# Pregnancy blood test panel: what Molina Healthcare pays, by state

The standard set of blood tests done early in pregnancy.

- Insurer: Molina Healthcare
- Billing code: 80055 (Women's health & maternity)
- Price shown: negotiated in-network price, any setting, doctor's fee
- Prices as of: 2026-09-21
- 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 | 18 | $39.45 | $44.38 | $44.83 | $46.62 | $73.51 | $47.81 | 0.9x Medicare |
| Alaska | 4 | $39.45 | $43.03 | $44.83 | $44.83 | $53.27 | $47.81 | 0.9x Medicare |
| Arizona | 51 | $19.72 | $39.45 | $43.03 | $45.18 | $73.51 | $47.81 | 0.9x Medicare |
| Arkansas | 9 | $35.86 | $43.48 | $45.72 | $46.62 | $46.62 | $47.81 | about what Medicare pays |
| California | 122 | $19.72 | $39.45 | $44.83 | $46.62 | $73.51 | $47.81 | 0.9x Medicare |
| Colorado | 41 | $19.72 | $40.34 | $44.83 | $46.62 | $73.51 | $47.81 | 0.9x Medicare |
| Connecticut | 24 | $19.72 | $35.86 | $39.45 | $46.62 | $59.17 | $47.81 | 0.8x Medicare |
| Delaware | 5 | $35.86 | $39.45 | $43.03 | $46.62 | $46.62 | $47.81 | 0.9x Medicare |
| District of Columbia | 21 | $35.86 | $39.45 | $43.03 | $46.62 | $59.17 | $47.81 | 0.9x Medicare |
| Florida | 319 | $19.72 | $43.03 | $44.83 | $53.27 | $73.51 | $47.81 | 0.9x Medicare |
| Georgia | 72 | $19.72 | $39.45 | $44.83 | $46.62 | $73.51 | $47.81 | 0.9x Medicare |
| Hawaii | 7 | $35.86 | $39.45 | $44.83 | $45.27 | $53.27 | $47.81 | 0.9x Medicare |
| Idaho | 8 | $19.72 | $35.86 | $43.03 | $52.00 | $59.17 | $47.81 | 0.9x Medicare |
| Illinois | 85 | $19.72 | $39.45 | $44.83 | $46.62 | $73.51 | $47.81 | 0.9x Medicare |
| Indiana | 167 | $19.72 | $35.86 | $43.03 | $46.62 | $73.51 | $47.81 | 0.9x Medicare |
| Iowa | 13 | $19.72 | $40.79 | $46.62 | $52.00 | $73.51 | $47.81 | about what Medicare pays |
| Kansas | 12 | $19.72 | $38.10 | $43.93 | $46.62 | $73.51 | $47.81 | 0.9x Medicare |
| Kentucky | 712 | $19.72 | $35.86 | $35.86 | $35.86 | $73.51 | $47.81 | 0.8x Medicare |
| Louisiana | 18 | $19.72 | $39.45 | $46.62 | $53.27 | $73.51 | $47.81 | about what Medicare pays |
| Maine | 15 | $19.72 | $42.14 | $44.83 | $46.62 | $73.51 | $47.81 | 0.9x Medicare |
| Maryland | 54 | $19.72 | $39.45 | $44.83 | $46.62 | $73.51 | $47.81 | 0.9x Medicare |
| Massachusetts | 30 | $19.72 | $39.45 | $44.83 | $46.62 | $59.17 | $47.81 | 0.9x Medicare |
| Michigan | 238 | $19.72 | $39.45 | $44.83 | $46.62 | $73.51 | $47.81 | 0.9x Medicare |
| Minnesota | 110 | $19.72 | $35.86 | $35.86 | $43.03 | $73.51 | $47.81 | 0.8x Medicare |
| Mississippi | 8 | $39.45 | $42.14 | $43.93 | $46.94 | $73.51 | $47.81 | 0.9x Medicare |
