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VKORC1 Warfarin Sensitivity Gene Test

Hawaii 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?

$107

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $107 for this service. Most negotiated rates run $89.13 to $117.

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.

How much rates vary

Facilitymedian $87 · 10th to 90th $72 to $105Professionalmedian $112 · 10th to 90th $89 to $155
$50$100$200facility $87professional $112

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
$72.44
Median
$87.10
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
HMSA
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$107.15
Typical High
$117.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$104.71
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$89.13
Typical High
$104.71
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$138.04
Typical High
$199.53

Where Hawaii 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.

Hawaii· 8th of 51

$107

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.