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CD4 T-Cell Count

West Virginia 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 West Virginia, October 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $52.48 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$18.62$15.85 to $51.29
FacilityA hospital or hospital-owned outpatient department$52.48$26.30 to $66.07

How much rates vary

Facilitymedian $52 · 10th to 90th $22 to $79Professionalmedian $19 · 10th to 90th $12 to $72
$10$20$50$100facility $52professional $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
Facility
Modifier
None
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$21.88
Typical High
$21.88
CareSource
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
CareSource
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$32.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$26.30
Median
$63.10
Typical High
$79.43
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$47.86
Typical High
$177.83
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
United
Setting
Facility
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
United
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$16.60
Typical High
$72.44

Where West Virginia 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.

West Virginia· 37th 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.