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VKORC1 Warfarin Sensitivity Gene Test

Oklahoma 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?

$112

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $251 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 5 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$83.18$52.48 to $89.13
FacilityA hospital or hospital-owned outpatient department$251$89.13 to $339

How much rates vary

Facilitymedian $251 · 10th to 90th $66 to $427Professionalmedian $83 · 10th to 90th $37 to $112
$50$100$200$500facility $251professional $83

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
$64.57
Median
$89.13
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$66.07
Typical High
$112.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$426.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$234.42
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$128.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$89.13
Typical High
$154.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$89.13
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$57.54

Where Oklahoma 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.

Oklahoma· 6th of 51

$112

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.