| Missouri | 40 | $35.86 | $39.45 | $44.83 | $46.62 | $59.17 | $47.81 | 0.9x Medicare |
| Montana | 5 | $35.86 | $46.62 | $46.62 | $46.62 | $46.62 | $47.81 | about what Medicare pays |
| Nebraska | 11 | $35.86 | $39.45 | $45.72 | $47.96 | $59.17 | $47.81 | about what Medicare pays |
| Nevada | 27 | $35.86 | $35.86 | $42.14 | $46.62 | $59.17 | $47.81 | 0.9x Medicare |
| New Hampshire | 12 | $39.45 | $39.45 | $39.45 | $46.62 | $59.17 | $47.81 | 0.8x Medicare |
| New Jersey | 35 | $19.72 | $19.72 | $39.45 | $46.62 | $59.17 | $47.81 | 0.8x Medicare |
| New Mexico | 2 | $44.83 | $44.83 | $44.83 | $44.83 | $44.83 | $47.81 | 0.9x Medicare |
| New York | 105 | $19.72 | $39.45 | $44.83 | $46.62 | $73.51 | $47.81 | 0.9x Medicare |
| North Carolina | 84 | $19.72 | $35.86 | $39.45 | $44.83 | $73.51 | $47.81 | 0.8x Medicare |
| North Dakota | 3 | $35.86 | $41.24 | $44.83 | $47.51 | $50.20 | $47.81 | 0.9x Medicare |
| Ohio | 28,827 | $19.72 | $39.45 | $43.03 | $46.62 | $83.67 | $47.81 | 0.9x Medicare |
| Oklahoma | 9 | $35.86 | $35.86 | $39.45 | $44.83 | $73.51 | $47.81 | 0.8x Medicare |
| Oregon | 33 | $19.72 | $39.45 | $41.24 | $46.62 | $73.51 | $47.81 | 0.9x Medicare |
| Pennsylvania | 267 | $19.72 | $39.45 | $39.45 | $44.83 | $73.51 | $47.81 | 0.8x Medicare |
| Puerto Rico | 4 | $37.65 | $43.03 | $49.05 | $53.27 | $53.27 | $47.81 | about what Medicare pays |
| Rhode Island | 3 | $43.03 | $44.83 | $46.62 | $60.07 | $73.51 | $47.81 | about what Medicare pays |
| South Carolina | 47 | $19.72 | $39.45 | $44.83 | $46.62 | $73.51 | $47.81 | 0.9x Medicare |
| South Dakota | 5 | $39.45 | $44.83 | $46.62 | $46.62 | $50.20 | $47.81 | about what Medicare pays |
| Tennessee | 75 | $19.72 | $35.86 | $43.93 | $51.55 | $73.51 | $47.81 | 0.9x Medicare |
| Texas | 177 | $19.72 | $39.45 | $44.83 | $57.69 | $73.51 | $47.81 | 0.9x Medicare |
| U.S. Virgin Islands | 2 | $39.45 | $40.79 | $42.14 | $43.48 | $44.83 | $47.81 | 0.9x Medicare |
| Utah | 8 | $19.72 | $39.45 | $44.83 | $44.83 | $46.62 | $47.81 | 0.9x Medicare |
| Vermont | 1 | $39.45 | $39.45 | $39.45 | $39.45 | $39.45 | $47.81 | 0.8x Medicare |
| Virginia | 84 | $19.72 | $39.45 | $44.83 | $46.62 | $73.51 | $47.81 | 0.9x Medicare |
| Washington | 43 | $19.72 | $39.45 | $44.83 | $46.62 | $73.51 | $47.81 | 0.9x Medicare |
| West Virginia | 752 | $19.72 | $19.72 | $35.86 | $35.86 | $73.51 | $47.81 | 0.8x Medicare |
| Wisconsin | 39 | $19.72 | $43.03 | $44.83 | $49.31 | $59.17 | $47.81 | 0.9x Medicare |
| Wyoming | 4 | $35.86 | $35.86 | $39.45 | $39.45 | $39.45 | $47.81 | 0.8x 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/molina/statemap_80055_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)