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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 October 2026.

How much does VKORC1 Warfarin Sensitivity Gene Test cost?

$97.72

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $145 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$89.13$74.13 to $105
FacilityA hospital or hospital-owned outpatient department$145$97.72 to $195

How much rates vary

Facilitymedian $145 · 10th to 90th $89 to $295Professionalmedian $89 · 10th to 90th $37 to $138
$50$100$200facility $145professional $89

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
$218.78
Median
$218.78
Typical High
$389.05
Aetna
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$85.11
Typical High
$85.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$199.53
Typical High
$275.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$97.72
Typical High
$173.78
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$213.80
Typical High
$229.09
Moda Health
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$389.05
Moda Health
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$89.13
Typical High
$104.71
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$100.00
Typical High
$177.83
Providence
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$144.54
Typical High
$263.03
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$97.72
Typical High
$131.83
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$295.12
Typical High
$371.54
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$74.13
Typical High
$104.71
United
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$131.83
Typical High
$141.25
United
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$104.71

Where Oregon 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.

Oregon· 13th 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.