go back

Manual Blood Sedimentation Rate Test (ESR)

Vermont 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?

$9.55

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $9.55 for this service. The price depends on where it is billed: about $5.01 from a physician practice, and about $138 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.01$4.27 to $6.17
FacilityA hospital or hospital-owned outpatient department$138$70.79 to $138

How much rates vary

Facilitymedian $138 · 10th to 90th $60 to $138Professionalmedian $5 · 10th to 90th $3 to $6
$5$10$20$50$100facility $138professional $5

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$6.17
Typical High
$6.17
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$27.54
Median
$61.66
Typical High
$83.18
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.95
Median
$5.13
Typical High
$6.31
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
United
Setting
Professional
Modifier
None
Typical Low
$2.75
Median
$4.79
Typical High
$7.94

Where Vermont 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.

Vermont· 2nd of 51

$9.55

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.