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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 July 2026.

How much does VKORC1 Warfarin Sensitivity Gene Test cost?

$69.18

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $102 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$52.48$50.12 to $77.62
FacilityA hospital or hospital-owned outpatient department$102$50.12 to $178

How much rates vary

Facilitymedian $102 · 10th to 90th $50 to $178Professionalmedian $52 · 10th to 90th $41 to $98
$50$100$200facility $102professional $52

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
$50.12
Median
$50.12
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$91.20
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$91.20
Typical High
$186.21
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$102.33
Typical High
$354.81
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$100.00
Select Health
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$77.62
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$89.13

Where Utah 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.

Utah· 44th of 51

$69.18

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.