# Pregnancy blood test panel: what Moda Health pays, by state

The standard set of blood tests done early in pregnancy.

- Insurer: Moda Health
- 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 | 132 | $40.64 | $47.81 | $47.81 | $48.77 | $65.58 | $47.81 | about what Medicare pays |
| Alaska | 2,365 | $40.64 | $47.81 | $47.81 | $47.81 | $539.71 | $47.81 | about what Medicare pays |
| American Samoa | 1 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 |  |  |
| Arizona | 806 | $40.64 | $47.81 | $47.81 | $47.81 | $343.72 | $47.81 | about what Medicare pays |
| Arkansas | 117 | $40.64 | $47.81 | $47.81 | $47.81 | $65.58 | $47.81 | about what Medicare pays |
| California | 1,488 | $40.64 | $47.81 | $47.81 | $50.20 | $162.55 | $47.81 | about what Medicare pays |
| Colorado | 4,052 | $40.64 | $47.81 | $47.81 | $47.81 | $191.24 | $47.81 | about what Medicare pays |
| Connecticut | 117 | $40.64 | $47.81 | $47.81 | $50.20 | $66.93 | $47.81 | about what Medicare pays |
| Delaware | 29 | $40.64 | $47.81 | $47.81 | $47.81 | $65.58 | $47.81 | about what Medicare pays |
| District of Columbia | 95 | $40.64 | $47.81 | $47.81 | $47.81 | $65.58 | $47.81 | about what Medicare pays |
| Florida | 1,395 | $40.64 | $47.81 | $47.81 | $47.81 | $191.24 | $47.81 | about what Medicare pays |
| Georgia | 1,360 | $40.64 | $47.81 | $47.81 | $47.81 | $143.43 | $47.81 | about what Medicare pays |
| Guam | 4 | $47.81 | $61.14 | $65.58 | $79.07 | $119.53 |  |  |
| Hawaii | 115 | $40.64 | $47.81 | $47.81 | $48.77 | $153.95 | $47.81 | about what Medicare pays |
| Idaho | 8,123 | $40.64 | $47.81 | $50.20 | $50.20 | $372.92 | $47.81 | about what Medicare pays |
| Illinois | 404 | $40.64 | $47.81 | $47.81 | $50.20 | $153.95 | $47.81 | about what Medicare pays |
| Indiana | 551 | $40.64 | $47.81 | $47.81 | $47.81 | $78.70 | $47.81 | about what Medicare pays |
| Iowa | 79 | $40.64 | $47.81 | $47.81 | $50.20 | $119.53 | $47.81 | about what Medicare pays |
| Kansas | 109 | $40.64 | $47.81 | $47.81 | $48.77 | $119.53 | $47.81 | about what Medicare pays |
| Kentucky | 349 | $40.64 | $47.81 | $47.81 | $47.81 | $71.72 | $47.81 | about what Medicare pays |
| Louisiana | 213 | $40.64 | $47.81 | $47.81 | $47.81 | $119.53 | $47.81 | about what Medicare pays |
| Maine | 72 | $40.64 | $47.81 | $47.81 | $50.20 | $78.70 | $47.81 | about what Medicare pays |
| Maryland | 623 | $40.64 | $47.81 | $47.81 | $47.81 | $119.53 | $47.81 | about what Medicare pays |
| Massachusetts | 512 | $40.64 | $47.81 | $47.81 | $47.81 | $78.70 | $47.81 | about what Medicare pays |
| Michigan | 314 | $40.64 | $47.81 | $47.81 | $50.20 | $153.95 | $47.81 | about what Medicare pays |
| Minnesota | 568 | $40.64 | $47.81 | $47.81 | $53.12 | $172.12 | $47.81 | about what Medicare pays |
| Mississippi | 71 | $40.64 | $47.81 | $47.81 | $47.81 | $65.58 | $47.81 | about what Medicare pays |
