# Pregnancy blood test panel: what Excellus BlueCross BlueShield pays, by state

The standard set of blood tests done early in pregnancy.

- Insurer: Excellus BlueCross BlueShield
- Billing code: 80055 (Women's health & maternity)
- Price shown: negotiated in-network price, any setting, doctor's fee
- Prices as of: 2026-10-01
- 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 | 69 | $31.37 | $45.42 | $46.48 | $47.81 | $138.11 | $47.81 | about what Medicare pays |
| Alaska | 19 | $22.24 | $45.42 | $47.15 | $47.81 | $138.11 | $47.81 | about what Medicare pays |
| Arizona | 106 | $31.37 | $45.42 | $47.81 | $47.81 | $138.11 | $47.81 | about what Medicare pays |
| Arkansas | 13 | $31.37 | $45.42 | $47.67 | $47.81 | $138.11 | $47.81 | about what Medicare pays |
| California | 280 | $14.43 | $45.42 | $47.81 | $47.81 | $200.29 | $47.81 | about what Medicare pays |
| Colorado | 132 | $22.24 | $40.64 | $47.81 | $47.81 | $167.17 | $47.81 | about what Medicare pays |
| Connecticut | 166 | $22.24 | $45.42 | $47.52 | $47.81 | $167.17 | $47.81 | about what Medicare pays |
| Delaware | 28 | $31.37 | $45.42 | $47.81 | $47.81 | $100.29 | $47.81 | about what Medicare pays |
| District of Columbia | 26 | $31.37 | $45.42 | $47.81 | $47.81 | $138.11 | $47.81 | about what Medicare pays |
| Florida | 467 | $22.24 | $45.42 | $47.81 | $47.81 | $200.29 | $47.81 | about what Medicare pays |
| Georgia | 102 | $22.24 | $45.42 | $47.52 | $47.81 | $200.29 | $47.81 | about what Medicare pays |
| Guam | 1 | $45.42 | $46.02 | $46.62 | $47.21 | $47.81 |  |  |
| Hawaii | 12 | $31.37 | $45.42 | $47.81 | $47.81 | $138.11 | $47.81 | about what Medicare pays |
| Idaho | 17 | $31.37 | $40.64 | $46.48 | $47.81 | $52.59 | $47.81 | about what Medicare pays |
| Illinois | 185 | $22.24 | $45.42 | $47.52 | $47.81 | $138.11 | $47.81 | about what Medicare pays |
| Indiana | 68 | $31.37 | $45.42 | $46.48 | $47.81 | $100.29 | $47.81 | about what Medicare pays |
| Iowa | 38 | $31.37 | $40.64 | $47.81 | $47.81 | $100.29 | $47.81 | about what Medicare pays |
| Kansas | 43 | $31.37 | $46.48 | $46.48 | $47.81 | $138.11 | $47.81 | about what Medicare pays |
| Kentucky | 62 | $31.37 | $45.42 | $47.81 | $47.81 | $138.11 | $47.81 | about what Medicare pays |
| Louisiana | 58 | $31.37 | $40.64 | $46.48 | $47.81 | $138.11 | $47.81 | about what Medicare pays |
| Maine | 62 | $31.37 | $45.42 | $47.81 | $47.81 | $138.11 | $47.81 | about what Medicare pays |
| Maryland | 111 | $31.37 | $45.42 | $47.81 | $47.81 | $167.17 | $47.81 | about what Medicare pays |
| Massachusetts | 225 | $22.24 | $45.42 | $47.81 | $47.81 | $200.29 | $47.81 | about what Medicare pays |
| Michigan | 131 | $31.37 | $45.42 | $47.81 | $47.81 | $167.17 | $47.81 | about what Medicare pays |
| Minnesota | 351 | $31.37 | $45.42 | $47.52 | $47.81 | $167.17 | $47.81 | about what Medicare pays |
| Mississippi | 23 | $31.37 | $45.42 | $47.81 | $47.81 | $167.17 | $47.81 | about what Medicare pays |
