KV cache quantization can improve Large Language Models (LLMs) inference throughput and latency in long contexts and large batch-size scenarios while preserving LLMs effectiveness. However, current methods have three unsolved issues: overlooking layer-wise sensitivity to KV cache quantization, high overhead of online fine-grained decision-making, and low flexibility to different LLMs and constraints. Therefore, we theoretically analyze the inherent correlation of layer-wise transformer attention patterns to KV cache quantization errors and study why key cache is generally more important than value cache for quantization error reduction. We further propose a simple yet effective framework KVTuner to adaptively search for the optimal hardware-friendly layer-wise KV quantization precision pairs for coarse-grained KV cache with multi-objective optimization and directly utilize the offline searched configurations during online inference. To reduce the computational cost of offline calibration, we utilize the intra-layer KV precision pair pruning and inter-layer clustering to reduce the search space. Experimental results show that we can achieve nearly lossless 3.25-bit mixed precision KV cache quantization for LLMs like Llama-3.1-8B-Instruct and 4.0-bit for sensitive models like Qwen2.5-7B-Instruct on mathematical reasoning tasks. The maximum inference throughput can be improved by 21.25\% compared with KIVI-KV8 quantization over various context lengths. Our code and searched configurations are available at https://github.com/cmd2001/KVTuner.