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Manual Blood Sedimentation Rate Test (ESR)

West Virginia 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?

$3.89

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $3.89 for this service. The price depends on where it is billed: about $3.47 from a physician practice, and about $8.51 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$3.47$2.95 to $6.61
FacilityA hospital or hospital-owned outpatient department$8.51$3.89 to $22.91

How much rates vary

Facilitymedian $9 · 10th to 90th $4 to $42Professionalmedian $3 · 10th to 90th $2 to $10
$2$5$10$20$50facility $9professional $3

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
$3.47
Median
$3.89
Typical High
$3.89
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.39
Median
$3.47
Typical High
$4.17
CareSource
Setting
Facility
Modifier
None
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
CareSource
Setting
Professional
Modifier
None
Typical Low
$4.27
Median
$4.27
Typical High
$5.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$4.17
Median
$8.51
Typical High
$12.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.95
Median
$6.17
Typical High
$21.38
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$28.84
Typical High
$81.28
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$2.57
Typical High
$2.57
United
Setting
Facility
Modifier
None
Typical Low
$2.57
Median
$2.57
Typical High
$2.57
United
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$3.09
Typical High
$9.55

Where West Virginia 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.

West Virginia· 42nd of 51

$3.89

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.