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CD4 T-Cell Count

North Carolina 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?

$27.54

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $21.38 from a physician practice, and about $79.43 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$21.38$21.38 to $25.70
FacilityA hospital or hospital-owned outpatient department$79.43$27.54 to $200

How much rates vary

Facilitymedian $79 · 10th to 90th $21 to $224Professionalmedian $21 · 10th to 90th $19 to $35
$20.0$50.0$100.0$200.0facility $79professional $21

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
$21.38
Median
$89.13
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$23.44
Typical High
$35.48
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$18.62
Typical High
$18.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$60.26
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$23.44
Typical High
$23.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$52.48
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$18.62
Typical High
$40.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$64.57
Typical High
$107.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$24.55
Typical High
$52.48
Medcost
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$32.36
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$35.48
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$18.62
Typical High
$37.15
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82

Where North Carolina 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.

North Carolina $27.54 · 24th 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.