go back

VKORC1 Warfarin Sensitivity Gene Test

Indiana 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 October 2026.

How much does VKORC1 Warfarin Sensitivity Gene Test cost?

$70.79

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $89.13 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$52.48$35.48 to $83.18
FacilityA hospital or hospital-owned outpatient department$89.13$79.43 to $195

How much rates vary

Facilitymedian $89 · 10th to 90th $69 to $269Professionalmedian $52 · 10th to 90th $35 to $132
$50$100$200$500$1K$2Kfacility $89professional $52

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$131.83
Typical High
$323.59
Aetna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$72.44
Typical High
$131.83
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.11
Median
$36.31
Typical High
$66.07
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.18
Median
$14.45
Typical High
$26.30
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$89.13
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$131.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$89.13
Typical High
$251.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$79.43
Typical High
$169.82
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$218.78
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$72.44
Typical High
$134.90
United
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$52.48
Typical High
$104.71

Where Indiana sits

The same service costs 3.8 times more in Alaska than in Florida. 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.

Indiana· 40th of 51

$70.79

AK $200FL $52.48

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.