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CD4 T-Cell Count

Maine 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?

$26.92

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $21.88 from a physician practice, and about $34.67 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 6 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$21.88$17.38 to $26.92
FacilityA hospital or hospital-owned outpatient department$34.67$26.92 to $102

How much rates vary

Facilitymedian $35 · 10th to 90th $27 to $120Professionalmedian $22 · 10th to 90th $13 to $32
$10.0$20.0$50.0$100.0facility $35professional $22

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
$26.92
Median
$26.92
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$21.88
Typical High
$26.92
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$102.33
Typical High
$112.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$13.80
Typical High
$17.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$37.15
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$26.92
Typical High
$38.90
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$26.92
Typical High
$32.36
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$120.23
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$26.92
Typical High
$66.07
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$22.39
Typical High
$51.29

Where Maine 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.

Maine $26.92 · 27th 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.