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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 July 2026.

How much does VKORC1 Warfarin Sensitivity Gene Test cost?

$83.18

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $209 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$57.54$57.54 to $234
FacilityA hospital or hospital-owned outpatient department$209$61.66 to $234

How much rates vary

Facilitymedian $209 · 10th to 90th $52 to $417Professionalmedian $58 · 10th to 90th $52 to $589
$50$100$200$500facility $209professional $58

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
$234.42
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$588.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$138.04
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$169.82
Typical High
$213.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$131.83
Typical High
$416.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$257.04
Midlands
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$83.18
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$52.48
Typical High
$245.47

Where Nebraska 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.

Nebraska· 27th of 51

$83.18

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.