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VKORC1 Warfarin Sensitivity Gene Test

Colorado 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?

$93.33

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $67.61 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 7 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$67.61$50.12 to $70.79
FacilityA hospital or hospital-owned outpatient department$214$117 to $372

How much rates vary

Facilitymedian $214 · 10th to 90th $68 to $447Professionalmedian $68 · 10th to 90th $37 to $93
$50$100$200$500facility $214professional $68

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
$56.23
Median
$194.98
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$67.61
Typical High
$93.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$263.03
Typical High
$446.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$57.54
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$46.77
Typical High
$128.82
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$89.13
Typical High
$131.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$125.89
Typical High
$331.13
Select Health
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$162.18
Typical High
$186.21
Select Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$89.13
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$52.48

Where Colorado 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.

Colorado· 14th of 51

$93.33

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.