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Lab test

Sed Rate by Modified Westergren (ESR) Test

The Sed Rate by Modified Westergren test, commonly called ESR, measures how quickly red blood cells settle in a tube of whole blood over a set time. Quest describes it as a way to help differentiate inflammatory and neoplastic conditions and as a general index of disease severity.

Blood drawQuest patient service center

About this test

ESR is a longstanding, general marker of inflammation. Quest's description ties it to helping identify inflammatory and neoplastic conditions and to gauging disease severity, rather than to any single diagnosis.

Quest lists this test under several names, including Sed Rate by Modified Westergren, WSR, Zeta Rate, Sedimentation Rate and Erythrocyte Sedimentation Rate; all refer to the same measurement.

Test details

Quest code809
MethodologyModified Westergren
Sample typeWhole blood
CollectionQuest patient service center

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Quest resources

Additional details

What this test looks at

The test reports one value: the rate at which red blood cells settle in a tube of whole blood, using the Modified Westergren method. It does not identify what is causing a change in that rate; Quest describes its role as differentiating inflammatory and neoplastic disease and gauging disease severity.

Order online and a physician order is included — no doctor's visit and no insurance needed. Your sample is collected at a Quest Diagnostics patient service center.

Laboratory results should always be interpreted by a licensed clinician who knows your health history. This page is information about a test, not medical advice.

Frequently asked questions

What does the ESR test measure?

It measures the rate at which red blood cells settle in a tube of whole blood over a set time, using the Modified Westergren method.

How is the sample collected?

The test uses a whole blood sample, collected in an EDTA (lavender-top) tube, from a routine blood draw.

Do I need to prepare for this test?

No preparation instructions are listed for this test, though people follow any instructions their ordering clinician provides.

Can an ESR result tell me what is causing inflammation?

No. ESR is a general marker; Quest describes it as helping differentiate inflammatory and neoplastic conditions and gauging disease severity, but a clinician reads it alongside symptoms, history and other results to identify a cause.

What other names is this test listed under?

Quest lists it under names including Sed Rate by Modified Westergren, WSR, Zeta Rate, Sedimentation Rate and Erythrocyte Sedimentation Rate.

How much is a Sed Rate test?

$25, paid once at checkout. The price includes the physician's order this test requires and sample collection at a Quest patient service center.

Last updated 2026-09-18 · How we write about lab testing

Educational content

This page is for general educational purposes only. It is not medical advice, and it is not a substitute for consultation with a qualified healthcare professional. Laboratory results should always be interpreted by a licensed clinician who knows your health history. If you have questions about your health or your results, talk with your doctor. If you think you may be experiencing a medical emergency, call 911.