# Pregnancy blood test panel: what Mass General Brigham Health Plan pays, by state

The standard set of blood tests done early in pregnancy.

- Insurer: Mass General Brigham Health Plan
- Billing code: 80055 (Women's health & maternity)
- Price shown: negotiated in-network price, any setting, doctor's and facility fees
- Prices as of: 2026-08-27
- 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 |
|---|---|---|---|---|---|---|---|---|
| Arizona | 1 | $99.68 | $99.68 | $99.68 | $99.68 | $99.68 | $47.81 | 2.1x Medicare |
| California | 18 | $17.28 | $47.81 | $47.81 | $58.09 | $99.68 | $47.81 | about what Medicare pays |
| Colorado | 1 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| Connecticut | 14 | $17.28 | $41.02 | $48.15 | $71.72 | $96.44 | $47.81 | about what Medicare pays |
| Delaware | 1 | $41.02 | $48.70 | $56.37 | $64.05 | $71.72 | $47.81 | 1.2x Medicare |
| Florida | 9 | $41.02 | $42.16 | $47.81 | $49.60 | $71.72 | $47.81 | about what Medicare pays |
| Georgia | 2 | $17.28 | $24.91 | $32.55 | $40.18 | $47.81 | $47.81 | 0.7x Medicare |
| Idaho | 1 | $127.26 | $127.26 | $127.26 | $127.26 | $127.26 | $47.81 | 2.7x Medicare |
| Illinois | 3 | $17.28 | $30.45 | $43.61 | $45.71 | $47.81 | $47.81 | 0.9x Medicare |
| Indiana | 1 | $47.81 | $48.41 | $49.01 | $49.60 | $50.20 | $47.81 | about what Medicare pays |
| Kansas | 1 | $41.02 | $48.70 | $56.37 | $64.05 | $71.72 | $47.81 | 1.2x Medicare |
| Kentucky | 1 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| Maine | 1 | $41.02 | $45.71 | $50.39 | $55.08 | $59.76 | $47.81 | about what Medicare pays |
| Maryland | 7 | $17.28 | $42.72 | $47.81 | $56.77 | $71.72 | $47.81 | about what Medicare pays |
| Massachusetts | 3,708 | $17.28 | $50.20 | $66.09 | $119.65 | $311.01 | $47.81 | 1.4x Medicare |
| Minnesota | 1 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| Mississippi | 1 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| Missouri | 1 | $41.02 | $48.70 | $56.37 | $64.05 | $71.72 | $47.81 | 1.2x Medicare |
| Nevada | 1 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| New Hampshire | 189 | $40.64 | $42.69 | $61.51 | $78.89 | $139.29 | $47.81 | 1.3x Medicare |
| New Jersey | 5 | $17.28 | $42.16 | $43.61 | $47.81 | $47.81 | $47.81 | 0.9x Medicare |
| New York | 7 | $41.02 | $42.69 | $47.81 | $47.81 | $71.72 | $47.81 | about what Medicare pays |
| North Carolina | 7 | $47.81 | $47.81 | $47.81 | $47.81 | $99.68 | $47.81 | about what Medicare pays |
| Ohio | 3 | $46.38 | $47.81 | $48.25 | $65.96 | $86.07 | $47.81 | about what Medicare pays |
| Pennsylvania | 6 | $17.28 | $17.28 | $44.42 | $49.01 | $59.76 | $47.81 | 0.9x Medicare |
| Rhode Island | 86 | $40.64 | $41.02 | $59.76 | $62.94 | $134.97 | $47.81 | 1.2x Medicare |
| South Dakota | 1 | $41.02 | $48.70 | $56.37 | $64.05 | $71.72 | $47.81 | 1.2x Medicare |
| Tennessee | 4 | $47.81 | $47.81 | $47.81 | $47.81 | $50.20 | $47.81 | about what Medicare pays |
| Texas | 8 | $17.28 | $47.81 | $47.81 | $51.40 | $66.09 | $47.81 | about what Medicare pays |
| Utah | 3 | $42.16 | $42.69 | $44.27 | $46.93 | $71.72 | $47.81 | 0.9x Medicare |
| Vermont | 2 | $41.02 | $53.89 | $64.95 | $79.09 | $101.19 | $47.81 | 1.4x Medicare |
| Virginia | 4 | $41.02 | $47.81 | $55.38 | $64.14 | $66.09 | $47.81 | 1.2x Medicare |
| Wisconsin | 1 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 | $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/mgb/statemap_80055_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)