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

The standard set of blood tests done early in pregnancy.

- Insurer: Sentara Health Plans
- Billing code: 80055 (Women's health & maternity)
- Price shown: negotiated in-network price, any setting, doctor's and facility fees
- Prices as of: 2026-10-01
- 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 | 101 | $33.47 | $38.81 | $54.16 | $68.41 | $132.14 | $47.81 | 1.1x Medicare |
| Alaska | 19 | $33.22 | $47.81 | $55.94 | $67.85 | $113.85 | $47.81 | 1.2x Medicare |
| Arizona | 162 | $33.22 | $47.03 | $56.75 | $70.31 | $132.14 | $47.81 | 1.2x Medicare |
| Arkansas | 49 | $33.47 | $47.81 | $57.90 | $84.99 | $113.85 | $47.81 | 1.2x Medicare |
| California | 511 | $23.91 | $43.99 | $56.75 | $70.57 | $140.76 | $47.81 | 1.2x Medicare |
| Colorado | 161 | $31.08 | $38.81 | $55.94 | $64.67 | $140.76 | $47.81 | 1.2x Medicare |
| Connecticut | 140 | $23.91 | $38.81 | $47.81 | $79.47 | $132.14 | $47.81 | about what Medicare pays |
| Delaware | 124 | $33.47 | $47.45 | $59.02 | $70.82 | $132.14 | $47.81 | 1.2x Medicare |
| District of Columbia | 1,569 | $23.91 | $38.81 | $39.95 | $55.94 | $140.76 | $47.81 | 0.8x Medicare |
| Florida | 977 | $23.91 | $43.99 | $53.12 | $68.41 | $132.14 | $47.81 | 1.1x Medicare |
| Georgia | 335 | $32.99 | $38.81 | $47.81 | $68.41 | $132.14 | $47.81 | about what Medicare pays |
| Guam | 3 | $46.31 | $47.45 | $58.17 | $58.17 | $108.53 |  |  |
| Hawaii | 47 | $33.47 | $47.81 | $57.90 | $66.37 | $132.14 | $47.81 | 1.2x Medicare |
| Idaho | 22 | $33.47 | $37.07 | $57.90 | $57.90 | $113.85 | $47.81 | 1.2x Medicare |
| Illinois | 296 | $23.91 | $38.81 | $53.12 | $64.89 | $140.76 | $47.81 | 1.1x Medicare |
| Indiana | 152 | $33.47 | $47.24 | $55.94 | $64.67 | $140.76 | $47.81 | 1.2x Medicare |
| Iowa | 49 | $23.91 | $38.81 | $47.81 | $68.41 | $132.14 | $47.81 | about what Medicare pays |
| Kansas | 38 | $31.08 | $47.63 | $57.90 | $64.90 | $132.14 | $47.81 | 1.2x Medicare |
| Kentucky | 829 | $23.91 | $33.47 | $33.47 | $47.81 | $132.14 | $47.81 | 0.7x Medicare |
| Louisiana | 98 | $33.22 | $47.45 | $55.94 | $79.47 | $132.14 | $47.81 | 1.2x Medicare |
| Maine | 58 | $33.22 | $47.45 | $56.75 | $68.41 | $113.85 | $47.81 | 1.2x Medicare |
| Maryland | 5,838 | $23.91 | $47.81 | $98.01 | $98.01 | $200.92 | $47.81 | 2.0x Medicare |
| Massachusetts | 282 | $31.08 | $46.33 | $56.75 | $79.47 | $132.14 | $47.81 | 1.2x Medicare |
| Michigan | 266 | $23.91 | $47.45 | $56.75 | $72.68 | $132.14 | $47.81 | 1.2x Medicare |
| Minnesota | 294 | $23.91 | $39.95 | $73.31 | $87.24 | $132.14 | $47.81 | 1.5x Medicare |
| Mississippi | 44 | $27.17 | $38.81 | $52.76 | $59.13 | $113.85 | $47.81 | 1.1x Medicare |
