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See a sample rate comparisonCPT 36410 Fee Schedule
Medicare rates as of October 2026
CPT 36410 is classified under Surgery, in the Surgical Procedures on the Cardiovascular System subgroup.
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 | 59 - Distinct Procedural Service XU - Unusual Non-Overlapping Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $19.04 national non-facility rate (2026) · View Medicare rates for 36410 |
| Medicaid Fee Schedule | $15.305 median of the 8 states in the free preview · View Medicaid rates for 36410 |
National average reimbursement for CPT 36410 by major payers:
$22.40
BCBS / Anthem
$24.07
UnitedHealthcare
$25.97
Aetna
$28.26
Cigna
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
$72.18Published rateFern Taisenchoy-Bent
Vitalmd Group Holding, LLC
$37.81Published rateMargaret Mcgrath
Sacred Heart Health System Inc
$28.17Published rateErika Schneider
$20.40Published rateNikki Rowan
$6.13Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 36410 vs. Other Surgical Procedures on the Cardiovascular System Codes
The table lists codes related to 36410. Select one to see its fee schedule.
| 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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Frequently Asked Questions
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.
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.
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.
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.
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.