# Pregnancy blood test panel: what Blue Cross and Blue Shield of Illinois, Texas, Oklahoma, New Mexico and Montana pays, by state

The standard set of blood tests done early in pregnancy.

- Insurer: Blue Cross and Blue Shield of Illinois, Texas, Oklahoma, New Mexico and Montana (HCSC)
- Billing code: 80055 (Women's health & maternity)
- Price shown: negotiated in-network price, any setting, doctor's fee
- Prices as of: 2026-09-12
- 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 | 259 | $1.89 | $5.00 | $5.50 | $28.04 | $175.31 | $47.81 | 0.1x Medicare |
| Alaska | 69 | $2.98 | $5.50 | $26.30 | $31.29 | $70.33 | $47.81 | 0.6x Medicare |
| Arizona | 720 | $1.89 | $5.00 | $5.50 | $29.33 | $175.31 | $47.81 | 0.1x Medicare |
| Arkansas | 409 | $1.89 | $5.50 | $5.50 | $31.41 | $149.01 | $47.81 | 0.1x Medicare |
| California | 1,624 | $1.89 | $5.00 | $5.50 | $28.04 | $185.50 | $47.81 | 0.1x Medicare |
| Colorado | 651 | $1.89 | $5.00 | $26.30 | $31.29 | $175.31 | $47.81 | 0.6x Medicare |
| Connecticut | 160 | $1.89 | $5.00 | $5.50 | $26.30 | $175.31 | $47.81 | 0.1x Medicare |
| Delaware | 64 | $2.98 | $5.00 | $5.50 | $26.30 | $129.61 | $47.81 | 0.1x Medicare |
| District of Columbia | 84 | $2.98 | $5.00 | $5.50 | $26.30 | $132.78 | $47.81 | 0.1x Medicare |
| Florida | 1,910 | $1.89 | $5.00 | $5.50 | $26.30 | $801.00 | $47.81 | 0.1x Medicare |
| Georgia | 667 | $1.89 | $5.00 | $5.50 | $26.30 | $133.87 | $47.81 | 0.1x Medicare |
| Guam | 3 | $5.00 | $5.50 | $5.50 | $26.30 | $29.22 |  |  |
| Hawaii | 94 | $2.98 | $5.00 | $5.50 | $26.30 | $133.87 | $47.81 | 0.1x Medicare |
| Idaho | 118 | $1.89 | $5.50 | $26.30 | $31.41 | $129.61 | $47.81 | 0.6x Medicare |
| Illinois | 45,061 | $1.89 | $3.50 | $31.29 | $36.81 | $742.45 | $47.81 | 0.7x Medicare |
| Indiana | 2,181 | $1.89 | $3.50 | $28.04 | $32.99 | $175.31 | $47.81 | 0.6x Medicare |
| Iowa | 596 | $1.89 | $3.50 | $28.04 | $32.99 | $185.50 | $47.81 | 0.6x Medicare |
| Kansas | 310 | $2.98 | $5.50 | $26.30 | $36.81 | $175.31 | $47.81 | 0.6x Medicare |
| Kentucky | 266 | $1.89 | $5.00 | $5.50 | $31.29 | $165.79 | $47.81 | 0.1x Medicare |
| Louisiana | 604 | $1.89 | $5.00 | $5.50 | $26.30 | $147.56 | $47.81 | 0.1x Medicare |
| Maine | 86 | $1.89 | $5.00 | $5.50 | $26.30 | $133.87 | $47.81 | 0.1x Medicare |
| Maryland | 399 | $1.89 | $5.00 | $5.50 | $26.30 | $149.01 | $47.81 | 0.1x Medicare |
| Massachusetts | 330 | $1.89 | $5.00 | $5.50 | $31.29 | $175.31 | $47.81 | 0.1x Medicare |
| Michigan | 615 | $1.89 | $5.00 | $26.30 | $32.99 | $175.31 | $47.81 | 0.6x Medicare |
| Minnesota | 332 | $1.89 | $5.00 | $5.50 | $31.29 | $175.31 | $47.81 | 0.1x Medicare |
| Mississippi | 171 | $1.89 | $5.00 | $5.50 | $26.30 | $130.68 | $47.81 | 0.1x Medicare |
