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VKORC1 Warfarin Sensitivity Gene Test

Tennessee 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?

$89.13

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $89.13 for this service. Most negotiated rates run $52.48 to $195.

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.

How much rates vary

Facilitymedian $166 · 10th to 90th $59 to $229Professionalmedian $79 · 10th to 90th $40 to $661
$50$100$200$500facility $166professional $79

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
$66.07
Median
$70.79
Typical High
$134.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$69.18
Typical High
$89.13
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.11
Median
$34.67
Typical High
$51.29
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.18
Median
$13.80
Typical High
$20.42
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$89.13
Typical High
$89.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$181.97
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$47.86
Typical High
$120.23
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$660.69
Typical High
$660.69
United
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$52.48
Typical High
$89.13

Where Tennessee 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.

Tennessee· 21st of 51

$89.13

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.