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Manual Blood Sedimentation Rate Test (ESR)

Missouri 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?

$6.46

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $6.46 for this service. The price depends on where it is billed: about $4.27 from a physician practice, and about $8.32 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$3.63 to $7.59
FacilityA hospital or hospital-owned outpatient department$8.32$5.62 to $58.88

How much rates vary

Facilitymedian $8 · 10th to 90th $4 to $87Professionalmedian $4 · 10th to 90th $2 to $13
$2$5$10$20$50$100facility $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
$4.17
Median
$18.62
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.68
Typical High
$13.80
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.14
Typical High
$4.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$14.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$3.98
Typical High
$10.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$6.76
Typical High
$7.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$8.13
Typical High
$20.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$4.17
Typical High
$8.91
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$7.41
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.98
Typical High
$6.03
United
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$4.27
Typical High
$5.13
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.98
Typical High
$6.17

Where Missouri 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.

Missouri· 13th of 51

$6.46

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.