# Pregnancy blood test panel: what Horizon Blue Cross Blue Shield of New Jersey pays, by state

The standard set of blood tests done early in pregnancy.

- Insurer: Horizon Blue Cross Blue Shield of New Jersey
- Billing code: 80055 (Women's health & maternity)
- Price shown: negotiated in-network price, any setting, doctor's fee
- Prices as of: 2026-09-11
- 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 | $33.47 | $33.47 | $33.47 | $33.47 | $78.25 | $47.81 | 0.7x Medicare |
| Alaska | 12 | $33.47 | $33.47 | $33.47 | $33.47 | $33.47 | $47.81 | 0.7x Medicare |
| Arizona | 179 | $33.47 | $33.47 | $33.47 | $33.47 | $78.25 | $47.81 | 0.7x Medicare |
| Arkansas | 62 | $33.47 | $33.47 | $33.47 | $33.47 | $14,861.00 | $47.81 | 0.7x Medicare |
| California | 973 | $33.47 | $33.47 | $33.47 | $33.47 | $14,861.00 | $47.81 | 0.7x Medicare |
| Colorado | 206 | $33.47 | $33.47 | $33.47 | $33.47 | $78.25 | $47.81 | 0.7x Medicare |
| Connecticut | 375 | $33.47 | $33.47 | $33.47 | $33.47 | $11,435.00 | $47.81 | 0.7x Medicare |
| Delaware | 945 | $33.47 | $33.47 | $33.47 | $33.47 | $14,861.00 | $47.81 | 0.7x Medicare |
| District of Columbia | 84 | $33.47 | $33.47 | $33.47 | $33.47 | $8,014.00 | $47.81 | 0.7x Medicare |
| Florida | 1,256 | $33.47 | $33.47 | $33.47 | $33.47 | $14,861.00 | $47.81 | 0.7x Medicare |
| Georgia | 263 | $33.47 | $33.47 | $33.47 | $33.47 | $14,861.00 | $47.81 | 0.7x Medicare |
| Guam | 2 | $33.47 | $33.47 | $33.47 | $33.47 | $33.47 |  |  |
| Hawaii | 37 | $33.47 | $33.47 | $33.47 | $33.47 | $78.25 | $47.81 | 0.7x Medicare |
| Idaho | 23 | $33.47 | $33.47 | $33.47 | $33.47 | $33.47 | $47.81 | 0.7x Medicare |
| Illinois | 384 | $33.47 | $33.47 | $33.47 | $33.47 | $14,861.00 | $47.81 | 0.7x Medicare |
| Indiana | 130 | $33.47 | $33.47 | $33.47 | $33.47 | $78.25 | $47.81 | 0.7x Medicare |
| Iowa | 46 | $33.47 | $33.47 | $33.47 | $33.47 | $78.25 | $47.81 | 0.7x Medicare |
| Kansas | 34 | $33.47 | $33.47 | $33.47 | $33.47 | $42.07 | $47.81 | 0.7x Medicare |
| Kentucky | 83 | $33.47 | $33.47 | $33.47 | $33.47 | $78.25 | $47.81 | 0.7x Medicare |
| Louisiana | 82 | $33.47 | $33.47 | $33.47 | $33.47 | $11,435.00 | $47.81 | 0.7x Medicare |
| Maine | 49 | $33.47 | $33.47 | $33.47 | $33.47 | $78.25 | $47.81 | 0.7x Medicare |
| Maryland | 380 | $33.47 | $33.47 | $33.47 | $33.47 | $14,861.00 | $47.81 | 0.7x Medicare |
| Massachusetts | 408 | $33.47 | $33.47 | $33.47 | $33.47 | $14,928.00 | $47.81 | 0.7x Medicare |
| Michigan | 256 | $33.47 | $33.47 | $33.47 | $33.47 | $11,435.00 | $47.81 | 0.7x Medicare |
| Minnesota | 300 | $33.47 | $33.47 | $33.47 | $33.47 | $78.25 | $47.81 | 0.7x Medicare |
| Mississippi | 30 | $33.47 | $33.47 | $33.47 | $33.47 | $47.81 | $47.81 | 0.7x Medicare |
