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VKORC1 Warfarin Sensitivity Gene Test

Utah 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?

$60.26

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $95.50 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$52.48$50.12 to $83.18
FacilityA hospital or hospital-owned outpatient department$95.50$50.12 to $105

How much rates vary

Facilitymedian $95 · 10th to 90th $50 to $324Professionalmedian $52 · 10th to 90th $37 to $123
$50$100$200facility $95professional $52

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$25.12
Median
$79.43
Typical High
$104.71
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$10.00
Median
$32.36
Typical High
$41.69
Aetna
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$95.50
Typical High
$251.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$91.20
Typical High
$162.18
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$123.03
Typical High
$134.90
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$102.33
Typical High
$416.87
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$97.72
Select Health
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$97.72
Typical High
$131.83
United
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$52.48
Typical High
$52.48

Where Utah 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.

Utah· 47th of 51

$60.26

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.