| Missouri | 140 | $23.91 | $38.81 | $55.38 | $70.31 | $132.14 | $47.81 | 1.2x Medicare |
| Montana | 15 | $47.45 | $47.81 | $58.17 | $83.35 | $113.85 | $47.81 | 1.2x Medicare |
| Nebraska | 36 | $33.47 | $47.04 | $56.75 | $79.47 | $132.14 | $47.81 | 1.2x Medicare |
| Nevada | 69 | $31.08 | $47.45 | $56.75 | $61.36 | $140.76 | $47.81 | 1.2x Medicare |
| New Hampshire | 57 | $33.47 | $47.45 | $55.94 | $84.99 | $113.85 | $47.81 | 1.2x Medicare |
| New Jersey | 201 | $23.91 | $42.73 | $47.81 | $79.47 | $132.14 | $47.81 | about what Medicare pays |
| New Mexico | 41 | $33.47 | $47.81 | $56.75 | $68.42 | $113.85 | $47.81 | 1.2x Medicare |
| New York | 613 | $23.91 | $38.81 | $53.12 | $68.41 | $132.14 | $47.81 | 1.1x Medicare |
| North Carolina | 6,377 | $21.51 | $55.38 | $56.75 | $84.99 | $140.76 | $47.81 | 1.2x Medicare |
| North Dakota | 19 | $33.47 | $36.87 | $38.81 | $56.75 | $92.27 | $47.81 | 0.8x Medicare |
| Ohio | 457 | $23.91 | $38.81 | $47.81 | $58.25 | $132.14 | $47.81 | about what Medicare pays |
| Oklahoma | 61 | $33.47 | $47.03 | $53.12 | $71.50 | $113.85 | $47.81 | 1.1x Medicare |
| Oregon | 66 | $33.22 | $47.45 | $56.75 | $72.07 | $132.14 | $47.81 | 1.2x Medicare |
| Pennsylvania | 890 | $23.91 | $38.81 | $53.12 | $70.82 | $140.76 | $47.81 | 1.1x Medicare |
| Puerto Rico | 9 | $32.99 | $38.52 | $47.63 | $68.41 | $98.01 | $47.81 | about what Medicare pays |
| Rhode Island | 44 | $32.99 | $43.99 | $53.12 | $72.68 | $113.85 | $47.81 | 1.1x Medicare |
| South Carolina | 364 | $32.99 | $43.99 | $55.38 | $68.41 | $132.14 | $47.81 | 1.2x Medicare |
| South Dakota | 13 | $38.81 | $47.45 | $55.94 | $66.61 | $108.53 | $47.81 | 1.2x Medicare |
| Tennessee | 2,697 | $23.91 | $52.39 | $55.38 | $58.17 | $511.00 | $47.81 | 1.2x Medicare |
| Texas | 608 | $23.91 | $38.81 | $47.81 | $68.41 | $140.76 | $47.81 | about what Medicare pays |
| U.S. Virgin Islands | 3 | $47.81 | $47.81 | $78.43 | $116.98 | $140.76 | $47.81 | 1.6x Medicare |
| Utah | 60 | $33.47 | $47.81 | $57.90 | $81.72 | $131.74 | $47.81 | 1.2x Medicare |
| Vermont | 18 | $33.22 | $36.87 | $42.56 | $56.75 | $113.85 | $47.81 | 0.9x Medicare |
| Virginia | 29,031 | $23.91 | $43.99 | $47.81 | $64.67 | $11,410.00 | $47.81 | about what Medicare pays |
| Washington | 150 | $33.47 | $46.51 | $57.90 | $79.47 | $132.14 | $47.81 | 1.2x Medicare |
| West Virginia | 722 | $23.91 | $36.87 | $38.81 | $47.45 | $132.14 | $47.81 | 0.8x Medicare |
| Wisconsin | 135 | $33.47 | $47.81 | $56.75 | $68.41 | $140.76 | $47.81 | 1.2x Medicare |
| Wyoming | 9 | $33.47 | $36.14 | $57.82 | $57.90 | $98.01 | $47.81 | 1.2x 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/sentara/statemap_80055_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)