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Difficult Blood Draw in a Young Child, Other Vein

Utah 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?

$19.50

Typical physician fee. In Utah, October 2026.

Insurers have agreed to pay about $19.50 for this service. Most negotiated rates run $13.49 to $25.12.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $25 · 10th to 90th $14 to $25Professionalmedian $19 · 10th to 90th $11 to $32
$10$20$50facility $25professional $19

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$13.80
Median
$13.80
Typical High
$25.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$18.62
Typical High
$25.12
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$6.92
Median
$9.33
Typical High
$12.30
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$2.75
Median
$3.72
Typical High
$5.01
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$2.09
Median
$2.82
Typical High
$3.72
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.38
Median
$1.86
Typical High
$2.51
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$21.88
Typical High
$28.84
Molina
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$25.12
Typical High
$47.86
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$16.60
Typical High
$29.51
Select Health
Setting
Facility
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Select Health
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$26.92
Typical High
$58.88
United
Setting
Professional
Modifier
None
Typical Low
$8.91
Median
$16.98
Typical High
$33.88

Where Utah 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.

Utah· 19th of 51

$19.50

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.