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Difficult Blood Draw in a Young Child, Other Vein

Michigan 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 October 2026.

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

$19.95

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $17.38 from a physician practice, and about $22.91 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$17.38$12.02 to $23.44
FacilityA hospital or hospital-owned outpatient department$22.91$22.91 to $31.62

How much rates vary

Facilitymedian $23 · 10th to 90th $23 to $47Professionalmedian $17 · 10th to 90th $11 to $26
$5$10$20$50$100facility $23professional $17

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$12.02
Median
$12.30
Typical High
$23.99
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$18.20
Typical High
$23.99
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$6.03
Median
$9.12
Typical High
$12.02
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.40
Median
$3.63
Typical High
$4.79
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.82
Median
$2.69
Typical High
$3.63
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.20
Median
$1.82
Typical High
$2.40
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$22.91
Median
$22.91
Typical High
$40.74
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$2.51
Median
$11.75
Typical High
$11.75
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.31
Median
$15.14
Typical High
$30.90
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$12.02
Median
$46.77
Typical High
$51.29
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$20.89
Typical High
$25.70
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$5.75
Median
$6.17
Typical High
$11.75
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.34
Median
$2.45
Typical High
$4.68
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.74
Median
$1.86
Typical High
$3.47
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.15
Median
$1.23
Typical High
$2.34
Priority Health
Setting
Professional
Modifier
None
Typical Low
$6.31
Median
$12.59
Typical High
$27.54
United
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$18.62
Typical High
$28.84

Where Michigan sits

The same service costs 3.2 times more in Wisconsin than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 18th of 51

$19.95

WI $46.77NE $14.45

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.