# Pregnancy blood test panel: what UPMC Health Plan pays, by state

The standard set of blood tests done early in pregnancy.

- Insurer: UPMC 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 | 25 | $47.81 | $47.81 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| Alaska | 5 | $47.81 | $47.81 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| Arizona | 57 | $47.81 | $47.81 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| Arkansas | 18 | $47.81 | $47.81 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| California | 267 | $42.07 | $47.81 | $71.63 | $71.63 | $104.56 | $47.81 | 1.5x Medicare |
| Colorado | 54 | $47.81 | $47.81 | $71.63 | $71.63 | $81.55 | $47.81 | 1.5x Medicare |
| Connecticut | 66 | $42.07 | $47.81 | $71.63 | $71.63 | $109.47 | $47.81 | 1.5x Medicare |
| Delaware | 83 | $47.81 | $47.81 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| District of Columbia | 39 | $42.07 | $47.81 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| Florida | 356 | $42.07 | $47.81 | $71.63 | $71.63 | $155.31 | $47.81 | 1.5x Medicare |
| Georgia | 106 | $47.81 | $47.81 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| Hawaii | 9 | $47.81 | $71.63 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| Idaho | 10 | $47.81 | $59.72 | $71.63 | $71.63 | $73.98 | $47.81 | 1.5x Medicare |
| Illinois | 137 | $47.81 | $47.81 | $71.63 | $71.63 | $86.63 | $47.81 | 1.5x Medicare |
| Indiana | 41 | $47.81 | $47.81 | $71.63 | $71.63 | $86.63 | $47.81 | 1.5x Medicare |
| Iowa | 21 | $47.81 | $47.81 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| Kansas | 16 | $47.81 | $47.81 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| Kentucky | 42 | $47.81 | $47.81 | $71.63 | $71.63 | $125.85 | $47.81 | 1.5x Medicare |
| Louisiana | 19 | $47.81 | $47.81 | $71.63 | $71.63 | $74.44 | $47.81 | 1.5x Medicare |
| Maine | 31 | $47.81 | $47.81 | $71.63 | $71.63 | $104.56 | $47.81 | 1.5x Medicare |
| Maryland | 661 | $42.07 | $47.81 | $47.81 | $71.63 | $125.85 | $47.81 | about what Medicare pays |
| Massachusetts | 106 | $42.07 | $47.81 | $71.63 | $71.63 | $81.55 | $47.81 | 1.5x Medicare |
| Michigan | 143 | $47.81 | $47.81 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| Minnesota | 324 | $47.81 | $47.81 | $71.63 | $71.63 | $118.09 | $47.81 | 1.5x Medicare |
| Mississippi | 16 | $47.81 | $57.24 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| Missouri | 67 | $47.81 | $47.81 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| Montana | 9 | $47.81 | $53.56 | $71.63 | $71.63 | $86.63 | $47.81 | 1.5x Medicare |
| Nebraska | 6 | $47.81 | $47.81 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| Nevada | 36 | $47.81 | $47.81 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| New Hampshire | 30 | $47.81 | $47.81 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| New Jersey | 298 | $42.07 | $47.81 | $71.63 | $71.63 | $118.09 | $47.81 | 1.5x Medicare |
| New Mexico | 20 | $47.81 | $54.49 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| New York | 1,400 | $43.13 | $47.81 | $71.63 | $71.63 | $125.85 | $47.81 | 1.5x Medicare |
| North Carolina | 151 | $47.81 | $47.81 | $71.63 | $71.63 | $109.47 | $47.81 | 1.5x Medicare |
| North Dakota | 10 | $47.81 | $47.81 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| Ohio | 1,759 | $42.07 | $47.81 | $71.63 | $71.63 | $109.47 | $47.81 | 1.5x Medicare |
| Oklahoma | 16 | $47.81 | $47.81 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| Oregon | 29 | $47.81 | $47.81 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| Pennsylvania | 21,434 | $42.07 | $47.81 | $71.63 | $71.63 | $366.60 | $47.81 | 1.5x Medicare |
| Puerto Rico | 5 | $47.81 | $71.63 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| Rhode Island | 18 | $47.81 | $47.81 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| South Carolina | 74 | $47.81 | $47.81 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| South Dakota | 5 | $47.81 | $71.63 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| Tennessee | 67 | $47.81 | $47.81 | $71.63 | $71.63 | $118.09 | $47.81 | 1.5x Medicare |
| Texas | 207 | $42.07 | $47.81 | $71.63 | $71.63 | $118.09 | $47.81 | 1.5x Medicare |
| Utah | 13 | $47.81 | $47.81 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| Vermont | 6 | $47.81 | $47.81 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| Virginia | 215 | $42.07 | $47.81 | $71.63 | $71.63 | $118.09 | $47.81 | 1.5x Medicare |
| Washington | 61 | $42.07 | $47.81 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x Medicare |
| West Virginia | 542 | $47.81 | $47.81 | $71.63 | $71.63 | $109.47 | $47.81 | 1.5x Medicare |
| Wisconsin | 45 | $42.07 | $47.81 | $71.63 | $71.63 | $93.07 | $47.81 | 1.5x Medicare |
| Wyoming | 3 | $71.63 | $71.63 | $71.63 | $71.63 | $71.63 | $47.81 | 1.5x 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/upmc/statemap_80055_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)