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Manual Blood Sedimentation Rate Test (ESR)

Hawaii 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?

$6.17

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $6.17 for this service. Most negotiated rates run $4.68 to $8.13.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $74Professionalmedian $6 · 10th to 90th $3 to $9
$5$10$20$50$100facility $5professional $6

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
$3.55
Median
$5.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.27
Typical High
$4.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$2.75
Typical High
$5.13
HMSA
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$7.94
Typical High
$8.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.13
Typical High
$7.41
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$5.01
Typical High
$6.92
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.46
Typical High
$9.33

Where Hawaii 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.

Hawaii· 18th of 51

$6.17

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.