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VKORC1 Warfarin Sensitivity Gene Test

Connecticut 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?

$89.13

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $138 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 $107
FacilityA hospital or hospital-owned outpatient department$138$89.13 to $186

How much rates vary

Facilitymedian $138 · 10th to 90th $89 to $245Professionalmedian $59 · 10th to 90th $50 to $195
$50$100$200$500facility $138professional $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
$89.13
Median
$125.89
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$194.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$138.04
Typical High
$239.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$79.43
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$141.25
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$109.65
Typical High
$181.97
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$91.20
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$74.13
Typical High
$144.54

Where Connecticut 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.

Connecticut· 21st of 51

$89.13

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.