| Missouri | 127 | $33.47 | $33.47 | $33.47 | $33.47 | $14,861.00 | $47.81 | 0.7x Medicare |
| Montana | 19 | $33.47 | $33.47 | $33.47 | $33.47 | $78.25 | $47.81 | 0.7x Medicare |
| Nebraska | 33 | $33.47 | $33.47 | $33.47 | $33.47 | $37.89 | $47.81 | 0.7x Medicare |
| Nevada | 79 | $33.47 | $33.47 | $33.47 | $33.47 | $78.25 | $47.81 | 0.7x Medicare |
| New Hampshire | 85 | $33.47 | $33.47 | $33.47 | $33.47 | $14,861.00 | $47.81 | 0.7x Medicare |
| New Jersey | 50,290 | $28.69 | $33.47 | $33.47 | $33.47 | $16,077.00 | $47.81 | 0.7x Medicare |
| New Mexico | 40 | $33.47 | $33.47 | $33.47 | $33.47 | $78.25 | $47.81 | 0.7x Medicare |
| New York | 11,723 | $33.47 | $33.47 | $33.47 | $78.25 | $15,862.00 | $47.81 | 0.7x Medicare |
| North Carolina | 337 | $33.47 | $33.47 | $33.47 | $33.47 | $14,861.00 | $47.81 | 0.7x Medicare |
| North Dakota | 13 | $33.47 | $33.47 | $33.47 | $33.47 | $33.47 | $47.81 | 0.7x Medicare |
| Ohio | 317 | $33.47 | $33.47 | $33.47 | $33.47 | $14,861.00 | $47.81 | 0.7x Medicare |
| Oklahoma | 61 | $33.47 | $33.47 | $33.47 | $33.47 | $78.25 | $47.81 | 0.7x Medicare |
| Oregon | 59 | $33.47 | $33.47 | $33.47 | $33.47 | $14,861.00 | $47.81 | 0.7x Medicare |
| Pennsylvania | 10,941 | $33.47 | $33.47 | $33.47 | $33.47 | $15,647.00 | $47.81 | 0.7x Medicare |
| Puerto Rico | 11 | $33.47 | $33.47 | $33.47 | $33.47 | $33.47 | $47.81 | 0.7x Medicare |
| Rhode Island | 64 | $33.47 | $33.47 | $33.47 | $33.47 | $8,014.00 | $47.81 | 0.7x Medicare |
| South Carolina | 146 | $33.47 | $33.47 | $33.47 | $33.47 | $14,536.00 | $47.81 | 0.7x Medicare |
| South Dakota | 8 | $33.47 | $33.47 | $33.47 | $33.47 | $33.47 | $47.81 | 0.7x Medicare |
| Tennessee | 184 | $33.47 | $33.47 | $33.47 | $33.47 | $11,435.00 | $47.81 | 0.7x Medicare |
| Texas | 670 | $33.47 | $33.47 | $33.47 | $33.47 | $14,861.00 | $47.81 | 0.7x Medicare |
| U.S. Virgin Islands | 2 | $33.47 | $33.47 | $33.47 | $33.47 | $33.47 | $47.81 | 0.7x Medicare |
| Utah | 64 | $33.47 | $33.47 | $33.47 | $33.47 | $78.25 | $47.81 | 0.7x Medicare |
| Vermont | 23 | $33.47 | $33.47 | $33.47 | $33.47 | $114.04 | $47.81 | 0.7x Medicare |
| Virginia | 300 | $33.47 | $33.47 | $33.47 | $33.47 | $78.25 | $47.81 | 0.7x Medicare |
| Washington | 156 | $33.47 | $33.47 | $33.47 | $33.47 | $78.25 | $47.81 | 0.7x Medicare |
| West Virginia | 33 | $33.47 | $33.47 | $33.47 | $33.47 | $8,014.00 | $47.81 | 0.7x Medicare |
| Wisconsin | 110 | $33.47 | $33.47 | $33.47 | $33.47 | $78.25 | $47.81 | 0.7x Medicare |
| Wyoming | 4 | $33.47 | $33.47 | $33.47 | $33.47 | $33.47 | $47.81 | 0.7x 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/horizon/statemap_80055_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)