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

The standard set of blood tests done early in pregnancy.

- Insurer: UMR (a UnitedHealthcare company)
- Billing code: 80055 (Women's health & maternity)
- Price shown: negotiated in-network price, any setting, doctor's fee
- 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 | 17,872 | $10.00 | $20.08 | $20.08 | $28.69 | $351.40 | $47.81 | 0.4x Medicare |
| Alaska | 2,337 | $16.73 | $57.37 | $95.62 | $97.78 | $286.86 | $47.81 | 2.0x Medicare |
| American Samoa | 1 | $63.22 | $63.22 | $63.22 | $63.22 | $63.22 |  |  |
| Arizona | 30,648 | $10.00 | $20.08 | $20.08 | $26.55 | $351.40 | $47.81 | 0.4x Medicare |
| Arkansas | 13,056 | $0.50 | $20.08 | $24.79 | $31.83 | $351.40 | $47.81 | 0.5x Medicare |
| California | 114,004 | $8.95 | $20.08 | $53.55 | $186.02 | $400.57 | $47.81 | 1.1x Medicare |
| Colorado | 28,647 | $8.95 | $20.08 | $20.08 | $25.68 | $351.40 | $47.81 | 0.4x Medicare |
| Connecticut | 20,709 | $9.60 | $28.69 | $34.46 | $61.20 | $324.74 | $47.81 | 0.7x Medicare |
| Delaware | 5,697 | $8.95 | $25.86 | $28.84 | $71.72 | $322.88 | $47.81 | 0.6x Medicare |
| District of Columbia | 5,194 | $10.48 | $26.91 | $40.08 | $45.03 | $322.88 | $47.81 | 0.8x Medicare |
| Florida | 85,211 | $8.94 | $20.08 | $22.22 | $30.01 | $400.57 | $47.81 | 0.5x Medicare |
| Georgia | 38,364 | $8.95 | $28.69 | $39.35 | $100.40 | $372.92 | $47.81 | 0.8x Medicare |
| Guam | 43 | $20.00 | $21.51 | $28.69 | $57.37 | $168.11 |  |  |
| Hawaii | 5,868 | $8.95 | $47.33 | $57.37 | $57.37 | $322.88 | $47.81 | 1.2x Medicare |
| Idaho | 8,539 | $14.34 | $20.08 | $24.16 | $28.69 | $351.40 | $47.81 | 0.5x Medicare |
| Illinois | 57,885 | $8.94 | $24.79 | $28.69 | $38.25 | $400.57 | $47.81 | 0.6x Medicare |
| Indiana | 30,645 | $0.48 | $20.08 | $28.69 | $44.66 | $361.31 | $47.81 | 0.6x Medicare |
| Iowa | 14,580 | $15.68 | $28.69 | $30.69 | $115.80 | $322.88 | $47.81 | 0.6x Medicare |
| Kansas | 13,509 | $8.95 | $28.69 | $28.69 | $42.28 | $311.72 | $47.81 | 0.6x Medicare |
| Kentucky | 23,434 | $10.00 | $26.99 | $30.74 | $33.06 | $400.57 | $47.81 | 0.6x Medicare |
| Louisiana | 21,965 | $9.43 | $20.08 | $25.10 | $50.94 | $322.88 | $47.81 | 0.5x Medicare |
| Maine | 8,972 | $15.63 | $28.69 | $47.81 | $47.81 | $478.57 | $47.81 | about what Medicare pays |
| Maryland | 27,542 | $10.48 | $21.51 | $28.69 | $32.23 | $351.40 | $47.81 | 0.6x Medicare |
| Massachusetts | 47,216 | $8.95 | $28.69 | $47.81 | $81.28 | $322.88 | $47.81 | about what Medicare pays |
| Michigan | 41,414 | $8.94 | $20.08 | $28.69 | $39.35 | $400.57 | $47.81 | 0.6x Medicare |
| Minnesota | 29,649 | $8.95 | $28.69 | $49.72 | $106.95 | $322.88 | $47.81 | about what Medicare pays |
| Mississippi | 12,939 | $8.95 | $20.48 | $24.96 | $69.70 | $322.88 | $47.81 | 0.5x Medicare |