| Missouri | 81 | $31.37 | $45.42 | $47.81 | $47.81 | $167.17 | $47.81 | about what Medicare pays |
| Montana | 14 | $31.37 | $45.42 | $47.00 | $47.81 | $52.59 | $47.81 | about what Medicare pays |
| Nebraska | 20 | $22.24 | $44.22 | $46.48 | $47.81 | $100.29 | $47.81 | about what Medicare pays |
| Nevada | 33 | $31.37 | $45.42 | $47.00 | $47.81 | $100.29 | $47.81 | about what Medicare pays |
| New Hampshire | 68 | $31.37 | $45.42 | $47.81 | $53.11 | $138.11 | $47.81 | about what Medicare pays |
| New Jersey | 302 | $19.12 | $45.42 | $47.81 | $47.81 | $167.17 | $47.81 | about what Medicare pays |
| New Mexico | 21 | $22.24 | $45.42 | $47.81 | $47.81 | $138.11 | $47.81 | about what Medicare pays |
| New York | 31,004 | $22.24 | $40.64 | $47.81 | $47.81 | $293.85 | $47.81 | about what Medicare pays |
| North Carolina | 255 | $31.37 | $45.42 | $46.48 | $47.81 | $167.17 | $47.81 | about what Medicare pays |
| North Dakota | 14 | $31.37 | $45.42 | $47.81 | $47.81 | $52.59 | $47.81 | about what Medicare pays |
| Ohio | 212 | $22.24 | $40.64 | $47.81 | $47.81 | $200.29 | $47.81 | about what Medicare pays |
| Oklahoma | 25 | $22.24 | $45.42 | $47.81 | $47.81 | $138.11 | $47.81 | about what Medicare pays |
| Oregon | 64 | $31.37 | $45.42 | $47.81 | $47.81 | $167.17 | $47.81 | about what Medicare pays |
| Pennsylvania | 2,255 | $14.43 | $40.64 | $47.81 | $47.81 | $167.17 | $47.81 | about what Medicare pays |
| Puerto Rico | 6 | $31.37 | $40.64 | $47.81 | $47.81 | $100.29 | $47.81 | about what Medicare pays |
| Rhode Island | 36 | $22.24 | $45.42 | $47.81 | $47.81 | $138.11 | $47.81 | about what Medicare pays |
| South Carolina | 80 | $22.24 | $45.42 | $47.81 | $47.81 | $138.11 | $47.81 | about what Medicare pays |
| South Dakota | 7 | $40.64 | $45.42 | $46.48 | $47.81 | $52.59 | $47.81 | about what Medicare pays |
| Tennessee | 86 | $22.24 | $45.42 | $47.81 | $47.81 | $167.17 | $47.81 | about what Medicare pays |
| Texas | 250 | $31.37 | $45.42 | $47.52 | $47.81 | $167.17 | $47.81 | about what Medicare pays |
| U.S. Virgin Islands | 1 | $45.42 | $46.02 | $46.62 | $47.21 | $47.81 | $47.81 | about what Medicare pays |
| Utah | 30 | $31.37 | $45.42 | $47.81 | $53.11 | $200.29 | $47.81 | about what Medicare pays |
| Vermont | 1,287 | $22.24 | $47.81 | $53.11 | $53.11 | $138.11 | $47.81 | 1.1x Medicare |
| Virginia | 208 | $22.24 | $45.42 | $47.52 | $47.81 | $154.72 | $47.81 | about what Medicare pays |
| Washington | 138 | $22.24 | $45.42 | $46.48 | $47.81 | $138.11 | $47.81 | about what Medicare pays |
| West Virginia | 34 | $31.37 | $45.42 | $47.00 | $47.81 | $100.29 | $47.81 | about what Medicare pays |
| Wisconsin | 72 | $31.37 | $45.42 | $47.81 | $47.81 | $167.17 | $47.81 | about what Medicare pays |
| Wyoming | 5 | $31.37 | $45.68 | $47.81 | $56.24 | $100.29 | $47.81 | about what Medicare pays |

**“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/excellus/statemap_80055_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)
