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VKORC1 Warfarin Sensitivity Gene Test

South Carolina 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?

$70.79

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $162 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$69.18$69.18 to $75.86
FacilityA hospital or hospital-owned outpatient department$162$69.18 to $282

How much rates vary

Facilitymedian $162 · 10th to 90th $62 to $417Professionalmedian $69 · 10th to 90th $52 to $93
$50$100$200$500facility $162professional $69

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
$61.66
Median
$218.78
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$79.43
BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$93.33
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$263.03
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$45.71
Typical High
$107.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$89.13

Where South Carolina 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.

South Carolina· 42nd of 51

$70.79

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.