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Manual Blood Sedimentation Rate Test (ESR)

Florida 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.

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

$4.68

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $4.68 for this service. The price depends on where it is billed: about $3.24 from a physician practice, and about $33.88 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 8 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$3.24$2.95 to $3.47
FacilityA hospital or hospital-owned outpatient department$33.88$10.23 to $93.33

How much rates vary

Facilitymedian $34 · 10th to 90th $4 to $170Professionalmedian $3 · 10th to 90th $3 to $5
$2$5$10$20$50$100$200facility $34professional $3

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
$5.62
Median
$38.90
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$3.24
Typical High
$4.68
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.14
Typical High
$4.27
AvMed
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$4.27
Typical High
$5.01
AvMed
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$4.27
Typical High
$6.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$4.37
Typical High
$12.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$3.89
Typical High
$7.76
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$7.94
Typical High
$27.54
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$5.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.04
Typical High
$2.57
United
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$3.80
Typical High
$4.37
United
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.88
Typical High
$5.01
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$4.27

Where Florida sits

The same service costs 9.5 times more in West Virginia than in Washington, DC. 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.

Florida· 35th of 51

$4.68

WV $30.90DC $3.24

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.