# Pregnancy blood test panel: what Kaiser Permanente pays, by state

The standard set of blood tests done early in pregnancy.

- Insurer: Kaiser Permanente
- Billing code: 80055 (Women's health & maternity)
- Price shown: negotiated in-network price, any setting, doctor's and facility fees
- Prices as of: 2026-09-01
- 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 | 498 | $31.08 | $47.81 | $55.94 | $85.24 | $383.59 | $47.81 | 1.2x Medicare |
| Alaska | 458 | $23.91 | $47.81 | $54.98 | $78.89 | $233.31 | $47.81 | 1.1x Medicare |
| American Samoa | 1 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 |  |  |
| Arizona | 2,524 | $23.91 | $47.81 | $57.20 | $88.06 | $826.00 | $47.81 | 1.2x Medicare |
| Arkansas | 311 | $31.08 | $47.81 | $55.26 | $82.47 | $383.59 | $47.81 | 1.2x Medicare |
| California | 165,881 | $23.91 | $43.03 | $52.64 | $100.00 | $16,667.00 | $47.81 | 1.1x Medicare |
| Colorado | 29,689 | $23.91 | $50.20 | $73.63 | $82.23 | $826.00 | $47.81 | 1.5x Medicare |
| Connecticut | 715 | $31.08 | $47.81 | $62.15 | $93.40 | $405.75 | $47.81 | 1.3x Medicare |
| Delaware | 312 | $28.69 | $45.42 | $54.98 | $82.47 | $383.59 | $47.81 | 1.1x Medicare |
| District of Columbia | 3,419 | $23.91 | $47.81 | $82.52 | $91.22 | $393.00 | $47.81 | 1.7x Medicare |
| Florida | 4,663 | $23.91 | $47.81 | $54.98 | $86.30 | $826.00 | $47.81 | 1.1x Medicare |
| Georgia | 14,873 | $23.91 | $47.73 | $62.15 | $85.24 | $393.00 | $47.81 | 1.3x Medicare |
| Guam | 20 | $23.91 | $49.40 | $62.87 | $111.38 | $143.43 |  |  |
| Hawaii | 6,858 | $21.14 | $52.59 | $93.23 | $141.00 | $670.00 | $47.81 | 1.9x Medicare |
| Idaho | 3,055 | $31.08 | $47.81 | $53.12 | $70.82 | $393.00 | $47.81 | 1.1x Medicare |
| Illinois | 2,240 | $23.91 | $47.81 | $60.16 | $99.35 | $405.75 | $47.81 | 1.3x Medicare |
| Indiana | 1,119 | $31.08 | $47.81 | $54.98 | $85.24 | $826.00 | $47.81 | 1.1x Medicare |
| Iowa | 469 | $28.69 | $47.81 | $55.94 | $88.06 | $393.00 | $47.81 | 1.2x Medicare |
| Kansas | 394 | $31.08 | $47.81 | $57.37 | $89.40 | $826.00 | $47.81 | 1.2x Medicare |
| Kentucky | 758 | $31.08 | $47.81 | $53.78 | $79.00 | $826.00 | $47.81 | 1.1x Medicare |
| Louisiana | 612 | $23.91 | $47.81 | $55.94 | $85.24 | $383.59 | $47.81 | 1.2x Medicare |
| Maine | 261 | $31.08 | $47.81 | $57.37 | $91.22 | $283.26 | $47.81 | 1.2x Medicare |
| Maryland | 17,889 | $23.91 | $47.81 | $54.98 | $71.72 | $405.75 | $47.81 | 1.1x Medicare |
| Massachusetts | 1,870 | $23.91 | $47.81 | $59.76 | $101.04 | $826.00 | $47.81 | 1.2x Medicare |
| Michigan | 1,706 | $23.91 | $47.81 | $59.30 | $100.00 | $826.00 | $47.81 | 1.2x Medicare |
| Minnesota | 1,414 | $23.91 | $47.81 | $57.35 | $80.32 | $383.59 | $47.81 | 1.2x Medicare |
| Mississippi | 228 | $31.08 | $47.81 | $54.98 | $78.89 | $233.46 | $47.81 | 1.1x Medicare |
