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

The standard set of blood tests done early in pregnancy.

- Insurer: HAP (Health Alliance Plan)
- 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 | 25 | $42.05 | $55.32 | $72.74 | $79.71 | $86.38 | $47.81 | 1.5x Medicare |
| Alaska | 6 | $55.00 | $55.32 | $57.37 | $73.68 | $84.91 | $47.81 | 1.2x Medicare |
| Arizona | 95 | $41.98 | $55.16 | $57.37 | $73.21 | $95.62 | $47.81 | 1.2x Medicare |
| Arkansas | 11 | $42.05 | $55.00 | $55.32 | $57.37 | $66.93 | $47.81 | 1.2x Medicare |
| California | 186 | $38.24 | $55.32 | $57.37 | $73.68 | $95.62 | $47.81 | 1.2x Medicare |
| Colorado | 70 | $42.05 | $55.32 | $57.37 | $74.60 | $95.62 | $47.81 | 1.2x Medicare |
| Connecticut | 26 | $41.98 | $53.80 | $57.37 | $73.86 | $95.62 | $47.81 | 1.2x Medicare |
| Delaware | 5 | $41.98 | $55.32 | $55.32 | $66.74 | $84.91 | $47.81 | 1.2x Medicare |
| District of Columbia | 10 | $55.00 | $55.32 | $64.59 | $79.84 | $86.38 | $47.81 | 1.4x Medicare |
| Florida | 334 | $38.24 | $55.00 | $55.32 | $71.91 | $95.62 | $47.81 | 1.2x Medicare |
| Georgia | 85 | $41.98 | $55.32 | $57.37 | $72.12 | $86.51 | $47.81 | 1.2x Medicare |
| Hawaii | 10 | $42.05 | $55.32 | $60.49 | $77.08 | $86.38 | $47.81 | 1.3x Medicare |
| Idaho | 11 | $42.05 | $55.08 | $55.32 | $57.37 | $84.91 | $47.81 | 1.2x Medicare |
| Illinois | 176 | $41.98 | $55.32 | $55.32 | $72.74 | $95.62 | $47.81 | 1.2x Medicare |
| Indiana | 199 | $33.20 | $55.00 | $55.32 | $65.02 | $95.62 | $47.81 | 1.2x Medicare |
| Iowa | 26 | $41.98 | $55.00 | $55.32 | $65.02 | $86.38 | $47.81 | 1.2x Medicare |
| Kansas | 6 | $41.98 | $55.00 | $55.32 | $66.74 | $84.91 | $47.81 | 1.2x Medicare |
| Kentucky | 35 | $42.05 | $55.32 | $64.44 | $74.60 | $86.51 | $47.81 | 1.4x Medicare |
| Louisiana | 16 | $41.98 | $55.32 | $55.32 | $69.82 | $86.38 | $47.81 | 1.2x Medicare |
| Maine | 14 | $47.81 | $55.00 | $55.32 | $57.37 | $74.60 | $47.81 | 1.2x Medicare |
| Maryland | 43 | $42.05 | $55.32 | $57.37 | $73.58 | $86.38 | $47.81 | 1.2x Medicare |
| Massachusetts | 44 | $42.05 | $55.32 | $55.32 | $73.86 | $86.38 | $47.81 | 1.2x Medicare |
| Michigan | 32,283 | $21.00 | $55.32 | $64.44 | $73.86 | $167.33 | $47.81 | 1.4x Medicare |
| Minnesota | 85 | $41.98 | $55.32 | $57.37 | $77.26 | $95.62 | $47.81 | 1.2x Medicare |
| Mississippi | 10 | $42.05 | $55.32 | $64.44 | $72.74 | $95.62 | $47.81 | 1.4x Medicare |
| Missouri | 36 | $42.05 | $55.32 | $64.49 | $78.15 | $95.62 | $47.81 | 1.4x Medicare |
| Montana | 12 | $42.05 | $55.32 | $63.61 | $69.15 | $95.62 | $47.81 | 1.3x Medicare |
| Nebraska | 8 | $42.05 | $48.76 | $55.32 | $57.37 | $65.02 | $47.81 | 1.2x Medicare |
| Nevada | 22 | $42.05 | $55.32 | $57.37 | $69.32 | $74.00 | $47.81 | 1.2x Medicare |
| New Hampshire | 6 | $41.98 | $55.00 | $55.32 | $57.37 | $95.62 | $47.81 | 1.2x Medicare |
| New Jersey | 29 | $42.05 | $55.32 | $64.44 | $73.68 | $95.62 | $47.81 | 1.4x Medicare |
| New Mexico | 13 | $41.98 | $55.16 | $57.37 | $60.96 | $84.91 | $47.81 | 1.2x Medicare |
| New York | 100 | $41.98 | $55.32 | $60.85 | $73.86 | $95.62 | $47.81 | 1.3x Medicare |
| North Carolina | 72 | $40.63 | $55.32 | $57.45 | $72.74 | $86.38 | $47.81 | 1.2x Medicare |
| North Dakota | 11 | $33.20 | $55.00 | $55.32 | $63.94 | $74.60 | $47.81 | 1.2x Medicare |
| Ohio | 1,311 | $38.24 | $55.32 | $69.32 | $69.32 | $95.62 | $47.81 | 1.4x Medicare |
| Oklahoma | 18 | $42.05 | $55.32 | $55.32 | $73.86 | $86.51 | $47.81 | 1.2x Medicare |
| Oregon | 28 | $54.98 | $55.00 | $55.32 | $70.81 | $86.38 | $47.81 | 1.2x Medicare |
| Pennsylvania | 108 | $41.98 | $55.32 | $57.37 | $72.74 | $95.62 | $47.81 | 1.2x Medicare |
| Puerto Rico | 1 | $55.00 | $55.00 | $55.00 | $55.00 | $55.00 | $47.81 | 1.1x Medicare |
| Rhode Island | 9 | $42.05 | $48.16 | $55.32 | $75.71 | $95.62 | $47.81 | 1.2x Medicare |
| South Carolina | 41 | $42.05 | $55.32 | $55.32 | $78.15 | $95.62 | $47.81 | 1.2x Medicare |
| South Dakota | 5 | $42.05 | $49.69 | $55.32 | $56.86 | $69.32 | $47.81 | 1.2x Medicare |
| Tennessee | 63 | $41.98 | $55.32 | $56.35 | $72.97 | $95.62 | $47.81 | 1.2x Medicare |
| Texas | 151 | $41.98 | $55.32 | $57.37 | $73.86 | $86.38 | $47.81 | 1.2x Medicare |
| Utah | 8 | $42.05 | $55.32 | $60.91 | $76.80 | $84.91 | $47.81 | 1.3x Medicare |
| Vermont | 4 | $42.05 | $46.63 | $51.74 | $55.32 | $55.32 | $47.81 | 1.1x Medicare |
| Virginia | 65 | $41.98 | $55.32 | $57.37 | $73.86 | $95.62 | $47.81 | 1.2x Medicare |
| Washington | 49 | $41.98 | $55.32 | $64.44 | $73.86 | $95.62 | $47.81 | 1.4x Medicare |
| West Virginia | 12 | $42.05 | $55.32 | $73.86 | $81.53 | $86.38 | $47.81 | 1.5x Medicare |
| Wisconsin | 88 | $42.05 | $55.32 | $57.37 | $73.68 | $95.62 | $47.81 | 1.2x Medicare |
| Wyoming | 2 | $55.00 | $58.58 | $62.16 | $65.74 | $69.32 | $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/hap/statemap_80055_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)