# Kidney function panel: what Oscar Health pays, by state

A blood panel focused on how well the kidneys are working.

- Insurer: Oscar Health
- Billing code: 80069 (Labs & bloodwork)
- 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 | Named in files | Lowest | 25th pct | Median | 75th pct | Highest | Medicare pays | Median vs Medicare |
|---|---|---|---|---|---|---|---|---|---|
| Alabama | 62 | 64 | $8.45 | $243.00 | $243.00 | $243.00 | $243.00 | $8.68 | 28x Medicare |
| Arizona | 75 | 85 | $8.45 | $9.39 | $18.50 | $243.00 | $306.00 | $8.68 | 2.1x Medicare |
| Arkansas | 3 | 3 | $8.45 | $11.58 | $13.89 | $16.96 | $23.00 | $8.68 | 1.6x Medicare |
| California | 2 | 4 | $8.45 | $8.90 | $9.39 | $12.78 | $18.50 | $8.68 | 1.1x Medicare |
| Colorado | 4 | 9 | $8.45 | $8.68 | $10.14 | $15.42 | $18.50 | $8.68 | 1.2x Medicare |
| Connecticut | 1 | 4 | $73.00 | $73.00 | $73.00 | $73.00 | $73.00 | $8.68 | 8.4x Medicare |
| Florida | 291 | 309 | $5.64 | $115.53 | $243.00 | $243.00 | $285.76 | $8.68 | 28x Medicare |
| Georgia | 247 | 331 | $8.45 | $10.68 | $15.77 | $243.00 | $454.11 | $8.68 | 1.8x Medicare |
| Illinois | 87 | 93 | $8.45 | $9.39 | $15.42 | $243.00 | $422.28 | $8.68 | 1.8x Medicare |
| Indiana | 1 | 2 | $16.11 | $16.11 | $16.11 | $16.11 | $16.11 | $8.68 | 1.9x Medicare |
| Iowa | 215 | 265 | $8.45 | $8.68 | $10.14 | $18.50 | $679.32 | $8.68 | 1.2x Medicare |
| Kansas | 23 | 23 | $196.41 | $243.00 | $243.00 | $243.00 | $243.00 | $8.68 | 28x Medicare |
| Louisiana | 2 | 3 | $8.45 | $9.04 | $10.14 | $13.05 | $18.50 | $8.68 | 1.2x Medicare |
| Maryland | 2 | 2 | $8.45 | $8.90 | $9.39 | $12.78 | $18.50 | $8.68 | 1.1x Medicare |
| Massachusetts | 1 | 2 | $12.15 | $12.15 | $12.15 | $12.15 | $12.15 | $8.68 | 1.4x Medicare |
| Michigan | 66 | 67 | $8.45 | $243.00 | $243.00 | $243.00 | $243.00 | $8.68 | 28x Medicare |
| Minnesota | 1 | 1 | $10.68 | $10.68 | $10.68 | $10.68 | $10.68 | $8.68 | 1.2x Medicare |
| Mississippi | 24 | 30 | $8.45 | $13.02 | $13.89 | $23.00 | $243.00 | $8.68 | 1.6x Medicare |
| Missouri | 97 | 108 | $9.29 | $11.98 | $12.93 | $243.00 | $243.00 | $8.68 | 1.5x Medicare |
| Nebraska | 36 | 44 | $8.45 | $12.78 | $167.51 | $196.41 | $299.88 | $8.68 | 19x Medicare |
| New Jersey | 130 | 237 | $6.10 | $60.80 | $243.00 | $243.00 | $243.00 | $8.68 | 28x Medicare |
| New York | 115 | 121 | $6.51 | $207.33 | $243.00 | $243.00 | $367.20 | $8.68 | 28x Medicare |
| North Carolina | 99 | 100 | $10.68 | $243.00 | $243.00 | $243.00 | $243.00 | $8.68 | 28x Medicare |
| North Dakota | 1 | 1 | $8.45 | $8.86 | $9.77 | $14.10 | $18.50 | $8.68 | 1.1x Medicare |
| Ohio | 106 | 111 | $8.45 | $173.06 | $243.00 | $243.00 | $243.00 | $8.68 | 28x Medicare |
| Oklahoma | 18 | 18 | $243.00 | $243.00 | $243.00 | $243.00 | $243.00 | $8.68 | 28x Medicare |
| Pennsylvania | 105 | 113 | $8.90 | $243.00 | $243.00 | $243.00 | $262.83 | $8.68 | 28x Medicare |
| South Carolina | 3 | 4 | $10.68 | $13.87 | $15.52 | $16.47 | $17.53 | $8.68 | 1.8x Medicare |
| South Dakota | 5 | 7 | $8.45 | $8.68 | $9.77 | $15.42 | $18.50 | $8.68 | 1.1x Medicare |
| Tennessee | 116 | 137 | $8.45 | $13.02 | $13.89 | $23.00 | $375.47 | $8.68 | 1.6x Medicare |
| Texas | 243 | 256 | $8.45 | $243.00 | $243.00 | $243.00 | $390.50 | $8.68 | 28x Medicare |
| Virginia | 67 | 71 | $8.45 | $23.00 | $243.00 | $243.00 | $268.22 | $8.68 | 28x Medicare |
| Washington | 1 | 2 | $11.98 | $12.22 | $12.46 | $12.69 | $12.93 | $8.68 | 1.4x Medicare |
| Wisconsin | 3 | 60 | $7.28 | $8.46 | $11.98 | $12.69 | $12.93 | $8.68 | 1.4x 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.

Oscar Health’s files name **2,687 providers** for this procedure; **2,252** are counted here: the clinicians whose specialty performs it and the practices, clinics and hospitals. Insurers attach their whole fee schedule to every contracted provider, so the rest are clinicians listed at a price for something they never do; counting them would inflate the provider count and pull the typical price towards the fee schedule’s floor.

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_80069_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)