Quick answer
The CBC with ESR Test costs ₹400 at Live Line Health Care. Pairs a full blood count with an ESR from a single blood draw. No fasting is needed. It uses a blood sample and the report is usually ready the same day. Book home sample collection or visit any of our 45 centres.
Also known as: CBP & ESR, CBP with ESR, CBC ESR, CBC and ESR, Haemogram with ESR, Hemogram with ESR, Complete Blood Picture with ESR, Complete Blood Count with ESR
What is the CBC with ESR Test?
The CBC with ESR test combines two of the most requested blood tests in one booking. The CBC, also called CBP or haemogram, counts your red cells, white cells and platelets. The ESR (erythrocyte sedimentation rate) times how fast red cells settle in a tube over one hour, which rises when the body is dealing with inflammation. Both results come from a single blood draw, so you need only one needle prick.
Doctors usually ask for this pair when a fever has gone on for more than a few days, when joints ache without a clear cause, or when someone feels unwell and the reason is not obvious. The CBC can show anaemia or a raised white cell count, and the ESR adds a separate clue about ongoing inflammation. Neither number names a disease by itself. Read together, they help your doctor decide whether to reassure you, watch and repeat, or move on to targeted tests. If you need only one of the two, the CBC and the ESR can also be booked separately.
What it measures: Haemoglobin, red cell indices, total and differential white cell count and platelet count, along with the rate in mm per hour at which red cells settle in the first hour.
Parameters included (14)
- Haemoglobin
- Packed Cell Volume (PCV)
- RBC Count
- MCV
- MCH
- MCHC
- Total WBC Count
- Neutrophils
- Lymphocytes
- Eosinophils
- Monocytes
- Basophils
- Platelet Count
- ESR (1st hour)
Why is this test done?
- Working up a fever that has lasted more than a few days, along with tests for its cause
- Looking into joint pain, stiffness or suspected arthritis
- Checking for anaemia in someone who also seems to have a long-standing illness
- Following autoimmune or inflammatory conditions, where both results are watched over time
- Supporting the evaluation of chronic infections such as tuberculosis
When should you get tested?
- Fever lasting more than 3 or 4 days, or fever that keeps returning
- Night sweats, unexplained weight loss or loss of appetite
- Morning stiffness or swelling in the joints
- Tiredness and pallor along with body aches
- A new, persistent headache with scalp tenderness after age 50, which needs prompt medical review
How to prepare for the CBC with ESR Test
- 1Eat and drink as usual, as neither the CBC nor the ESR needs fasting.
- 2If you have a fever, note the day it began and the highest temperature, as the results mean more with that timeline.
- 3Mention any recent steroid tablets or regular anti-inflammatory painkillers, since these can bring the ESR down.
- 4Tell staff if you are pregnant, because pregnancy raises the ESR on its own.
CBC with ESR Test normal range
| Parameter | Typical reference range |
|---|---|
| Haemoglobin | Men: 13.0–17.0 g/dL · Women: 12.0–15.0 g/dL |
| Total WBC count | 4,000–11,000 /µL |
| Platelet count | 1.5–4.5 lakh/µL |
| ESR, men | 0–15 mm/hr |
| ESR, women | 0–20 mm/hr |
ESR climbs gradually with age, so a slightly high value in an older adult may not be significant. The full list of CBC parameters appears on your report. Ranges are typical adult values and vary between labs, age and sex. Always use the range printed on your report and discuss results with your doctor.
Understanding your results
- A raised ESR with a high neutrophil count often fits a bacterial infection or active inflammation. Your doctor will look for the source rather than treat the numbers alone.
- A raised ESR with a normal white cell count can occur in long-standing infections such as tuberculosis and in autoimmune conditions, so it needs to be read with your symptoms.
- Anaemia can push the ESR up on its own, so a mildly high ESR alongside low haemoglobin may not mean separate inflammation.
- A very high ESR, above about 100 mm/hr, is uncommon and calls for prompt medical review, as it can be linked with serious infection, autoimmune disease or blood cancers such as myeloma.
- An ESR close to zero is rarely a concern, though it can be seen in sickle cell disease or when the red cell count is very high (polycythaemia).
CBC with ESR Test – FAQs
What is the price of the CBC with ESR Test?
The CBC with ESR Test costs ₹400 at Live Line Health Care, at all 45 centres and for home sample collection.
Why do doctors order CBC and ESR together?
Because they answer different questions. The CBC shows what is happening with your blood cells, such as anaemia or a raised white cell count. The ESR shows whether inflammation is likely to be present. Taken together, they give a wider first look at a fever or joint problem than either test alone.
Is CBP & ESR the same as CBC with ESR?
Yes. CBP (complete blood picture) and CBC (complete blood count) are two names for the same panel, and prescriptions may use either one. If your slip reads CBP & ESR, CBC & ESR or haemogram with ESR, this is the test your doctor is asking for.
Should I book this or the CBC and ESR separately?
This single booking gives you every CBC parameter plus the ESR, so there is no need to add them one by one. Compare the price shown on this page with the two individual tests, then choose based on what your doctor has asked for.
Can this test tell the cause of my fever?
Not on its own. It shows patterns that guide the next step, such as a low platelet count in a viral fever or a high ESR in a long-standing infection. Specific tests for dengue, malaria or typhoid are needed to confirm those illnesses, and your doctor will choose them from your symptoms.
Can ESR be high when the CBC is normal?
Yes. A normal cell count does not rule out inflammation. Early arthritis, autoimmune conditions, long-standing infections, kidney disease, older age and pregnancy can all raise the ESR while the CBC stays within range. Your doctor may add a CRP test or other checks if your symptoms need further attention.
How soon should the CBC with ESR be repeated?
That depends on why it was done. During an acute illness, doctors may repeat the CBC within days to follow the counts. ESR changes slowly and can take weeks to settle after inflammation improves, so repeating it too soon may show little change. Follow the interval your doctor suggests.
Where can I get the CBC with ESR Test done?
At any of our 45 Live Line Health Care centres in 40 cities across Andhra Pradesh and Telangana, including Hyderabad, Visakhapatnam, Warangal, Kakinada and Nellore, or book home sample collection.
Medical disclaimer: This information is for general awareness only and is not a substitute for professional medical advice. Please consult a qualified doctor to interpret your results and before starting or changing any treatment.