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VKORC1 Warfarin Sensitivity Gene Test

Michigan 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?

$83.18

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $83.18 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$72.44$66.07 to $83.18
FacilityA hospital or hospital-owned outpatient department$83.18$83.18 to $105

How much rates vary

Facilitymedian $83 · 10th to 90th $83 to $155Professionalmedian $72 · 10th to 90th $50 to $105
$50$100$200facility $83professional $72

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
$83.18
Median
$83.18
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$104.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$89.13
Typical High
$134.90
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$251.19
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$100.00
Typical High
$134.90
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$104.71
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$89.13
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$89.13

Where Michigan 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.

Michigan· 29th of 51

$83.18

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.