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Difficult Blood Draw in a Young Child, Other Vein

Illinois rates for HCPCS 36406

A blood draw performed on a child younger than three years old that requires the specific skill of a physician or other qualified clinician because of how difficult the draw is, using a vein other than the standard neck, groin, or scalp veins typically reserved for the hardest cases. It applies when a routine blood draw is not feasible and specialized technique is needed to access a vein safely in a very young child. It reflects the added skill required, not a routine, easily performed draw.

Rates data updated July 2026.

How much does Difficult Blood Draw in a Young Child, Other Vein cost?

$18.20

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $19.95 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$18.20$10.72 to $26.30
FacilityA hospital or hospital-owned outpatient department$19.95$16.22 to $29.51

How much rates vary

Facilitymedian $20 · 10th to 90th $10 to $37Professionalmedian $18 · 10th to 90th $10 to $35
$10.0$20.0$50.0$100.0$200.0facility $20professional $18

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$19.95
Typical High
$29.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$17.78
Typical High
$30.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$141.25
Typical High
$269.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$18.62
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$18.62
Typical High
$31.62
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$26.92
Typical High
$87.10
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.72
Typical High
$22.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$18.20
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$17.78
Typical High
$31.62

Where Illinois sits

The same service costs 3.5 times more in Alaska than in California. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $18.20 · 28th of 51
AK $45.71CA $13.18

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.