# Pregnancy blood test panel: what Premera Blue Cross pays, by state

The standard set of blood tests done early in pregnancy.

- Insurer: Premera Blue Cross
- Billing code: 80055 (Women's health & maternity)
- Price shown: negotiated in-network price, any setting, doctor's fee
- Prices as of: 2026-10-02
- 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 | 50 | $43.03 | $43.03 | $43.99 | $107.57 | $325.60 | $47.81 | 0.9x Medicare |
| Alaska | 6,534 | $35.86 | $107.57 | $107.57 | $107.57 | $3,495.87 | $47.81 | 2.2x Medicare |
| Arizona | 383 | $43.03 | $43.03 | $43.03 | $88.45 | $162.80 | $47.81 | 0.9x Medicare |
| Arkansas | 35 | $43.03 | $43.03 | $43.03 | $93.23 | $177.06 | $47.81 | 0.9x Medicare |
| California | 1,115 | $28.69 | $43.03 | $43.03 | $47.81 | $427.50 | $47.81 | 0.9x Medicare |
| Colorado | 331 | $8.00 | $43.03 | $43.03 | $88.45 | $162.80 | $47.81 | 0.9x Medicare |
| Connecticut | 66 | $43.03 | $43.03 | $43.03 | $57.37 | $107.57 | $47.81 | 0.9x Medicare |
| Delaware | 18 | $43.03 | $43.03 | $43.03 | $43.03 | $88.45 | $47.81 | 0.9x Medicare |
| District of Columbia | 31 | $43.03 | $43.03 | $43.03 | $57.37 | $107.57 | $47.81 | 0.9x Medicare |
| Florida | 346 | $35.86 | $43.03 | $43.03 | $69.32 | $162.80 | $47.81 | 0.9x Medicare |
| Georgia | 154 | $35.86 | $43.03 | $43.03 | $88.45 | $162.80 | $47.81 | 0.9x Medicare |
| Guam | 3 | $43.03 | $50.68 | $63.11 | $67.25 | $107.57 |  |  |
| Hawaii | 99 | $43.03 | $43.03 | $43.03 | $88.45 | $162.80 | $47.81 | 0.9x Medicare |
| Idaho | 1,204 | $35.86 | $43.03 | $43.03 | $43.03 | $131.48 | $47.81 | 0.9x Medicare |
| Illinois | 268 | $43.03 | $43.03 | $43.03 | $43.99 | $162.80 | $47.81 | 0.9x Medicare |
| Indiana | 99 | $43.03 | $43.03 | $43.03 | $88.45 | $162.80 | $47.81 | 0.9x Medicare |
| Iowa | 64 | $43.03 | $43.03 | $43.03 | $81.88 | $107.57 | $47.81 | 0.9x Medicare |
| Kansas | 66 | $28.69 | $43.03 | $43.03 | $88.45 | $118.04 | $47.81 | 0.9x Medicare |
| Kentucky | 51 | $43.03 | $43.03 | $43.03 | $88.45 | $325.60 | $47.81 | 0.9x Medicare |
| Louisiana | 51 | $43.03 | $43.03 | $43.03 | $64.14 | $118.04 | $47.81 | 0.9x Medicare |
| Maine | 50 | $43.03 | $43.03 | $57.37 | $107.57 | $427.50 | $47.81 | 1.2x Medicare |
| Maryland | 132 | $43.03 | $43.03 | $43.03 | $49.53 | $162.80 | $47.81 | 0.9x Medicare |
| Massachusetts | 168 | $35.86 | $43.03 | $43.03 | $43.03 | $177.06 | $47.81 | 0.9x Medicare |
| Michigan | 169 | $35.86 | $43.03 | $43.03 | $69.32 | $162.80 | $47.81 | 0.9x Medicare |
| Minnesota | 138 | $35.86 | $43.03 | $43.03 | $88.45 | $130.24 | $47.81 | 0.9x Medicare |
| Mississippi | 22 | $35.86 | $43.03 | $43.03 | $78.29 | $107.57 | $47.81 | 0.9x Medicare |
