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Manual Blood Sedimentation Rate Test (ESR)

Tennessee 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?

$4.27

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $4.27 for this service. The price depends on where it is billed: about $3.39 from a physician practice, and about $14.45 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 6 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$3.39$3.24 to $4.68
FacilityA hospital or hospital-owned outpatient department$14.45$5.62 to $25.70

How much rates vary

Facilitymedian $14 · 10th to 90th $3 to $83Professionalmedian $3 · 10th to 90th $3 to $8
$1$5$20$100facility $14professional $3

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
$3.39
Median
$14.45
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.39
Typical High
$8.51
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$2.14
Typical High
$7.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.79
Typical High
$4.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$9.12
Typical High
$14.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$2.95
Typical High
$6.31
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$100.00
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
United
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$3.80
Typical High
$4.27
United
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$4.27
Typical High
$5.01

Where Tennessee 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.

Tennessee· 46th of 51

$4.27

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.