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Manual Blood Sedimentation Rate Test (ESR)

Nebraska 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?

$11.75

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $11.75 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $46.77 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 8 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$9.55$4.27 to $14.13
FacilityA hospital or hospital-owned outpatient department$46.77$14.45 to $63.10

How much rates vary

Facilitymedian $47 · 10th to 90th $5 to $81Professionalmedian $10 · 10th to 90th $3 to $23
$2$5$10$20$50$100facility $47professional $10

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
$10.23
Median
$47.86
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$10.96
Typical High
$22.91
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$6.46
Typical High
$10.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$25.70
Typical High
$52.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.61
Typical High
$7.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$8.32
Typical High
$10.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$50.12
Typical High
$70.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$4.27
Typical High
$5.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$8.71
Midlands
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$3.80
Typical High
$4.27
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$4.27
Typical High
$8.51

Where Nebraska 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.

Nebraska· 4th of 51

$11.75

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.