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CD4 T-Cell Count

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $26.92 for this service. The price depends on where it is billed: about $21.38 from a physician practice, and about $56.23 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 9 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$16.22 to $26.92
FacilityA hospital or hospital-owned outpatient department$56.23$28.84 to $79.43

How much rates vary

Facilitymedian $56 · 10th to 90th $25 to $87Professionalmedian $21 · 10th to 90th $13 to $65
$10.0$20.0$50.0$100.0$200.0$500.0facility $56professional $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
$26.92
Median
$70.79
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$24.55
Typical High
$81.28
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$18.62
Typical High
$18.62
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$28.18
Typical High
$48.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$16.60
Typical High
$35.48
CareSource
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$30.90
CareSource
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$26.92
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$34.67
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$17.38
Typical High
$51.29
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$38.02
Typical High
$147.91
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$19.50
Typical High
$48.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$21.88
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$28.18
Typical High
$58.88
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$26.92
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$16.22
Typical High
$37.15

Where Ohio 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.

Ohio $26.92 · 31st 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.