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Manual Blood Sedimentation Rate Test (ESR)

New Hampshire 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?

$4.57

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $4.57 for this service. The price depends on where it is billed: about $4.27 from a physician practice, and about $13.80 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4.27$2.75 to $6.31
FacilityA hospital or hospital-owned outpatient department$13.80$7.41 to $17.78

How much rates vary

Facilitymedian $14 · 10th to 90th $7 to $23Professionalmedian $4 · 10th to 90th $3 to $11
$2$5$10$20facility $14professional $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
$4.07
Median
$6.92
Typical High
$6.92
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.09
Median
$4.07
Typical High
$15.85
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$7.41
Median
$13.80
Typical High
$22.91
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$2.34
Median
$2.75
Typical High
$7.94
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.94
Median
$17.78
Typical High
$25.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.51
Median
$4.27
Typical High
$12.30
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$4.27
Median
$6.46
Typical High
$14.45
United
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$4.27
Typical High
$5.25
Well Sense
Setting
Facility
Modifier
None
Typical Low
$3.72
Median
$3.72
Typical High
$3.72

Where New Hampshire 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.

New Hampshire· 23rd of 51

$4.57

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.