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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 October 2026.

How much does CD4 T-Cell Count cost?

$21.38

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $21.38 for this service. The price depends on where it is billed: about $20.89 from a physician practice, and about $37.15 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$20.89$18.20 to $25.12
FacilityA hospital or hospital-owned outpatient department$37.15$21.38 to $69.18

How much rates vary

Facilitymedian $37 · 10th to 90th $21 to $115Professionalmedian $21 · 10th to 90th $14 to $38
$20$50$100facility $37professional $21

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$21.38
Median
$21.88
Typical High
$63.10
Aetna
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$21.38
Typical High
$26.92
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$10.72
Median
$10.72
Typical High
$11.48
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$4.27
Median
$4.27
Typical High
$4.68
Ambetter
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$17.78
Typical High
$18.62
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$114.82
Typical High
$114.82
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$18.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$18.62
Median
$58.88
Typical High
$123.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$13.80
Median
$18.20
Typical High
$40.74
Medcost
Setting
Professional
Modifier
None
Typical Low
$16.60
Median
$64.57
Typical High
$107.15
Medcost
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$21.38
Typical High
$56.23
Medcost
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$38.02
Typical High
$48.98
United
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$18.62
Typical High
$36.31

Where North Carolina sits

The same service costs 4.5 times more in South Carolina than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 44th of 51

$21.38

SC $67.61AL $15.14

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.