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CD4 T-Cell Count

Vermont 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?

$21.88

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $85.11 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$19.05$16.22 to $33.11
FacilityA hospital or hospital-owned outpatient department$85.11$44.67 to $186

How much rates vary

Facilitymedian $85 · 10th to 90th $27 to $195Professionalmedian $19 · 10th to 90th $11 to $43
$10$20$50$100facility $85professional $19

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$186.21
Typical High
$194.98
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Cigna
Setting
Professional
Modifier
None
Typical Low
$18.62
Median
$36.31
Typical High
$46.77
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
United
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$16.22
Typical High
$37.15

Where Vermont 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.

Vermont· 40th of 51

$21.88

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.