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Manual Blood Sedimentation Rate Test (ESR)

Illinois 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?

$4.90

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $4.90 for this service. The price depends on where it is billed: about $4.27 from a physician practice, and about $8.13 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 7 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$4.27$3.47 to $5.13
FacilityA hospital or hospital-owned outpatient department$8.13$5.62 to $24.55

How much rates vary

Facilitymedian $8 · 10th to 90th $4 to $59Professionalmedian $4 · 10th to 90th $3 to $9
$2$10$50$200facility $8professional $4

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
$3.72
Median
$8.13
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$4.27
Typical High
$8.71
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.14
Typical High
$6.46
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$13.49
Typical High
$50.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.63
Typical High
$4.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$8.91
Typical High
$19.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$4.68
Typical High
$7.24
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$7.41
Typical High
$74.13
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.14
Typical High
$2.34
United
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$4.27
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.02
Typical High
$5.01

Where Illinois 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.

Illinois· 28th of 51

$4.90

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.