go back

Manual Blood Sedimentation Rate Test (ESR)

Iowa 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?

$7.24

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $7.24 for this service. The price depends on where it is billed: about $6.31 from a physician practice, and about $23.44 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$6.31$4.27 to $10.00
FacilityA hospital or hospital-owned outpatient department$23.44$7.59 to $57.54

How much rates vary

Facilitymedian $23 · 10th to 90th $5 to $81Professionalmedian $6 · 10th to 90th $3 to $20
$5$10$20$50$100$200facility $23professional $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
$6.31
Median
$15.14
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$6.31
Typical High
$19.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$8.32
Typical High
$10.23
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$7.76
Typical High
$21.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$6.03
Typical High
$35.48
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.13
Typical High
$9.77
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$5.25
Typical High
$45.71
Midlands
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$91.20
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$9.55
United
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$4.27
Typical High
$9.77
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$4.27
Typical High
$4.27

Where Iowa 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.

Iowa· 10th of 51

$7.24

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.