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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 October 2026.

How much does VKORC1 Warfarin Sensitivity Gene Test cost?

$83.18

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $83.18 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$83.18$66.07 to $100
FacilityA hospital or hospital-owned outpatient department$83.18$83.18 to $105

How much rates vary

Facilitymedian $83 · 10th to 90th $79 to $155Professionalmedian $83 · 10th to 90th $52 to $117
$50$100$200facility $83professional $83

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
$83.18
Median
$83.18
Typical High
$131.83
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$41.69
Median
$41.69
Typical High
$66.07
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$16.60
Median
$16.60
Typical High
$26.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$87.10
Typical High
$89.13
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$39.81
Median
$43.65
Typical High
$44.67
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.22
Median
$17.38
Typical High
$17.78
BCBS
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
BCBS
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$89.13
Typical High
$134.90
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$295.12
Health Alliance Plan
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$41.69
Median
$41.69
Typical High
$66.07
Health Alliance Plan
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$16.60
Median
$16.60
Typical High
$26.30
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$100.00
Typical High
$131.83
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Priority Health
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$97.72
Typical High
$120.23
United
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$79.43
Typical High
$104.71
United
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$52.48
Typical High
$89.13

Where Michigan 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.

Michigan· 29th of 51

$83.18

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.