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VKORC1 Warfarin Sensitivity Gene Test

Alabama 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 October 2026.

How much does VKORC1 Warfarin Sensitivity Gene Test cost?

$63.10

Typical negotiated rate. In Alabama, October 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $63.10 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$52.48$38.90 to $102
FacilityA hospital or hospital-owned outpatient department$63.10$63.10 to $63.10

How much rates vary

Facilitymedian $63 · 10th to 90th $63 to $74Professionalmedian $52 · 10th to 90th $37 to $102
$50$100$200facility $63professional $52

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$134.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$34.67
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.80
Median
$20.42
Typical High
$20.42
BCBS Alabama
Setting
Facility
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$74.13
Typical High
$281.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$39.81
Typical High
$45.71
United
Setting
Facility
Modifier
None
Typical Low
$31.62
Median
$79.43
Typical High
$89.13
United
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$48.98
Typical High
$52.48

Where Alabama sits

The same service costs 3.8 times more in Alaska than in Florida. 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.

Alabama· 45th of 51

$63.10

AK $200FL $52.48

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.