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CD4 T-Cell Count

Iowa 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?

$32.36

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $32.36 for this service. The price depends on where it is billed: about $26.92 from a physician practice, and about $51.29 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 7 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$26.92$20.42 to $64.57
FacilityA hospital or hospital-owned outpatient department$51.29$26.92 to $70.79

How much rates vary

Facilitymedian $51 · 10th to 90th $20 to $129Professionalmedian $27 · 10th to 90th $18 to $178
$20.0$50.0$100.0$200.0facility $51professional $27

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
$20.42
Median
$63.10
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$20.42
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$51.29
Typical High
$64.57
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$48.98
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$34.67
Typical High
$83.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$27.54
Typical High
$69.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$35.48
Typical High
$35.48
Midlands
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$22.39
Typical High
$67.61
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$26.92
Typical High
$26.92

Where Iowa 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.

Iowa $32.36 · 15th 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.