# Pregnancy blood test panel: what Point32Health pays, by state

The standard set of blood tests done early in pregnancy.

- Insurer: Point32Health (Harvard Pilgrim and Tufts Health Plan)
- 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 | 82 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Alaska | 24 | $47.81 | $47.81 | $47.81 | $47.81 | $164.13 | $47.81 | about what Medicare pays |
| Arizona | 170 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Arkansas | 41 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| California | 714 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Colorado | 282 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Connecticut | 1,167 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Delaware | 49 | $47.81 | $47.81 | $47.81 | $47.81 | $164.13 | $47.81 | about what Medicare pays |
| District of Columbia | 85 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Florida | 1,343 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Georgia | 307 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Guam | 2 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 |  |  |
| Hawaii | 45 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Idaho | 25 | $47.81 | $47.81 | $47.81 | $47.81 | $93.71 | $47.81 | about what Medicare pays |
| Illinois | 371 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Indiana | 149 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Iowa | 49 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Kansas | 34 | $47.81 | $47.81 | $47.81 | $47.81 | $164.13 | $47.81 | about what Medicare pays |
| Kentucky | 83 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Louisiana | 86 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Maine | 9,073 | $38.10 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Maryland | 278 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Massachusetts | 54,195 | $47.81 | $47.81 | $47.81 | $47.81 | $214.07 | $47.81 | about what Medicare pays |
| Michigan | 244 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Minnesota | 370 | $38.10 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Mississippi | 43 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Missouri | 153 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Montana | 38 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| Nebraska | 44 | $47.81 | $47.81 | $47.81 | $47.81 | $66.26 | $47.81 | about what Medicare pays |
| Nevada | 53 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| New Hampshire | 9,417 | $40.64 | $47.81 | $47.81 | $47.81 | $454.54 | $47.81 | about what Medicare pays |
| New Jersey | 441 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| New Mexico | 81 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| New York | 1,545 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| North Carolina | 414 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| North Dakota | 21 | $47.81 | $47.81 | $47.81 | $47.81 | $164.13 | $47.81 | about what Medicare pays |
| Ohio | 336 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Oklahoma | 66 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Oregon | 117 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Pennsylvania | 622 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Puerto Rico | 15 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 | $47.81 | about what Medicare pays |
| Rhode Island | 7,657 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| South Carolina | 167 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| South Dakota | 18 | $47.81 | $47.81 | $47.81 | $47.81 | $164.13 | $47.81 | about what Medicare pays |
| Tennessee | 171 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Texas | 713 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $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 | 76 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Vermont | 1,605 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Virginia | 338 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Washington | 229 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| West Virginia | 35 | $47.81 | $47.81 | $47.81 | $47.81 | $66.26 | $47.81 | about what Medicare pays |
| Wisconsin | 121 | $47.81 | $47.81 | $47.81 | $47.81 | $172.34 | $47.81 | about what Medicare pays |
| Wyoming | 20 | $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/point32/statemap_80055_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)