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

The standard set of blood tests done early in pregnancy.

- Insurer: Medica
- Billing code: 80055 (Women's health & maternity)
- Price shown: negotiated in-network price, any setting, doctor + facility
- 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 | 10 | $47.81 | $61.72 | $62.15 | $73.39 | $490.96 | $47.81 | 1.3x Medicare |
| Alaska | 4 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| Arizona | 41 | $47.81 | $47.81 | $54.39 | $62.15 | $114.54 | $47.81 | 1.1x Medicare |
| Arkansas | 14 | $47.81 | $59.76 | $61.72 | $66.93 | $73.39 | $47.81 | 1.3x Medicare |
| California | 53 | $40.64 | $47.81 | $47.81 | $59.76 | $73.39 | $47.81 | about what Medicare pays |
| Colorado | 111 | $47.81 | $47.81 | $47.81 | $47.81 | $318.27 | $47.81 | about what Medicare pays |
| Connecticut | 6 | $54.98 | $61.94 | $66.93 | $121.66 | $181.69 | $47.81 | 1.4x Medicare |
| District of Columbia | 2 | $47.81 | $56.77 | $59.76 | $61.55 | $66.93 | $47.81 | 1.2x Medicare |
| Florida | 56 | $47.81 | $47.81 | $59.76 | $73.39 | $490.96 | $47.81 | 1.2x Medicare |
| Georgia | 26 | $47.81 | $47.81 | $60.74 | $73.39 | $490.96 | $47.81 | 1.3x Medicare |
| Guam | 1 | $58.60 | $60.94 | $63.84 | $67.82 | $73.39 |  |  |
| Hawaii | 3 | $47.81 | $47.81 | $54.77 | $64.64 | $73.39 | $47.81 | 1.1x Medicare |
| Idaho | 6 | $47.81 | $47.81 | $47.81 | $52.30 | $99.78 | $47.81 | about what Medicare pays |
| Illinois | 778 | $34.54 | $47.81 | $59.76 | $83.67 | $490.96 | $47.81 | 1.2x Medicare |
| Indiana | 26 | $34.54 | $47.81 | $56.79 | $64.90 | $169.93 | $47.81 | 1.2x Medicare |
| Iowa | 185 | $47.81 | $47.81 | $47.81 | $47.81 | $490.96 | $47.81 | about what Medicare pays |
| Kansas | 57 | $47.81 | $47.81 | $47.81 | $59.76 | $88.08 | $47.81 | about what Medicare pays |
| Kentucky | 8 | $47.81 | $59.76 | $61.72 | $70.58 | $73.39 | $47.81 | 1.3x Medicare |
| Louisiana | 2 | $54.98 | $58.35 | $61.72 | $67.56 | $73.39 | $47.81 | 1.3x Medicare |
| Maine | 4 | $47.81 | $59.76 | $59.76 | $61.72 | $73.39 | $47.81 | 1.2x Medicare |
| Maryland | 12 | $47.81 | $47.81 | $53.79 | $59.76 | $73.39 | $47.81 | 1.1x Medicare |
| Massachusetts | 12 | $47.81 | $53.19 | $61.72 | $97.53 | $490.96 | $47.81 | 1.3x Medicare |
| Michigan | 38 | $47.81 | $47.81 | $59.76 | $62.15 | $490.96 | $47.81 | 1.2x Medicare |
| Minnesota | 4,275 | $47.81 | $47.81 | $47.81 | $47.81 | $128.93 | $47.81 | about what Medicare pays |
| Mississippi | 8 | $47.81 | $59.76 | $61.72 | $62.78 | $73.39 | $47.81 | 1.3x Medicare |
| Missouri | 3,561 | $34.54 | $59.76 | $61.72 | $73.39 | $291.98 | $47.81 | 1.3x Medicare |
| Montana | 19 | $47.81 | $47.81 | $47.81 | $47.81 | $59.76 | $47.81 | about what Medicare pays |
| Nebraska | 891 | $47.81 | $47.81 | $47.81 | $47.81 | $108.19 | $47.81 | about what Medicare pays |
| Nevada | 10 | $47.81 | $47.81 | $47.81 | $47.81 | $54.98 | $47.81 | about what Medicare pays |
| New Hampshire | 2 | $47.81 | $169.90 | $291.98 | $391.47 | $490.96 | $47.81 | 6.1x Medicare |
| New Jersey | 16 | $40.64 | $47.81 | $51.40 | $61.83 | $83.67 | $47.81 | 1.1x Medicare |
| New Mexico | 9 | $47.81 | $47.81 | $54.98 | $61.72 | $73.39 | $47.81 | 1.1x Medicare |
| New York | 37 | $47.81 | $47.81 | $58.60 | $73.39 | $490.96 | $47.81 | 1.2x Medicare |
| North Carolina | 19 | $47.81 | $47.81 | $60.31 | $82.92 | $490.96 | $47.81 | 1.3x Medicare |
| North Dakota | 1,190 | $47.81 | $47.81 | $47.81 | $53.79 | $54.98 | $47.81 | about what Medicare pays |
| Ohio | 32 | $47.81 | $47.81 | $59.76 | $62.15 | $318.27 | $47.81 | 1.2x Medicare |
| Oklahoma | 262 | $47.81 | $62.15 | $62.15 | $62.15 | $80.36 | $47.81 | 1.3x Medicare |
| Oregon | 16 | $47.81 | $47.81 | $58.31 | $59.76 | $83.67 | $47.81 | 1.2x Medicare |
| Pennsylvania | 24 | $47.81 | $47.81 | $54.98 | $63.10 | $318.27 | $47.81 | 1.1x Medicare |
| Rhode Island | 2 | $54.98 | $58.60 | $61.72 | $65.96 | $73.39 | $47.81 | 1.3x Medicare |
| South Carolina | 10 | $47.81 | $47.81 | $47.81 | $49.60 | $73.39 | $47.81 | about what Medicare pays |
| South Dakota | 492 | $47.81 | $47.81 | $47.81 | $47.81 | $59.76 | $47.81 | about what Medicare pays |
| Tennessee | 18 | $47.81 | $58.60 | $61.72 | $68.55 | $83.67 | $47.81 | 1.3x Medicare |
| Texas | 75 | $47.81 | $47.81 | $52.59 | $61.72 | $318.27 | $47.81 | 1.1x Medicare |
| Utah | 15 | $47.81 | $47.81 | $47.81 | $59.76 | $83.67 | $47.81 | about what Medicare pays |
| Vermont | 1 | $291.98 | $341.73 | $391.47 | $441.22 | $490.96 | $47.81 | 8.2x Medicare |
| Virginia | 13 | $47.81 | $47.81 | $55.86 | $60.25 | $181.69 | $47.81 | 1.2x Medicare |
| Washington | 30 | $47.81 | $47.81 | $47.81 | $59.76 | $96.95 | $47.81 | about what Medicare pays |
| West Virginia | 4 | $47.81 | $47.81 | $47.81 | $47.81 | $59.76 | $47.81 | about what Medicare pays |
| Wisconsin | 2,337 | $44.10 | $62.15 | $169.93 | $291.98 | $490.96 | $47.81 | 3.5x Medicare |
| Wyoming | 68 | $47.81 | $47.81 | $47.81 | $47.81 | $318.27 | $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/medica/statemap_80055_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)