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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 October 2026.

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

$5.37

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $5.37 for this service. The price depends on where it is billed: about $4.27 from a physician practice, and about $26.30 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$3.80 to $4.79
FacilityA hospital or hospital-owned outpatient department$26.30$9.55 to $53.70

How much rates vary

Facilitymedian $26 · 10th to 90th $5 to $68Professionalmedian $4 · 10th to 90th $3 to $9
$2$5$10$20$50$100facility $26professional $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
$2.82
Median
$5.37
Typical High
$11.22
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.82
Median
$3.09
Typical High
$6.92
Ambetter
Setting
Professional
Modifier
None
Typical Low
$3.39
Median
$6.46
Typical High
$10.72
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$18.62
Median
$25.70
Typical High
$52.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.37
Median
$5.13
Typical High
$10.23
Medica
Setting
Facility
Modifier
None
Typical Low
$5.50
Median
$51.29
Typical High
$75.86
Medica
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$4.27
Typical High
$14.13
Midlands
Setting
Professional
Modifier
None
Typical Low
$4.37
Median
$4.37
Typical High
$7.76
Midlands
Setting
Facility
Modifier
None
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
United
Setting
Facility
Modifier
None
Typical Low
$1.55
Median
$1.78
Typical High
$2.57
United
Setting
Professional
Modifier
None
Typical Low
$2.88
Median
$4.27
Typical High
$8.51

Where Nebraska 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.

Nebraska· 14th of 51

$5.37

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.