go back

CD4 T-Cell Count

South Dakota 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?

$51.29

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $110 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$38.02$20.89 to $112
FacilityA hospital or hospital-owned outpatient department$110$51.29 to $129

How much rates vary

Facilitymedian $110 · 10th to 90th $30 to $129Professionalmedian $38 · 10th to 90th $19 to $115
$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $110professional $38

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
$109.65
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$24.55
Typical High
$114.82
Avera
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$26.92
Typical High
$39.81
Avera
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$26.92
Typical High
$28.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$51.29
Typical High
$64.57
Medica
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$42.66
Typical High
$128.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$37.15
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$54.95
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$23.99
Typical High
$37.15
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92

Where South Dakota 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.

South Dakota $51.29 · 2nd 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.