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VKORC1 Warfarin Sensitivity Gene Test

Virginia 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?

$74.13

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $93.33 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 8 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$66.07$38.90 to $74.13
FacilityA hospital or hospital-owned outpatient department$93.33$89.13 to $195

How much rates vary

Facilitymedian $93 · 10th to 90th $74 to $417Professionalmedian $66 · 10th to 90th $35 to $151
$50$200$1K$5Kfacility $93professional $66

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
$66.07
Median
$186.21
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$74.13
Typical High
$165.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$354.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$58.88
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$144.54
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$173.78
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$53.70
Typical High
$151.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$97.72
Typical High
$123.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$117.49
Typical High
$151.36
Medcost
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$151.36
Typical High
$186.21
Sentara
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$89.13
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$44.67
Typical High
$102.33

Where Virginia 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.

Virginia· 33rd of 51

$74.13

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.