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Difficult Blood Draw in a Young Child, Other Vein

New York 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?

$21.88

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $2,455 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$18.20$12.02 to $25.70
FacilityA hospital or hospital-owned outpatient department$2,455$21.88 to $3,890

How much rates vary

Facilitymedian $2,455 · 10th to 90th $12 to $4,898Professionalmedian $18 · 10th to 90th $9 to $41
$10$100$1K$10Kfacility $2,455professional $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
$9.55
Median
$17.78
Typical High
$28.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$18.20
Typical High
$34.67
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,630.78
Typical High
$5,011.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$19.50
Typical High
$46.77
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$23.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$20.42
Typical High
$58.88
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$15.85
Typical High
$29.51
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$19.05
Typical High
$37.15
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$20.89
Typical High
$33.11
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$11.22
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$22.39
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$28.18
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$15.49
Typical High
$38.02
Univera
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$11.22
Typical High
$33.88
Univera
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$21.88
Typical High
$37.15

Where New York 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.

New York· 10th of 51

$21.88

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.