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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 July 2026.

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

$6.46

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $6.46 for this service. The price depends on where it is billed: about $6.31 from a physician practice, and about $7.76 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 5 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$6.31$4.27 to $9.77
FacilityA hospital or hospital-owned outpatient department$7.76$3.02 to $70.79

How much rates vary

Facilitymedian $8 · 10th to 90th $3 to $71Professionalmedian $6 · 10th to 90th $3 to $31
$2.0$5.0$10.0$20.0$50.0$100.0facility $8professional $6

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
$3.02
Median
$7.76
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.68
Typical High
$30.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$8.32
Typical High
$9.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$6.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$6.46
Typical High
$87.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.89
Typical High
$7.24
United
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$4.47
Typical High
$6.17

Where North Dakota 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.

North Dakota $6.46 · 14th 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.