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Manual Blood Sedimentation Rate Test (ESR)

South 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?

$8.51

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $8.51 for this service. The price depends on where it is billed: about $7.24 from a physician practice, and about $70.79 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 7 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$7.24$4.27 to $19.95
FacilityA hospital or hospital-owned outpatient department$70.79$8.32 to $77.62

How much rates vary

Facilitymedian $71 · 10th to 90th $6 to $129Professionalmedian $7 · 10th to 90th $4 to $31
$5$10$20$50$100facility $71professional $7

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
$39.81
Median
$70.79
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$5.50
Typical High
$30.90
Avera
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$4.37
Typical High
$6.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$8.32
Typical High
$10.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$7.76
Typical High
$128.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.89
Typical High
$5.13
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$9.55
Typical High
$11.75
United
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$5.13
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.89
Typical High
$5.62
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27

Where South 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. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 6th of 51

$8.51

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.