Manual Blood Sedimentation Rate Test (ESR)

Delaware 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 October 2026.

How much does Manual Blood Sedimentation Rate Test (ESR) cost?

$4.17

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $4.17 for this service. The price depends on where it is billed: about $3.98 from a physician practice, and about $4.27 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$3.98	$3.24 to $5.01
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$4.27	$3.55 to $9.33

How much rates vary

Facilitymedian $4 · 10th to 90th $3 to $66Professionalmedian $4 · 10th to 90th $3 to $7

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $9.33	Facility	None	$3.55	$3.55	$9.33
Aetna Setting Professional Modifier None Typical Low $3.24 Median $3.55 Typical High $6.31	Professional	None	$3.24	$3.55	$6.31
Cigna Setting Facility Modifier None Typical Low $2.75 Median $2.75 Typical High $6.76	Facility	None	$2.75	$2.75	$6.76
Cigna Setting Professional Modifier None Typical Low $2.51 Median $5.01 Typical High $21.38	Professional	None	$2.51	$5.01	$21.38
Highmark BCBS Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $66.07	Facility	None	$4.27	$4.27	$66.07
United Setting Professional Modifier None Typical Low $2.24 Median $3.39 Typical High $5.01	Professional	None	$2.24	$3.39	$5.01

Where Delaware sits

The same service costs 4.4 times more in Alaska than in New Jersey. 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.

Delaware· 35th of 51

$4.17

AK $13.80NJ $3.16

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.