| Missouri | 1,357 | $23.91 | $47.81 | $57.37 | $89.40 | $393.00 | $47.81 | 1.2x Medicare |
| Montana | 4,830 | $23.91 | $43.03 | $43.03 | $47.81 | $393.00 | $47.81 | 0.9x Medicare |
| Nebraska | 476 | $31.08 | $47.81 | $52.59 | $75.54 | $233.31 | $47.81 | 1.1x Medicare |
| Nevada | 1,240 | $23.91 | $47.81 | $54.98 | $89.40 | $826.00 | $47.81 | 1.1x Medicare |
| New Hampshire | 247 | $28.69 | $47.81 | $62.15 | $105.28 | $233.46 | $47.81 | 1.3x Medicare |
| New Jersey | 911 | $23.91 | $47.81 | $59.76 | $100.00 | $393.00 | $47.81 | 1.2x Medicare |
| New Mexico | 703 | $23.91 | $47.81 | $57.37 | $89.45 | $826.00 | $47.81 | 1.2x Medicare |
| New York | 3,473 | $23.91 | $47.81 | $65.57 | $102.29 | $826.00 | $47.81 | 1.4x Medicare |
| North Carolina | 2,069 | $23.91 | $47.81 | $55.54 | $89.40 | $405.75 | $47.81 | 1.2x Medicare |
| North Dakota | 252 | $23.91 | $47.81 | $52.59 | $76.24 | $159.21 | $47.81 | 1.1x Medicare |
| Northern Mariana Islands | 4 | $31.08 | $49.01 | $60.96 | $112.00 | $148.25 |  |  |
| Ohio | 2,912 | $23.91 | $47.81 | $55.54 | $82.47 | $393.00 | $47.81 | 1.2x Medicare |
| Oklahoma | 488 | $23.91 | $47.81 | $57.37 | $89.40 | $826.00 | $47.81 | 1.2x Medicare |
| Oregon | 20,407 | $23.91 | $52.59 | $59.76 | $119.53 | $826.00 | $47.81 | 1.2x Medicare |
| Pennsylvania | 2,785 | $23.91 | $47.81 | $59.76 | $93.23 | $826.00 | $47.81 | 1.2x Medicare |
| Puerto Rico | 68 | $31.08 | $47.81 | $59.06 | $86.28 | $393.00 | $47.81 | 1.2x Medicare |
| Rhode Island | 209 | $23.91 | $47.81 | $65.57 | $109.19 | $393.00 | $47.81 | 1.4x Medicare |
| South Carolina | 808 | $23.91 | $47.81 | $54.98 | $82.98 | $393.00 | $47.81 | 1.1x Medicare |
| South Dakota | 710 | $31.08 | $43.03 | $47.81 | $59.33 | $265.88 | $47.81 | about what Medicare pays |
| Tennessee | 1,102 | $23.91 | $47.81 | $57.37 | $86.15 | $393.00 | $47.81 | 1.2x Medicare |
| Texas | 6,101 | $23.91 | $47.81 | $54.98 | $80.32 | $826.00 | $47.81 | 1.1x Medicare |
| U.S. Virgin Islands | 8 | $42.07 | $43.03 | $43.03 | $50.20 | $63.59 | $47.81 | 0.9x Medicare |
| Utah | 5,768 | $23.91 | $59.33 | $59.33 | $59.33 | $826.00 | $47.81 | 1.2x Medicare |
| Vermont | 131 | $31.08 | $47.81 | $59.76 | $94.34 | $826.00 | $47.81 | 1.2x Medicare |
| Virginia | 10,318 | $23.91 | $43.03 | $48.77 | $59.76 | $405.75 | $47.81 | about what Medicare pays |
| Washington | 50,221 | $23.91 | $47.81 | $55.94 | $78.89 | $826.00 | $47.81 | 1.2x Medicare |
| West Virginia | 263 | $23.91 | $47.81 | $55.94 | $82.47 | $265.88 | $47.81 | 1.2x Medicare |
| Wisconsin | 875 | $23.91 | $47.81 | $59.76 | $89.40 | $405.75 | $47.81 | 1.2x Medicare |
| Wyoming | 806 | $23.91 | $43.03 | $52.59 | $76.49 | $393.00 | $47.81 | 1.1x 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/kaiser/statemap_80055_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)