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 July 2026.

How much does VKORC1 Warfarin Sensitivity Gene Test cost?

$135

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $135 for this service. Most negotiated rates run $83.18 to $178.

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 $158Professionalmedian $148 · 10th to 90th $62 to $200
$50$100$200facility $62professional $148

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
$61.66
Median
$61.66
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$169.82
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$63.10
Typical High
$158.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$104.71
Typical High
$177.83
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$89.13
Typical High
$134.90

Where North Dakota 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.

North Dakota· 4th of 51

$135

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.