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Manual Blood Sedimentation Rate Test (ESR)

Michigan 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?

$4.27

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $4.27 for this service. The price depends on where it is billed: about $4.17 from a physician practice, and about $5.13 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$4.17$3.72 to $4.68
FacilityA hospital or hospital-owned outpatient department$5.13$4.07 to $31.62

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $52Professionalmedian $4 · 10th to 90th $3 to $7
$2.0$5.0$10.0$20.0$50.0facility $5professional $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
$4.07
Median
$6.17
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$4.17
Typical High
$14.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.14
Typical High
$4.27
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$4.90
Typical High
$9.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.24
Typical High
$3.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$4.27
Typical High
$6.17
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$7.41
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.68
Typical High
$6.61
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.01
Typical High
$5.37
United
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$4.27
Typical High
$5.13
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$4.90
Typical High
$5.13

Where Michigan sits

The same service costs 9.5 times more in West Virginia than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Michigan $4.27 · 42nd of 51
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.