go back

CD4 T-Cell Count

Rhode Island 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?

$23.99

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $57.54 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 4 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$19.95$19.95 to $23.99
FacilityA hospital or hospital-owned outpatient department$57.54$31.62 to $123

How much rates vary

Facilitymedian $58 · 10th to 90th $26 to $123Professionalmedian $20 · 10th to 90th $15 to $40
$20.0$50.0$100.0facility $58professional $20

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
$30.90
Median
$77.62
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$24.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$30.90
Typical High
$38.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$19.95
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$64.57
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$20.42
Typical High
$40.74
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$20.89
Typical High
$42.66

Where Rhode Island 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.

Rhode Island $23.99 · 44th 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.