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VKORC1 Warfarin Sensitivity Gene Test

Ohio 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?

$70.79

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $46.77 from a physician practice, and about $110 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$46.77$35.48 to $79.43
FacilityA hospital or hospital-owned outpatient department$110$91.20 to $151

How much rates vary

Facilitymedian $110 · 10th to 90th $79 to $214Professionalmedian $47 · 10th to 90th $35 to $141
$50$100$200$500facility $110professional $47

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
$83.18
Median
$162.18
Typical High
$223.87
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$41.69
Median
$81.28
Typical High
$112.20
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$16.60
Median
$33.11
Typical High
$44.67
Aetna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$239.88
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$35.48
Median
$35.48
Typical High
$120.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.13
Median
$14.13
Typical High
$47.86
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$102.33
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$35.48
Typical High
$117.49
CareSource
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$107.15
Typical High
$363.08
Cigna
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$40.74
Typical High
$158.49
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$109.65
Typical High
$363.08
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$40.74
Typical High
$158.49
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$79.43
Typical High
$109.65
SummaCare
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$109.65
Typical High
$138.04
United
Setting
Facility
Modifier
None
Typical Low
$31.62
Median
$79.43
Typical High
$131.83
United
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$52.48
Typical High
$125.89

Where Ohio 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.

Ohio· 36th of 51

$70.79

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.