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VKORC1 Warfarin Sensitivity Gene Test

New Jersey 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?

$61.66

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $7,762 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$56.23$50.12 to $61.66
FacilityA hospital or hospital-owned outpatient department$7,762$229 to $16,982

How much rates vary

Facilitymedian $7,762 · 10th to 90th $102 to $23,988Professionalmedian $56 · 10th to 90th $44 to $74
$100$1K$10Kfacility $7,762professional $56

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
$50.12
Median
$50.12
Typical High
$50.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$72.44
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$25.12
Median
$25.12
Typical High
$37.15
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$10.00
Median
$10.00
Typical High
$14.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$245.47
Typical High
$426.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$93.33
Typical High
$131.83
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$114.82
Typical High
$128.82
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$15,488.17
Typical High
$26,915.35
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
United
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$52.48
Typical High
$89.13

Where New Jersey 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.

New Jersey· 46th of 51

$61.66

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.