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Difficult Blood Draw in a Young Child, Other Vein

Pennsylvania 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?

$17.78

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $17.78 for this service. The price depends on where it is billed: about $17.38 from a physician practice, and about $20.42 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$17.38$10.23 to $20.42
FacilityA hospital or hospital-owned outpatient department$20.42$10.23 to $28.18

How much rates vary

Facilitymedian $20 · 10th to 90th $10 to $48Professionalmedian $17 · 10th to 90th $10 to $24
$10.0$100.0$1.0K$10.0Kfacility $20professional $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
$10.23
Median
$10.47
Typical High
$20.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$17.38
Typical High
$23.44
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$26.92
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$17.38
Typical High
$30.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$30.90
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$23.44
Typical High
$38.02
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$20.42
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$16.60
Typical High
$23.44
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$34.67
Typical High
$60.26
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$16.60
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$15.85
Typical High
$28.18

Where Pennsylvania 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.

Pennsylvania $17.78 · 31st 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.