go back

VKORC1 Warfarin Sensitivity Gene Test

Georgia 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?

$79.43

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $100 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 6 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$69.18$52.48 to $85.11
FacilityA hospital or hospital-owned outpatient department$100$74.13 to $117

How much rates vary

Facilitymedian $100 · 10th to 90th $59 to $162Professionalmedian $69 · 10th to 90th $35 to $155
$20$50$100$200facility $100professional $69

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
$58.88
Median
$81.28
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$74.13
Typical High
$97.72
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$100.00
Typical High
$123.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$35.48
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$144.54
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$89.13
Typical High
$263.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$114.82
Typical High
$691.83
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$109.65
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$79.43
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$114.82

Where Georgia 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.

Georgia· 31st of 51

$79.43

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.