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VKORC1 Warfarin Sensitivity Gene Test

New Mexico 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?

$97.72

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $490 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$37.15 to $105
FacilityA hospital or hospital-owned outpatient department$490$251 to $646

How much rates vary

Facilitymedian $490 · 10th to 90th $79 to $851Professionalmedian $52 · 10th to 90th $37 to $126
$50$100$200$500$1Kfacility $490professional $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
$66.07
Median
$281.84
Typical High
$288.40
Aetna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$104.71
Typical High
$104.71
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$549.54
Typical High
$870.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$79.43
Typical High
$199.53
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$141.25
Typical High
$141.25
Providence
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$117.49
Typical High
$125.89
United
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$52.48

Where New Mexico 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 Mexico· 14th of 51

$97.72

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.