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VKORC1 Warfarin Sensitivity Gene Test

Alaska rates for HCPCS 81355

A genetic test that checks for the common changes in the VKORC1 gene, which affects how strongly a person responds to the blood thinner warfarin. People carrying certain versions need a lower or a higher dose to reach a safe level of blood thinning. A blood or saliva sample is used.

Rates data updated July 2026.

How much does VKORC1 Warfarin Sensitivity Gene Test cost?

$200

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $309 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$200$89.13 to $282
FacilityA hospital or hospital-owned outpatient department$309$89.13 to $427

How much rates vary

Facilitymedian $309 · 10th to 90th $89 to $692Professionalmedian $200 · 10th to 90th $50 to $295
$100$200$500$1Kfacility $309professional $200

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. 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
Global
Typical Low
$380.19
Median
$630.96
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$263.03
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$295.12
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$281.84
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$323.59
Typical High
$354.81
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$199.53
Providence
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$245.47
Typical High
$426.58
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$89.13
Typical High
$269.15

Where Alaska sits

The same service costs 4.0 times more in Alaska than in Vermont. 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.

Alaska· 1st of 51

$200

AK $200VT $50.12

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.