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Manual Blood Sedimentation Rate Test (ESR)

Nationwide rates for HCPCS 85651

This blood test measures how quickly red blood cells settle to the bottom of a test tube over a set period of time, using a manual laboratory method rather than an automated instrument. A faster settling rate can be a sign of inflammation somewhere in the body, though it does not point to a specific cause.

Rates data updated July 2026.

Facilitymedian $12 · 10th–90th $4$810%5%10%10th90th$12Professionalmedian $4 · 10th–90th $3$110%20%10th90th$4$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$16.98
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$4.27
Typical High
$12.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$5.75
Typical High
$19.50
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$2.63
Typical High
$7.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$8.32
Typical High
$19.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$5.01
Typical High
$10.23
United
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$4.27
Typical High
$6.03
United
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$3.47
Typical High
$6.17