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VKORC1 Warfarin Sensitivity Gene Test

Nevada 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 Nevada, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $138 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$69.18$48.98 to $102
FacilityA hospital or hospital-owned outpatient department$138$74.13 to $468

How much rates vary

Facilitymedian $138 · 10th to 90th $69 to $468Professionalmedian $69 · 10th to 90th $35 to $178
$20$50$100$200$500facility $138professional $69

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
$69.18
Median
$169.82
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$69.18
Typical High
$588.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$74.13
Typical High
$213.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$102.33
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$104.71
Typical High
$128.82
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$21.88
Typical High
$134.90
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$21.88
Select Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$66.07
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$52.48
Typical High
$97.72

Where Nevada 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.

Nevada· 28th 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.