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VKORC1 Warfarin Sensitivity Gene Test

Oregon 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?

$89.13

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $97.72 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 8 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$89.13$83.18 to $129
FacilityA hospital or hospital-owned outpatient department$97.72$89.13 to $166

How much rates vary

Facilitymedian $98 · 10th to 90th $89 to $219Professionalmedian $89 · 10th to 90th $66 to $174
$50$100$200$500facility $98professional $89

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
$114.82
Median
$165.96
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$85.11
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$97.72
Typical High
$158.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$190.55
Typical High
$234.42
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$89.13
Typical High
$123.03
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$97.72
Typical High
$123.03
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$177.83
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$177.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$123.03
Typical High
$257.04
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$97.72
Typical High
$125.89
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$263.03
Typical High
$323.59
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$74.13
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$104.71

Where Oregon 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.

Oregon· 23rd of 51

$89.13

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.