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VKORC1 Warfarin Sensitivity Gene Test

Nebraska 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?

$57.54

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $251 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$52.48$52.48 to $166
FacilityA hospital or hospital-owned outpatient department$251$132 to $331

How much rates vary

Facilitymedian $251 · 10th to 90th $52 to $468Professionalmedian $52 · 10th to 90th $50 to $437
$50$100$200$500facility $251professional $52

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
$57.54
Median
$208.93
Typical High
$436.52
Aetna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$208.93
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$309.03
Typical High
$616.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$165.96
Typical High
$213.80
Medica
Setting
Facility
Modifier
None
Typical Low
$31.62
Median
$109.65
Typical High
$416.87
Medica
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$436.52
Midlands
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Midlands
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
United
Setting
Facility
Modifier
None
Typical Low
$31.62
Median
$37.15
Typical High
$52.48
United
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$52.48
Typical High
$263.03

Where Nebraska 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.

Nebraska· 50th of 51

$57.54

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.