| Missouri | 110 | $43.03 | $43.03 | $43.03 | $67.25 | $177.06 | $47.81 | 0.9x Medicare |
| Montana | 136 | $43.03 | $43.03 | $43.99 | $88.45 | $162.80 | $47.81 | 0.9x Medicare |
| Nebraska | 45 | $43.03 | $43.03 | $43.03 | $107.57 | $162.80 | $47.81 | 0.9x Medicare |
| Nevada | 126 | $43.03 | $43.03 | $43.03 | $57.37 | $119.53 | $47.81 | 0.9x Medicare |
| New Hampshire | 28 | $43.03 | $43.03 | $43.03 | $107.57 | $107.57 | $47.81 | 0.9x Medicare |
| New Jersey | 86 | $35.86 | $43.03 | $43.03 | $88.45 | $162.80 | $47.81 | 0.9x Medicare |
| New Mexico | 114 | $43.03 | $43.03 | $43.03 | $88.45 | $177.06 | $47.81 | 0.9x Medicare |
| New York | 303 | $35.86 | $43.03 | $43.03 | $43.99 | $162.80 | $47.81 | 0.9x Medicare |
| North Carolina | 214 | $43.03 | $43.03 | $43.03 | $88.45 | $427.50 | $47.81 | 0.9x Medicare |
| North Dakota | 36 | $43.03 | $43.03 | $43.03 | $47.81 | $107.57 | $47.81 | 0.9x Medicare |
| Ohio | 198 | $37.77 | $43.03 | $43.03 | $63.11 | $162.80 | $47.81 | 0.9x Medicare |
| Oklahoma | 71 | $43.03 | $43.03 | $43.03 | $88.45 | $427.50 | $47.81 | 0.9x Medicare |
| Oregon | 1,372 | $35.86 | $43.03 | $43.03 | $43.99 | $177.06 | $47.81 | 0.9x Medicare |
| Pennsylvania | 195 | $28.69 | $43.03 | $43.03 | $63.11 | $162.80 | $47.81 | 0.9x Medicare |
| Puerto Rico | 8 | $43.03 | $43.03 | $43.03 | $43.03 | $162.80 | $47.81 | 0.9x Medicare |
| Rhode Island | 10 | $43.03 | $43.03 | $43.03 | $47.81 | $107.57 | $47.81 | 0.9x Medicare |
| South Carolina | 85 | $35.86 | $43.03 | $43.03 | $88.45 | $162.80 | $47.81 | 0.9x Medicare |
| South Dakota | 25 | $43.03 | $43.03 | $43.03 | $88.45 | $162.80 | $47.81 | 0.9x Medicare |
| Tennessee | 90 | $35.86 | $43.03 | $43.03 | $88.45 | $162.80 | $47.81 | 0.9x Medicare |
| Texas | 630 | $35.86 | $43.03 | $43.03 | $65.17 | $260.48 | $47.81 | 0.9x Medicare |
| U.S. Virgin Islands | 1 | $107.57 | $107.57 | $107.57 | $107.57 | $107.57 | $47.81 | 2.2x Medicare |
| Utah | 166 | $35.86 | $43.03 | $43.03 | $88.45 | $177.06 | $47.81 | 0.9x Medicare |
| Vermont | 26 | $43.03 | $43.03 | $43.03 | $65.74 | $107.57 | $47.81 | 0.9x Medicare |
| Virginia | 162 | $43.03 | $43.03 | $43.03 | $65.17 | $147.55 | $47.81 | 0.9x Medicare |
| Washington | 57,070 | $35.86 | $43.03 | $43.03 | $43.03 | $884.00 | $47.81 | 0.9x Medicare |
| West Virginia | 21 | $43.03 | $43.03 | $43.03 | $43.27 | $107.57 | $47.81 | 0.9x Medicare |
| Wisconsin | 142 | $43.03 | $43.03 | $43.03 | $57.37 | $325.60 | $47.81 | 0.9x Medicare |
| Wyoming | 27 | $43.03 | $43.03 | $43.03 | $107.57 | $162.80 | $47.81 | 0.9x 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/premera/statemap_80055_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)