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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 October 2026.

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

$4.27

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $4.27 for this service. The price depends on where it is billed: about $4.27 from a physician practice, and about $5.13 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4.27$3.24 to $4.68
FacilityA hospital or hospital-owned outpatient department$5.13$4.07 to $22.39

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $49Professionalmedian $4 · 10th to 90th $3 to $5
$2$5$10$20$50facility $5professional $4

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4.07
Median
$4.07
Typical High
$6.31
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$2.04
Median
$2.04
Typical High
$3.16
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$0.81
Median
$0.81
Typical High
$1.26
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$4.27
Typical High
$5.13
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.82
Median
$2.04
Typical High
$2.14
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.72
Median
$0.81
Typical High
$0.85
Ambetter
Setting
Professional
Modifier
None
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$3.24
Median
$4.79
Typical High
$8.71
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$3.24
Median
$3.24
Typical High
$3.24
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.19
Median
$3.02
Typical High
$6.17
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$4.07
Median
$13.80
Typical High
$54.95
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$2.04
Median
$2.04
Typical High
$3.16
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$0.81
Median
$0.81
Typical High
$1.26
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$3.63
Median
$4.68
Typical High
$6.46
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.04
Median
$2.04
Typical High
$2.04
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.81
Median
$0.81
Typical High
$0.81
Priority Health
Setting
Professional
Modifier
None
Typical Low
$2.19
Median
$4.27
Typical High
$5.37
United
Setting
Facility
Modifier
None
Typical Low
$1.12
Median
$3.80
Typical High
$10.47
United
Setting
Professional
Modifier
None
Typical Low
$2.51
Median
$4.90
Typical High
$5.25

Where Michigan sits

The same service costs 4.4 times more in Alaska than in New Jersey. 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.

Michigan· 25th of 51

$4.27

AK $13.80NJ $3.16

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.