Code Reality Check
36415 reimbursement rate: Routine venipuncture
Routine venipuncture (CPT 36415) pays a median $9.91 in North Carolina and $1.80 in New York, against a Medicare anchor of $3.07. 51 of 51 states clear the publication floor.
spread 5.5x top to bottom
Medicare anchor $3.07
51/51 states published
The 50-state spread
as of 2026-07-15| State | Median | vs Medicare | Band | Rate points | Tier |
|---|---|---|---|---|---|
| North Carolina | $9.91 | 3.23x | $9–$16 · P90 $16 | 142,370 | Benchmark |
| Indiana | $8.86 | 2.89x | $6–$9 · P90 $14 | 116,196 | Benchmark |
| Ohio | $7.50 | 2.44x | $6–$13 · P90 $21 | 155,602 | Benchmark |
| South Carolina | $7.13 | 2.32x | $2–$10 · P90 $14 | 12,429 | Benchmark |
| Michigan | $6.50 | 2.12x | $4–$10 · P90 $14 | 11,166 | Benchmark |
| West Virginia | $5.59 | 1.82x | $4–$9 · P90 $12 | 3,034 | Benchmark |
| New Hampshire | $5.45 | 1.78x | $4–$6 · P90 $9 | 11,674 | Benchmark |
| Massachusetts | $5.22 | 1.70x | $2–$9 · P90 $11 | 13,289 | Benchmark |
| Illinois | $5.21 | 1.70x | $2–$9 · P90 $14 | 27,609 | Benchmark |
| Kentucky | $5.00 | 1.63x | $3–$8 · P90 $9 | 45,993 | Benchmark |
| Rhode Island | $4.92 | 1.60x | $3–$9 · P90 $9 | 9,479 | Benchmark |
| Arkansas | $4.89 | 1.59x | $3–$9 · P90 $12 | 2,264 | Benchmark |
| Utah | $4.78 | 1.56x | $2–$10 · P90 $16 | 1,625 | Benchmark |
| Wisconsin | $4.71 | 1.53x | $2–$10 · P90 $16 | 83,119 | Benchmark |
| Nebraska | $4.63 | 1.51x | $2–$9 · P90 $12 | 1,008 | Benchmark |
| Pennsylvania | $4.62 | 1.50x | $2–$9 · P90 $13 | 18,629 | Benchmark |
| Mississippi | $4.55 | 1.48x | $2–$9 · P90 $14 | 1,287 | Benchmark |
| Oklahoma | $4.52 | 1.47x | $2–$9 · P90 $14 | 2,044 | Benchmark |
| Washington | $4.52 | 1.47x | $3–$10 · P90 $11 | 12,216 | Benchmark |
| South Dakota | $4.52 | 1.47x | $2–$10 · P90 $16 | 449 | Benchmark |
| Tennessee | $4.48 | 1.46x | $2–$8 · P90 $11 | 12,801 | Benchmark |
| Oregon | $4.44 | 1.45x | $2–$10 · P90 $14 | 3,018 | Benchmark |
| Missouri | $4.37 | 1.42x | $2–$9 · P90 $24 | 132,457 | Benchmark |
| Montana | $4.33 | 1.41x | $2–$9 · P90 $13 | 855 | Benchmark |
| Texas | $4.28 | 1.39x | $3–$9 · P90 $10 | 36,044 | Benchmark |
| Arizona | $4.25 | 1.38x | $2–$9 · P90 $14 | 5,861 | Benchmark |
| Louisiana | $4.20 | 1.37x | $2–$9 · P90 $13 | 2,577 | Benchmark |
| New Mexico | $4.09 | 1.33x | $2–$8 · P90 $13 | 1,737 | Benchmark |
| Hawaii | $4.07 | 1.33x | $2–$10 · P90 $13 | 1,447 | Benchmark |
| Idaho | $3.91 | 1.27x | $2–$9 · P90 $11 | 1,131 | Benchmark |
| Virginia | $3.77 | 1.23x | $2–$5 · P90 $8 | 44,639 | Benchmark |
| Nevada | $3.75 | 1.22x | $1–$9 · P90 $13 | 2,361 | Benchmark |
| North Dakota | $3.68 | 1.20x | $2–$9 · P90 $14 | 581 | Benchmark |
| Alaska | $3.65 | 1.19x | $2–$8 · P90 $10 | 598 | Benchmark |
| Colorado | $3.59 | 1.17x | $4–$6 · P90 $10 | 11,453 | Benchmark |
| Delaware | $3.59 | 1.17x | $2–$7 · P90 $10 | 1,220 | Benchmark |
| Maryland | $3.50 | 1.14x | $2–$7 · P90 $11 | 8,968 | Benchmark |
| Maine | $3.43 | 1.12x | $2–$5 · P90 $8 | 27,772 | Benchmark |
| Minnesota | $3.21 | 1.05x | $2–$10 · P90 $15 | 14,923 | Benchmark |
| Kansas | $3.21 | 1.05x | $2–$6 · P90 $10 | 3,414 | Benchmark |
| Iowa | $3.21 | 1.05x | $2–$8 · P90 $13 | 2,827 | Benchmark |
| Florida | $3.20 | 1.04x | $1–$8 · P90 $13 | 31,497 | Benchmark |
| District of Columbia | $3.14 | 1.02x | $2–$5 · P90 $9 | 3,879 | Benchmark |
| Alabama | $3.13 | 1.02x | $2–$6 · P90 $11 | 5,214 | Benchmark |
| New Jersey | $3.05 | 0.99x | $1–$5 · P90 $10 | 27,540 | Benchmark |
| Wyoming | $2.86 | 0.93x | $3–$6 · P90 $10 | 746 | Benchmark |
| Georgia | $2.83 | 0.92x | $1–$5 · P90 $11 | 208,577 | Benchmark |
| California | $2.11 | 0.69x | $1–$7 · P90 $12 | 133,932 | Benchmark |
| Connecticut | $1.91 | 0.62x | $1–$8 · P90 $14 | 8,932 | Benchmark |
| Vermont | $1.80 | 0.59x | $1–$4 · P90 $8 | 1,915 | Benchmark |
| New York | $1.80 | 0.59x | $1–$4 · P90 $10 | 505,802 | Benchmark |
Payer-blind local peer percentiles per state, full verified distribution. Publication floor: 11 verified rate points and a non-degenerate spread; the P25–P75 band unlocks at 25 points, P90 at 100 (a smaller cell's P90 is one contract, not a statistic).
Documented reimbursement figures are modeled, not guaranteed. Derived from federally mandated Transparency in Coverage data (45 CFR 147.212). No PHI.
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Cite this page
Source: Reddenda Code Reality Check, CPT 36415. Reddenda. https://reddenda.health/code/36415/
Derivation federally mandated TiC MRFs, verified to provider identity1,916,200 verified rate points across 51 statesas of 2026-07-15 · methodology v1.0