.63 | $103.27 | $47.81 | 1.3x Medicare |
| New Mexico | 7 | $22.47 | $40.23 | $43.99 | $69.23 | $103.27 | $47.81 | 0.9x Medicare |
| New York | 9,346 | $9.56 | $40.23 | $56.42 | $69.32 | $216.10 | $47.81 | 1.2x Medicare |
| North Carolina | 99 | $22.47 | $28.21 | $43.99 | $62.63 | $103.27 | $47.81 | 0.9x Medicare |
| North Dakota | 2 | $33.47 | $40.76 | $48.05 | $55.34 | $62.63 | $47.81 | about what Medicare pays |
| Ohio | 74 | $22.47 | $38.54 | $62.63 | $69.32 | $103.27 | $47.81 | 1.3x Medicare |
| Oklahoma | 11 | $22.47 | $29.53 | $50.20 | $67.65 | $103.27 | $47.81 | about what Medicare pays |
| Oregon | 35 | $22.47 | $28.21 | $28.21 | $47.81 | $90.84 | $47.81 | 0.6x Medicare |
| Pennsylvania | 2,818 | $22.47 | $69.23 | $69.23 | $69.23 | $143.43 | $47.81 | 1.4x Medicare |
| Puerto Rico | 3 | $62.63 | $62.63 | $65.97 | $74.70 | $90.84 | $47.81 | 1.4x Medicare |
| Rhode Island | 14 | $33.47 | $52.95 | $69.32 | $90.84 | $103.27 | $47.81 | 1.4x Medicare |
| South Carolina | 29 | $28.21 | $43.99 | $62.63 | $69.32 | $103.27 | $47.81 | 1.3x Medicare |
| South Dakota | 4 | $26.30 | $27.73 | $28.45 | $33.47 | $33.47 | $47.81 | 0.6x Medicare |
| Tennessee | 39 | $22.47 | $40.36 | $47.81 | $69.23 | $103.27 | $47.81 | about what Medicare pays |
| Texas | 113 | $9.56 | $33.47 | $62.63 | $62.63 | $103.27 | $47.81 | 1.3x Medicare |
| Utah | 8 | $33.47 | $41.37 | $61.92 | $62.63 | $103.27 | $47.81 | 1.3x Medicare |
| Vermont | 18 | $28.45 | $33.47 | $47.81 | $62.63 | $90.84 | $47.81 | about what Medicare pays |
| Virginia | 94 | $22.47 | $33.47 | $47.81 | $69.23 | $103.27 | $47.81 | about what Medicare pays |
| Washington | 74 | $22.47 | $28.21 | $28.21 | $62.63 | $103.27 | $47.81 | 0.6x Medicare |
| West Virginia | 15 | $28.21 | $28.21 | $33.47 | $51.56 | $69.23 | $47.81 | 0.7x Medicare |
| Wisconsin | 25 | $28.21 | $36.85 | $62.63 | $69.32 | $90.84 | $47.81 | 1.3x 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/emblem/statemap_80055_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)