go back

CD4 T-Cell Count

Washington, DC rates for HCPCS 86361

Counts how many CD4 T-cells are present in a measured volume of blood. These are the immune cells that coordinate the body's defenses and the ones that HIV destroys, so the count is a direct measure of how much immune protection a person has left. It reports the CD4 cells on their own rather than alongside other immune cell types.

Rates data updated July 2026.

How much does CD4 T-Cell Count cost?

$19.95

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $155 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 5 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$19.95$19.95 to $19.95
FacilityA hospital or hospital-owned outpatient department$155$32.36 to $186

How much rates vary

Facilitymedian $155 · 10th to 90th $20 to $214Professionalmedian $20 · 10th to 90th $20 to $93
$20.0$50.0$100.0$200.0facility $155professional $20

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
$19.95
Median
$154.88
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$134.90
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$45.71
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$30.90
Typical High
$208.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$32.36
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$16.98
Typical High
$45.71

Where Washington, DC sits

The same service costs 3.3 times more in Pennsylvania than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington, DC $19.95 · 50th of 51
PA $63.10VT $19.05

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.