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VKORC1 Warfarin Sensitivity Gene Test

Arizona 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?

$66.07

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $214 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 5 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$58.88$50.12 to $70.79
FacilityA hospital or hospital-owned outpatient department$214$102 to $355

How much rates vary

Facilitymedian $214 · 10th to 90th $65 to $398Professionalmedian $59 · 10th to 90th $37 to $102
$50$100$200$500facility $214professional $59

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$309.03
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$102.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$251.19
Typical High
$467.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$87.10
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$85.11
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$79.43
Typical High
$346.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$89.13
Typical High
$158.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$89.13

Where Arizona 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.

Arizona· 47th of 51

$66.07

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.