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VKORC1 Warfarin Sensitivity Gene Test

Rhode Island 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.

Facilitymedian $105 · 10th–90th $89$5130%20%10th90th$105Professionalmedian $50 · 10th–90th $50$890%50%90th$50$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$102.33
Typical High
$112.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$204.17
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$125.89