| Missouri | 30,134 | $8.95 | $23.91 | $33.27 | $58.06 | $351.40 | $47.81 | 0.7x Medicare |
| Montana | 5,095 | $14.34 | $20.08 | $23.91 | $47.81 | $296.80 | $47.81 | 0.5x Medicare |
| Nebraska | 11,128 | $16.73 | $28.69 | $28.69 | $47.81 | $322.88 | $47.81 | 0.6x Medicare |
| Nevada | 10,376 | $8.82 | $20.08 | $20.08 | $26.55 | $322.88 | $47.81 | 0.4x Medicare |
| New Hampshire | 8,967 | $14.34 | $28.69 | $47.81 | $47.81 | $478.57 | $47.81 | about what Medicare pays |
| New Jersey | 36,173 | $8.95 | $21.04 | $28.69 | $30.62 | $400.57 | $47.81 | 0.6x Medicare |
| New Mexico | 8,196 | $16.73 | $20.08 | $24.16 | $25.01 | $351.40 | $47.81 | 0.5x Medicare |
| New York | 101,649 | $8.95 | $20.08 | $28.69 | $72.46 | $400.57 | $47.81 | 0.6x Medicare |
| North Carolina | 52,426 | $10.00 | $24.64 | $33.47 | $47.81 | $351.40 | $47.81 | 0.7x Medicare |
| North Dakota | 3,086 | $16.73 | $24.16 | $48.77 | $77.88 | $351.40 | $47.81 | about what Medicare pays |
| Northern Mariana Islands | 7 | $20.08 | $25.53 | $38.25 | $50.20 | $63.22 |  |  |
| Ohio | 61,819 | $8.95 | $20.58 | $28.69 | $65.55 | $361.31 | $47.81 | 0.6x Medicare |
| Oklahoma | 16,136 | $9.11 | $20.08 | $24.67 | $28.69 | $351.40 | $47.81 | 0.5x Medicare |
| Oregon | 19,640 | $8.95 | $20.08 | $20.08 | $47.81 | $351.40 | $47.81 | 0.4x Medicare |
| Pennsylvania | 69,179 | $8.95 | $21.51 | $29.64 | $52.02 | $400.57 | $47.81 | 0.6x Medicare |
| Puerto Rico | 258 | $15.06 | $20.08 | $28.69 | $52.36 | $209.00 | $47.81 | 0.6x Medicare |
| Rhode Island | 6,139 | $2.39 | $24.36 | $28.69 | $49.72 | $322.88 | $47.81 | 0.6x Medicare |
| South Carolina | 22,624 | $0.48 | $23.91 | $28.69 | $47.81 | $351.40 | $47.81 | 0.6x Medicare |
| South Dakota | 4,608 | $16.73 | $28.69 | $33.45 | $43.03 | $307.13 | $47.81 | 0.7x Medicare |
| Tennessee | 34,153 | $11.95 | $20.08 | $28.69 | $33.52 | $400.57 | $47.81 | 0.6x Medicare |
| Texas | 111,184 | $8.95 | $20.08 | $24.79 | $28.69 | $400.57 | $47.81 | 0.5x Medicare |
| U.S. Virgin Islands | 353 | $16.92 | $209.00 | $209.00 | $209.00 | $209.00 | $47.81 | 4.4x Medicare |
| Utah | 12,195 | $15.63 | $20.08 | $25.55 | $28.69 | $322.88 | $47.81 | 0.5x Medicare |
| Vermont | 3,297 | $15.06 | $28.69 | $47.81 | $120.70 | $403.09 | $47.81 | about what Medicare pays |
| Virginia | 35,948 | $8.94 | $21.49 | $28.69 | $36.70 | $351.40 | $47.81 | 0.6x Medicare |
| Washington | 36,600 | $14.34 | $20.08 | $25.50 | $52.00 | $400.57 | $47.81 | 0.5x Medicare |
| West Virginia | 9,747 | $10.00 | $23.26 | $47.81 | $90.22 | $351.40 | $47.81 | about what Medicare pays |
| Wisconsin | 26,630 | $15.68 | $28.69 | $38.25 | $72.23 | $400.57 | $47.81 | 0.8x Medicare |
| Wyoming | 1,558 | $15.68 | $20.08 | $24.16 | $33.45 | $209.00 | $47.81 | 0.5x 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/umr/statemap_80055_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)