go back

VKORC1 Warfarin Sensitivity Gene Test

Idaho 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 Idaho, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $132 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 8 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$89.13$83.18 to $105
FacilityA hospital or hospital-owned outpatient department$132$89.13 to $182

How much rates vary

Facilitymedian $132 · 10th to 90th $89 to $275Professionalmedian $89 · 10th to 90th $62 to $174
$50$100$200facility $132professional $89

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
$158.49
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$102.33
Typical High
$173.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$144.54
Typical High
$316.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$181.97
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$144.54
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$128.82
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$109.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$75.86
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$169.82
Typical High
$316.23
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$93.33
Select Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$114.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$89.13

Where Idaho 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.

Idaho· 20th 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.