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Difficult Blood Draw in a Young Child, Other Vein

Massachusetts 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?

$19.05

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $11.48 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 9 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$19.95$12.59 to $33.88
FacilityA hospital or hospital-owned outpatient department$11.48$10.00 to $14.45

How much rates vary

Facilitymedian $11 · 10th to 90th $9 to $28Professionalmedian $20 · 10th to 90th $9 to $50
$10.0$100.0$1.0K$10.0Kfacility $11professional $20

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
$6.61
Median
$14.13
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$17.78
Typical High
$69.18
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$21.38
Typical High
$1,288.25
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$20.42
Typical High
$53.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$23.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$28.18
Typical High
$50.12
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$11.22
Typical High
$4,897.79
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$26.92
Typical High
$38.02
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$20.42
Typical High
$46.77
Health New England
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$21.38
Typical High
$1,288.25
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$20.42
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$21.38
Typical High
$48.98

Where Massachusetts 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.

Massachusetts $19.05 · 23rd 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.