| Missouri | 1,442 | $1.89 | $3.50 | $26.30 | $36.81 | $185.50 | $47.81 | 0.6x Medicare |
| Montana | 2,499 | $2.98 | $64.07 | $64.07 | $64.07 | $801.00 | $47.81 | 1.3x Medicare |
| Nebraska | 93 | $2.98 | $5.00 | $5.50 | $28.04 | $185.50 | $47.81 | 0.1x Medicare |
| Nevada | 242 | $1.89 | $5.00 | $5.50 | $26.30 | $133.87 | $47.81 | 0.1x Medicare |
| New Hampshire | 59 | $1.89 | $5.00 | $5.50 | $29.22 | $129.61 | $47.81 | 0.1x Medicare |
| New Jersey | 337 | $1.89 | $5.00 | $5.50 | $26.30 | $165.79 | $47.81 | 0.1x Medicare |
| New Mexico | 2,766 | $2.98 | $26.30 | $39.11 | $43.02 | $514.18 | $47.81 | 0.8x Medicare |
| New York | 930 | $1.89 | $5.00 | $5.50 | $26.30 | $175.31 | $47.81 | 0.1x Medicare |
| North Carolina | 629 | $2.83 | $5.00 | $26.30 | $31.75 | $175.31 | $47.81 | 0.6x Medicare |
| North Dakota | 94 | $2.94 | $5.50 | $26.30 | $37.17 | $132.78 | $47.81 | 0.6x Medicare |
| Northern Mariana Islands | 1 | $64.07 | $64.07 | $64.07 | $64.07 | $64.07 |  |  |
| Ohio | 636 | $1.89 | $5.00 | $5.50 | $31.29 | $175.31 | $47.81 | 0.1x Medicare |
| Oklahoma | 8,266 | $1.89 | $45.42 | $45.42 | $45.42 | $138.13 | $47.81 | about what Medicare pays |
| Oregon | 322 | $1.89 | $5.00 | $5.50 | $28.04 | $132.78 | $47.81 | 0.1x Medicare |
| Pennsylvania | 563 | $1.89 | $5.00 | $5.50 | $26.30 | $147.56 | $47.81 | 0.1x Medicare |
| Puerto Rico | 31 | $2.98 | $5.00 | $5.50 | $26.30 | $40.64 | $47.81 | 0.1x Medicare |
| Rhode Island | 46 | $2.98 | $5.00 | $5.50 | $26.30 | $65.02 | $47.81 | 0.1x Medicare |
| South Carolina | 241 | $1.89 | $5.00 | $5.50 | $31.29 | $129.61 | $47.81 | 0.1x Medicare |
| South Dakota | 49 | $2.98 | $5.00 | $26.30 | $32.99 | $70.33 | $47.81 | 0.6x Medicare |
| Tennessee | 607 | $1.89 | $5.00 | $5.50 | $29.33 | $175.31 | $47.81 | 0.1x Medicare |
| Texas | 90,185 | $1.89 | $5.00 | $5.50 | $26.30 | $482.13 | $47.81 | 0.1x Medicare |
| U.S. Virgin Islands | 4 | $2.98 | $5.00 | $15.90 | $28.04 | $31.29 | $47.81 | 0.3x Medicare |
| Utah | 234 | $2.98 | $5.50 | $26.30 | $36.81 | $133.87 | $47.81 | 0.6x Medicare |
| Vermont | 17 | $3.50 | $5.00 | $26.30 | $36.81 | $165.79 | $47.81 | 0.6x Medicare |
| Virginia | 468 | $1.89 | $5.00 | $5.50 | $26.30 | $175.31 | $47.81 | 0.1x Medicare |
| Washington | 667 | $1.89 | $5.00 | $26.30 | $29.33 | $149.01 | $47.81 | 0.6x Medicare |
| West Virginia | 61 | $2.98 | $5.00 | $25.42 | $31.29 | $147.56 | $47.81 | 0.5x Medicare |
| Wisconsin | 816 | $1.89 | $3.50 | $26.30 | $34.31 | $175.31 | $47.81 | 0.6x Medicare |
| Wyoming | 79 | $3.50 | $5.50 | $26.30 | $36.81 | $64.07 | $47.81 | 0.6x 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/hcsc/statemap_80055_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)