go back

VKORC1 Warfarin Sensitivity Gene Test

North Dakota 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?

$115

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $115 for this service. Most negotiated rates run $87.10 to $151.

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.

How much rates vary

Facilitymedian $62 · 10th to 90th $62 to $105Professionalmedian $129 · 10th to 90th $45 to $178
$50$100$200facility $62professional $129

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$83.18
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$151.36
Typical High
$177.83
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$123.03
Median
$181.97
Typical High
$213.80
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$20.42
Median
$30.20
Typical High
$35.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$125.89
Typical High
$158.49
Medica
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$186.21
Medica
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$104.71
Typical High
$151.36
United
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$97.72
Typical High
$128.82

Where North Dakota 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.

North Dakota· 7th of 51

$115

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.