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VKORC1 Warfarin Sensitivity Gene Test

West 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?

$72.44

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $110 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 4 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$70.79$64.57 to $74.13
FacilityA hospital or hospital-owned outpatient department$110$72.44 to $132

How much rates vary

Facilitymedian $110 · 10th to 90th $72 to $166Professionalmedian $71 · 10th to 90th $59 to $74
$50$100$200facility $110professional $71

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
$72.44
Median
$109.65
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$70.79
Typical High
$74.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
CareSource
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$165.96
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$426.58
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$43.65
Typical High
$97.72

Where West 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.

West Virginia· 40th of 51

$72.44

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.