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Difficult Blood Draw in a Young Child, Other Vein

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $17.38 from a physician practice, and about $31.62 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$17.38$10.72 to $28.18
FacilityA hospital or hospital-owned outpatient department$31.62$16.98 to $324

How much rates vary

Facilitymedian $32 · 10th to 90th $10 to $363Professionalmedian $17 · 10th to 90th $9 to $42
$10$20$50$100$200facility $32professional $17

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
$13.80
Median
$60.26
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$16.98
Typical High
$40.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$21.38
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$20.89
Typical High
$38.02
Medcost
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$18.62
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$16.98
Typical High
$38.90
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$251.19

Where North Carolina sits

The same service costs 3.5 times more in Alaska than in California. 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.

North Carolina· 22nd of 51

$19.05

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.