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VKORC1 Warfarin Sensitivity Gene Test

Kansas 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?

$93.33

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $85.11 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 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$85.11$66.07 to $110
FacilityA hospital or hospital-owned outpatient department$132$93.33 to $162

How much rates vary

Facilitymedian $132 · 10th to 90th $85 to $204Professionalmedian $85 · 10th to 90th $52 to $110
$50$100$200$500facility $132professional $85

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
$91.20
Median
$154.88
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$75.86
Typical High
$93.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$134.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$162.18
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$85.11
Typical High
$107.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$93.33
Typical High
$128.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$89.13
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$52.48
Typical High
$131.83

Where Kansas 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.

Kansas· 11th of 51

$93.33

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.