| Missouri | 585 | $40.64 | $47.81 | $47.81 | $47.81 | $153.95 | $47.81 | about what Medicare pays |
| Montana | 241 | $40.64 | $47.81 | $47.81 | $48.77 | $524.29 | $47.81 | about what Medicare pays |
| Nebraska | 122 | $40.64 | $47.81 | $47.81 | $47.81 | $63.00 | $47.81 | about what Medicare pays |
| Nevada | 289 | $40.64 | $47.81 | $47.81 | $48.77 | $153.95 | $47.81 | about what Medicare pays |
| New Hampshire | 66 | $45.42 | $47.81 | $47.81 | $47.81 | $153.95 | $47.81 | about what Medicare pays |
| New Jersey | 138 | $40.64 | $47.81 | $47.81 | $48.29 | $153.95 | $47.81 | about what Medicare pays |
| New Mexico | 247 | $40.64 | $47.81 | $47.81 | $47.81 | $78.70 | $47.81 | about what Medicare pays |
| New York | 402 | $40.64 | $47.81 | $47.81 | $50.20 | $119.53 | $47.81 | about what Medicare pays |
| North Carolina | 396 | $40.64 | $47.81 | $47.81 | $47.81 | $143.43 | $47.81 | about what Medicare pays |
| North Dakota | 69 | $40.64 | $47.81 | $47.81 | $47.81 | $119.53 | $47.81 | about what Medicare pays |
| Ohio | 1,358 | $40.64 | $47.81 | $47.81 | $47.81 | $78.70 | $47.81 | about what Medicare pays |
| Oklahoma | 157 | $40.64 | $47.81 | $47.81 | $47.81 | $119.53 | $47.81 | about what Medicare pays |
| Oregon | 22,253 | $40.64 | $47.81 | $47.81 | $50.20 | $270.00 | $47.81 | about what Medicare pays |
| Pennsylvania | 341 | $40.64 | $47.81 | $47.81 | $50.20 | $119.53 | $47.81 | about what Medicare pays |
| Puerto Rico | 14 | $47.81 | $47.81 | $47.81 | $47.81 | $78.70 | $47.81 | about what Medicare pays |
| Rhode Island | 36 | $40.64 | $47.81 | $47.81 | $50.20 | $78.70 | $47.81 | about what Medicare pays |
| South Carolina | 148 | $40.64 | $47.81 | $47.81 | $47.81 | $153.95 | $47.81 | about what Medicare pays |
| South Dakota | 42 | $40.64 | $47.81 | $47.81 | $48.05 | $65.58 | $47.81 | about what Medicare pays |
| Tennessee | 222 | $40.64 | $47.81 | $47.81 | $50.20 | $143.43 | $47.81 | about what Medicare pays |
| Texas | 10,420 | $40.64 | $47.81 | $47.81 | $59.02 | $191.24 | $47.81 | about what Medicare pays |
| U.S. Virgin Islands | 1 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| Utah | 957 | $40.64 | $47.81 | $47.81 | $47.81 | $78.70 | $47.81 | about what Medicare pays |
| Vermont | 35 | $40.64 | $47.81 | $47.81 | $47.81 | $59.76 | $47.81 | about what Medicare pays |
| Virginia | 864 | $40.64 | $47.81 | $47.81 | $47.81 | $119.53 | $47.81 | about what Medicare pays |
| Washington | 12,857 | $40.64 | $47.81 | $50.20 | $50.20 | $372.92 | $47.81 | about what Medicare pays |
| West Virginia | 48 | $40.64 | $47.81 | $47.81 | $48.77 | $65.58 | $47.81 | about what Medicare pays |
| Wisconsin | 248 | $40.64 | $47.81 | $47.81 | $50.20 | $162.55 | $47.81 | about what Medicare pays |
| Wyoming | 103 | $40.64 | $47.81 | $47.81 | $48.77 | $191.24 | $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/moda/statemap_80055_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)