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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 October 2026.

How much does VKORC1 Warfarin Sensitivity Gene Test cost?

$74.13

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $191 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$58.88$37.15 to $89.13
FacilityA hospital or hospital-owned outpatient department$191$97.72 to $288

How much rates vary

Facilitymedian $191 · 10th to 90th $56 to $380Professionalmedian $59 · 10th to 90th $37 to $437
$50$100$200$500facility $191professional $59

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
$67.61
Median
$281.84
Typical High
$457.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$257.04
Typical High
$380.19
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$87.10
Typical High
$151.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$173.78
Typical High
$245.47
Cigna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$85.11
Typical High
$346.74
Medica
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$70.79
Typical High
$154.88
Medica
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$436.52
United
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$52.48

Where Arizona 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.

Arizona· 34th of 51

$74.13

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.