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CD4 T-Cell Count

New Jersey 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?

$20.89

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $36.31 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$18.62$18.20 to $22.91
FacilityA hospital or hospital-owned outpatient department$36.31$23.99 to $77.62

How much rates vary

Facilitymedian $36 · 10th to 90th $21 to $129Professionalmedian $19 · 10th to 90th $14 to $29
$10$20$50$100$200facility $36professional $19

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
$20.89
Median
$23.99
Typical High
$43.65
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$20.89
Typical High
$28.18
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$10.47
Median
$10.47
Typical High
$15.49
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$4.17
Median
$4.17
Typical High
$6.17
Ambetter
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$16.60
Typical High
$18.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$26.30
Median
$58.88
Typical High
$131.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$26.30
Typical High
$53.70
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$13.49
Typical High
$23.44
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$26.92
Typical High
$213.80
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
United
Setting
Facility
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
United
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$16.22
Typical High
$22.39

Where New Jersey 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.

New Jersey· 45th of 51

$20.89

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.