What is CPT code 36410?

CPT code 36410 describes venipuncture for patients aged 3 years or older, requiring the skill of a physician or qualified healthcare professional for diagnostic or therapeutic purposes, excluding routine venipuncture.

What factors affect CPT 36410 fee schedules?

Factors affecting fee schedules for codes like CPT 36410 include Medicare & Medicaid rates (government-set), private insurance rates (negotiated), geographic location (urban vs. rural), and provider type (hospital vs. private practice).

How does CPT 36410 compare to other cardiovascular system codes?

CPT 36410 is part of Surgery services for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter involving more provider time and moderate medical decision-making, differentiating it from lower-level codes like 36400, 36405, and 36406 which require less time and simpler assessments.

A CPT (Current Procedural Terminology) code is a five-digit numerical code used by healthcare providers to report medical, surgical, and diagnostic services to entities such as physicians, health insurance companies, and accreditation organizations. These codes ensure uniformity in reporting across the healthcare industry.

How can I find the cost of a medical procedure?

To find the specific cost of a medical procedure, you would typically need to consider factors like your location, the specific provider, and your insurance plan. For a personalized estimate based on CPT codes and your specific location, you can utilize tools like Payerprice's fee schedule lookup tool. This can help you understand potential costs before receiving a service.

What factors influence the cost of healthcare services?

Several factors influence the cost of healthcare services, including the complexity of the procedure, the type of facility (e.g., hospital vs. outpatient clinic), geographic location, the healthcare provider's fees, your insurance coverage (deductibles, co-pays, co-insurance), and whether the provider is in-network or out-of-network.

Is there a way to compare prices for different providers?

Yes, comparing prices for different providers is possible and often recommended. Websites and tools like Payerprice's fee schedule lookup tool can help you research the cost of specific procedures (using CPT codes) in your area across various providers. This allows you to make more informed decisions about your healthcare. It's also advisable to contact providers directly and your insurance company for the most accurate out-of-pocket estimates.

What should I do if I have questions about my medical bill?

If you have questions about your medical bill, the first step is to contact the healthcare provider's billing department directly. They can explain the charges and make corrections if necessary. You should also review your Explanation of Benefits (EOB) from your insurance company to ensure it matches the bill. If discrepancies persist, you can contact your insurance company for clarification. For future services, using tools like Payerprice can help you understand potential costs beforehand.

CPT 36410 Fee Schedule

Q: What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, like CPT 36410. These prices vary based on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Last Verified: September 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Non Routine Bl Draw 3 Yrs, Venipuncture Age 3 Years Or Older Necessitating The Skill Of A Physician Or Other Qualified Health Care Professional Separate Procedure For Diagnostic Or Therapeutic Purposes Not To Be Used For Routine Venipuncture

Key Fact	Detail
Service Type	Surgery Surgical Procedures on the Cardiovascular System
Common Place of Service	11 - Office 21 - Inpatient Hospital
Common Modifiers	None 59 - Distinct Procedural Service XU - Unusual Non-Overlapping Service
Complexity Level	Low
Medicare Fee Schedule	View Medicare rates for 36410
Medicaid Fee Schedule	View Medicaid rates for 36410

National average reimbursement for CPT 36410 by major payers:

$22.40

$24.07

$25.97

$28.26

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 36410.

CPT 36410

5 of 25 sample ratesHigher to lower in this preview

Xiaorong Dai
FLObstetrics & Gynecology PhysicianNPI 1407901028Tax ID 59-2013191
$72.18Published rate
Fern Taisenchoy-Bent
Vitalmd Group Holding, LLC
FLObstetrics & Gynecology PhysicianNPI 1205897303Tax ID 54-2129332
$37.81Published rate
Margaret Mcgrath
Sacred Heart Health System Inc
FLObstetrics & Gynecology PhysicianNPI 1598861502Tax ID 59-0634434
$28.17Published rate
Erika Schneider
FLObstetrics & Gynecology PhysicianNPI 1518162437Tax ID 26-4800380
$20.40Published rate
Nikki Rowan
FLObstetrics & Gynecology PhysicianNPI 1841354669Tax ID 14-1942527
$6.13Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 36410 vs. Other Surgical Procedures on the Cardiovascular System Codes

The CPT 36410 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 36410 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
36400-CPT	Low	Bl Draw 3 Yrs Fem Jugular, Venipuncture Younger Than Age 3 Years Necessitating The Skill Of A Physician Or Other Qualified Health Care Professional Not To Be Used For Routine Venipuncture Femoral Or Jugular Vein
36405-CPT	Low	Vnpnxr<3yrs Phy/Qhp Scalp Vn, Venipuncture Younger Than Age 3 Years Necessitating The Skill Of A Physician Or Other Qualified Health Care Professional Not To Be Used For Routine Venipuncture; Scalp Vein
36406-CPT	Low	Vnpnxr<3yrs Phy/Qhp Other Vn, Venipuncture Younger Than Age 3 Years Necessitating The Skill Of A Physician Or Other Qualified Health Care Professional Not To Be Used For Routine Venipuncture; Other Vein
36410-CPT	Low	Non Routine Bl Draw 3 Yrs, Venipuncture Age 3 Years Or Older Necessitating The Skill Of A Physician Or Other Qualified Health Care Professional Separate Procedure For Diagnostic Or Therapeutic Purposes Not To Be Used For Routine Venipuncture

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36410. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 36410 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules

Medicare & Medicaid Rates

Government-set reimbursement amounts

Private Insurance Rates

Negotiated rates between providers and insurance companies

Geographic Location

Costs may be higher in urban areas.

Provider Type

Hospital providers may have different rates than private practice.

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CPT 36410 Fee Schedule

Compare published rates across providers.

Xiaorong Dai

Fern Taisenchoy-Bent

Margaret Mcgrath

Erika Schneider

Nikki Rowan