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Manual Blood Sedimentation Rate Test (ESR)

North Dakota 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?

$6.17

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $6.17 for this service. The price depends on where it is billed: about $6.03 from a physician practice, and about $19.95 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6.03$4.47 to $7.24
FacilityA hospital or hospital-owned outpatient department$19.95$3.02 to $26.92

How much rates vary

Facilitymedian $20 · 10th to 90th $3 to $37Professionalmedian $6 · 10th to 90th $3 to $9
$5$10$20$50$100facility $20professional $6

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
$3.02
Median
$3.98
Typical High
$30.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.02
Median
$4.27
Typical High
$6.46
BCBS North Dakota
Setting
Facility
Modifier
None
Typical Low
$11.75
Median
$22.39
Typical High
$28.18
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$7.24
Typical High
$8.51
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$6.61
Median
$8.71
Typical High
$10.23
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.12
Median
$1.45
Typical High
$1.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.01
Median
$5.01
Typical High
$7.76
Medica
Setting
Facility
Modifier
None
Typical Low
$3.02
Median
$5.13
Typical High
$87.10
Medica
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$5.01
Typical High
$6.03
United
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$4.37
Typical High
$6.03

Where North Dakota 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.

North Dakota· 8th of 51

$6.17

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.