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VKORC1 Warfarin Sensitivity Gene Test

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $115 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$75.86$52.48 to $102
FacilityA hospital or hospital-owned outpatient department$115$89.13 to $155

How much rates vary

Facilitymedian $115 · 10th to 90th $79 to $204Professionalmedian $76 · 10th to 90th $35 to $170
$20$50$100$200facility $115professional $76

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
$85.11
Median
$147.91
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$75.86
Typical High
$177.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$309.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$56.23
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$128.82
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$89.13
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$173.78
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$69.18
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$416.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$89.13
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$120.23

Where Missouri 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.

Missouri· 16th 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.