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VKORC1 Warfarin Sensitivity Gene Test

South Dakota 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?

$141

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $170 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 6 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$117$69.18 to $204
FacilityA hospital or hospital-owned outpatient department$170$162 to $170

How much rates vary

Facilitymedian $170 · 10th to 90th $100 to $170Professionalmedian $117 · 10th to 90th $59 to $214
$50$100$200facility $170professional $117

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
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$69.18
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$213.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$100.00
Typical High
$199.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$436.52
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$204.17
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$52.48
Typical High
$117.49
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13

Where South Dakota 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 Dakota· 2nd of 51

$141

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.