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

The standard set of blood tests done early in pregnancy.

- Insurer: SummaCare
- Billing code: 80055 (Women's health & maternity)
- Price shown: negotiated in-network price, any setting, doctor's and facility fees
- Prices as of: 2026-09-20
- 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 | 2 | $40.64 | $58.33 | $76.02 | $93.71 | $111.40 | $47.81 | 1.6x Medicare |
| Alaska | 3 | $40.64 | $45.12 | $46.67 | $46.73 | $46.73 | $47.81 | about what Medicare pays |
| Arizona | 17 | $40.64 | $40.64 | $40.64 | $58.81 | $75.54 | $47.81 | 0.8x Medicare |
| Arkansas | 7 | $40.64 | $42.67 | $58.81 | $62.16 | $75.54 | $47.81 | 1.2x Medicare |
| California | 50 | $28.69 | $40.64 | $44.70 | $51.13 | $111.40 | $47.81 | 0.9x Medicare |
| Colorado | 12 | $31.08 | $40.64 | $45.42 | $62.15 | $65.50 | $47.81 | about what Medicare pays |
| Connecticut | 5 | $31.08 | $40.64 | $42.67 | $45.24 | $75.54 | $47.81 | 0.9x Medicare |
| Delaware | 2 | $31.08 | $37.89 | $44.70 | $45.06 | $45.42 | $47.81 | 0.9x Medicare |
| District of Columbia | 4 | $44.70 | $44.70 | $44.70 | $44.70 | $44.70 | $47.81 | 0.9x Medicare |
| Florida | 74 | $31.08 | $40.64 | $46.73 | $65.50 | $111.40 | $47.81 | about what Medicare pays |
| Georgia | 21 | $31.08 | $40.64 | $44.70 | $65.50 | $76.02 | $47.81 | 0.9x Medicare |
| Hawaii | 4 | $44.70 | $55.28 | $62.16 | $65.50 | $65.50 | $47.81 | 1.3x Medicare |
| Idaho | 2 | $40.64 | $40.64 | $40.64 | $40.64 | $40.64 | $47.81 | 0.8x Medicare |
| Illinois | 38 | $31.08 | $40.64 | $45.42 | $62.15 | $111.40 | $47.81 | about what Medicare pays |
| Indiana | 23 | $31.08 | $40.64 | $44.70 | $46.73 | $111.40 | $47.81 | 0.9x Medicare |
| Iowa | 7 | $40.64 | $40.64 | $44.70 | $53.43 | $65.50 | $47.81 | 0.9x Medicare |
| Kansas | 4 | $40.64 | $43.69 | $44.70 | $49.90 | $65.50 | $47.81 | 0.9x Medicare |
| Kentucky | 26 | $31.08 | $40.64 | $45.42 | $49.33 | $75.54 | $47.81 | about what Medicare pays |
| Louisiana | 7 | $40.64 | $40.64 | $40.64 | $45.66 | $65.50 | $47.81 | 0.8x Medicare |
| Maine | 5 | $40.64 | $40.64 | $44.70 | $44.70 | $44.70 | $47.81 | 0.9x Medicare |
| Maryland | 14 | $40.64 | $40.64 | $44.70 | $73.03 | $75.54 | $47.81 | 0.9x Medicare |
| Massachusetts | 16 | $40.64 | $40.64 | $44.70 | $65.50 | $75.54 | $47.81 | 0.9x Medicare |
| Michigan | 77 | $31.08 | $40.64 | $42.67 | $46.40 | $111.40 | $47.81 | 0.9x Medicare |
| Minnesota | 16 | $40.64 | $40.64 | $44.70 | $49.75 | $111.40 | $47.81 | 0.9x Medicare |
| Mississippi | 1 | $65.50 | $65.50 | $65.50 | $65.50 | $65.50 | $47.81 | 1.4x Medicare |
| Missouri | 17 | $31.08 | $40.64 | $44.70 | $46.73 | $75.54 | $47.81 | 0.9x Medicare |
| Montana | 1 | $44.70 | $44.70 | $44.70 | $44.70 | $44.70 | $47.81 | 0.9x Medicare |
| Nebraska | 2 | $44.70 | $44.70 | $44.70 | $44.70 | $44.70 | $47.81 | 0.9x Medicare |
| Nevada | 6 | $40.64 | $41.66 | $44.70 | $44.70 | $46.61 | $47.81 | 0.9x Medicare |
| New Hampshire | 2 | $44.70 | $45.21 | $45.72 | $46.22 | $46.73 | $47.81 | about what Medicare pays |
| New Jersey | 18 | $31.08 | $40.64 | $40.64 | $45.06 | $111.40 | $47.81 | 0.8x Medicare |
| New Mexico | 3 | $40.64 | $43.69 | $46.73 | $51.81 | $56.89 | $47.81 | about what Medicare pays |
| New York | 45 | $31.08 | $44.70 | $46.73 | $65.50 | $111.40 | $47.81 | about what Medicare pays |
| North Carolina | 22 | $31.08 | $40.64 | $40.64 | $65.50 | $111.40 | $47.81 | 0.8x Medicare |
| North Dakota | 3 | $44.70 | $51.76 | $58.81 | $62.16 | $65.50 | $47.81 | 1.2x Medicare |
| Ohio | 11,262 | $31.08 | $40.64 | $40.64 | $46.73 | $111.40 | $47.81 | 0.8x Medicare |
| Oklahoma | 2 | $46.73 | $51.42 | $56.11 | $60.81 | $65.50 | $47.81 | 1.2x Medicare |
| Oregon | 4 | $31.08 | $44.70 | $45.42 | $52.59 | $65.50 | $47.81 | about what Medicare pays |
| Pennsylvania | 110 | $31.08 | $40.64 | $40.64 | $46.73 | $111.40 | $47.81 | 0.8x Medicare |
| Rhode Island | 3 | $40.64 | $42.67 | $44.70 | $78.05 | $111.40 | $47.81 | 0.9x Medicare |
| South Carolina | 14 | $31.08 | $40.64 | $45.06 | $46.73 | $75.54 | $47.81 | 0.9x Medicare |
| South Dakota | 3 | $40.64 | $40.64 | $42.67 | $49.90 | $65.50 | $47.81 | 0.9x Medicare |
| Tennessee | 19 | $40.64 | $44.70 | $46.73 | $65.50 | $111.40 | $47.81 | about what Medicare pays |
| Texas | 43 | $31.08 | $40.64 | $44.70 | $46.73 | $111.40 | $47.81 | 0.9x Medicare |
| Utah | 5 | $40.64 | $40.64 | $46.73 | $58.81 | $75.54 | $47.81 | about what Medicare pays |
| Virginia | 23 | $40.64 | $40.64 | $44.70 | $65.50 | $65.50 | $47.81 | 0.9x Medicare |
| Washington | 11 | $40.64 | $40.64 | $44.70 | $46.73 | $65.50 | $47.81 | 0.9x Medicare |
| West Virginia | 15 | $31.08 | $40.64 | $46.73 | $65.50 | $111.40 | $47.81 | about what Medicare pays |
| Wisconsin | 12 | $31.08 | $40.64 | $44.70 | $46.73 | $65.50 | $47.81 | 0.9x Medicare |
| Wyoming | 2 | $40.64 | $40.64 | $40.64 | $40.64 | $40.64 | $47.81 | 0.8x 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/summacare/statemap_80055_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)