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

The standard set of blood tests done early in pregnancy.

- Insurer: Oscar Health
- Billing code: 80055 (Women's health & maternity)
- Price shown: negotiated in-network price, any setting, doctor's fee
- 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 | 23 | $46.52 | $47.81 | $55.84 | $84.91 | $126.70 | $47.81 | 1.2x Medicare |
| Arizona | 170 | $35.86 | $47.81 | $55.84 | $84.91 | $493.50 | $47.81 | 1.2x Medicare |
| Arkansas | 32 | $46.52 | $47.81 | $55.84 | $84.91 | $126.70 | $47.81 | 1.2x Medicare |
| California | 23 | $46.52 | $47.81 | $55.84 | $84.91 | $277.60 | $47.81 | 1.2x Medicare |
| Colorado | 48 | $46.52 | $47.81 | $55.84 | $84.91 | $101.88 | $47.81 | 1.2x Medicare |
| Connecticut | 13 | $46.52 | $47.81 | $55.84 | $84.91 | $277.60 | $47.81 | 1.2x Medicare |
| Delaware | 4 | $46.52 | $48.79 | $55.84 | $84.91 | $277.60 | $47.81 | 1.2x Medicare |
| District of Columbia | 7 | $46.52 | $47.81 | $55.84 | $84.91 | $101.88 | $47.81 | 1.2x Medicare |
| Florida | 593 | $15.00 | $46.52 | $51.73 | $84.91 | $277.60 | $47.81 | 1.1x Medicare |
| Georgia | 856 | $38.25 | $51.73 | $58.81 | $84.91 | $126.70 | $47.81 | 1.2x Medicare |
| Guam | 1 | $46.52 | $48.79 | $53.79 | $77.64 | $101.88 |  |  |
| Hawaii | 1 | $59.76 | $62.03 | $64.30 | $66.58 | $68.85 | $47.81 | 1.3x Medicare |
| Idaho | 2 | $46.52 | $49.77 | $55.84 | $71.86 | $101.88 | $47.81 | 1.2x Medicare |
| Illinois | 107 | $35.86 | $47.81 | $55.84 | $84.91 | $101.88 | $47.81 | 1.2x Medicare |
| Indiana | 23 | $46.52 | $47.81 | $55.84 | $84.91 | $101.88 | $47.81 | 1.2x Medicare |
| Iowa | 480 | $46.52 | $47.81 | $51.73 | $84.91 | $126.70 | $47.81 | 1.1x Medicare |
| Kansas | 7 | $46.52 | $47.81 | $55.84 | $84.91 | $101.88 | $47.81 | 1.2x Medicare |
| Kentucky | 14 | $43.03 | $47.81 | $55.84 | $84.91 | $126.70 | $47.81 | 1.2x Medicare |
| Louisiana | 18 | $46.52 | $47.81 | $55.84 | $84.91 | $126.70 | $47.81 | 1.2x Medicare |
| Maine | 4 | $46.52 | $47.81 | $53.79 | $84.91 | $101.88 | $47.81 | 1.1x Medicare |
| Maryland | 18 | $46.52 | $47.81 | $55.84 | $84.91 | $101.88 | $47.81 | 1.2x Medicare |
| Massachusetts | 14 | $46.52 | $55.84 | $58.81 | $74.11 | $126.70 | $47.81 | 1.2x Medicare |
| Michigan | 25 | $46.52 | $47.81 | $55.84 | $84.91 | $126.70 | $47.81 | 1.2x Medicare |
| Minnesota | 6 | $46.52 | $47.81 | $55.84 | $84.91 | $101.88 | $47.81 | 1.2x Medicare |
| Mississippi | 91 | $46.52 | $71.72 | $76.50 | $126.70 | $126.70 | $47.81 | 1.6x Medicare |
| Missouri | 230 | $46.52 | $65.98 | $65.98 | $71.24 | $101.88 | $47.81 | 1.4x Medicare |
| Montana | 2 | $46.52 | $47.81 | $53.79 | $84.91 | $101.88 | $47.81 | 1.1x Medicare |
| Nebraska | 15 | $46.52 | $47.81 | $51.73 | $84.91 | $101.88 | $47.81 | 1.1x Medicare |
| Nevada | 7 | $46.52 | $47.81 | $55.84 | $84.91 | $277.60 | $47.81 | 1.2x Medicare |
| New Hampshire | 2 | $46.52 | $49.77 | $55.84 | $93.40 | $277.60 | $47.81 | 1.2x Medicare |
| New Jersey | 161 | $46.52 | $47.81 | $84.91 | $277.60 | $291.50 | $47.81 | 1.8x Medicare |
| New Mexico | 6 | $46.52 | $47.81 | $55.84 | $84.91 | $101.88 | $47.81 | 1.2x Medicare |
| New York | 114 | $35.86 | $47.81 | $55.84 | $80.71 | $277.60 | $47.81 | 1.2x Medicare |
| North Carolina | 33 | $46.52 | $47.81 | $55.84 | $84.91 | $126.70 | $47.81 | 1.2x Medicare |
| North Dakota | 6 | $46.52 | $47.81 | $55.84 | $84.91 | $126.70 | $47.81 | 1.2x Medicare |
| Ohio | 164 | $46.52 | $50.20 | $62.15 | $62.15 | $101.88 | $47.81 | 1.3x Medicare |
| Oklahoma | 7 | $31.08 | $47.81 | $51.73 | $84.91 | $101.88 | $47.81 | 1.1x Medicare |
| Oregon | 6 | $46.52 | $47.81 | $55.84 | $84.91 | $101.88 | $47.81 | 1.2x Medicare |
| Pennsylvania | 56 | $46.52 | $47.81 | $55.84 | $101.88 | $291.50 | $47.81 | 1.2x Medicare |
| Puerto Rico | 1 | $59.76 | $62.03 | $64.30 | $66.58 | $68.85 | $47.81 | 1.3x Medicare |
| Rhode Island | 1 | $46.52 | $48.79 | $53.79 | $77.64 | $101.88 | $47.81 | 1.1x Medicare |
| South Carolina | 18 | $46.52 | $47.81 | $55.84 | $84.91 | $101.88 | $47.81 | 1.2x Medicare |
| South Dakota | 22 | $46.52 | $47.81 | $53.79 | $84.91 | $101.88 | $47.81 | 1.1x Medicare |
| Tennessee | 353 | $45.42 | $55.84 | $76.50 | $101.88 | $126.70 | $47.81 | 1.6x Medicare |
| Texas | 270 | $31.08 | $47.81 | $55.84 | $84.91 | $277.60 | $47.81 | 1.2x Medicare |
| Virginia | 71 | $25.48 | $47.81 | $55.84 | $84.91 | $126.70 | $47.81 | 1.2x Medicare |
| Washington | 16 | $46.52 | $47.81 | $55.84 | $84.91 | $101.88 | $47.81 | 1.2x Medicare |
| West Virginia | 10 | $46.52 | $47.81 | $55.84 | $84.91 | $101.88 | $47.81 | 1.2x Medicare |
| Wisconsin | 28 | $46.52 | $47.81 | $55.84 | $84.91 | $126.70 | $47.81 | 1.2x Medicare |
| Wyoming | 1 | $46.52 | $48.79 | $53.79 | $77.64 | $101.88 | $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/oscar/statemap_80055_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)