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Kidney Disease Progression Risk Test

Florida rates for HCPCS 0105U

Estimates how likely a person's chronic kidney disease is to get worse. It measures three proteins in blood plasma, TNFR1, TNFR2 and KIM-1, and combines them with clinical information, optionally including APOL1 genotype, to report a probability.

Rates data updated July 2026.

How much does Kidney Disease Progression Risk Test cost?

$661

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $1,738 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$617$575 to $661
FacilityA hospital or hospital-owned outpatient department$1,738$851 to $2,754

How much rates vary

Facilitymedian $1,738 · 10th to 90th $692 to $4,677Professionalmedian $617 · 10th to 90th $575 to $776
$200$500$1K$2K$5Kfacility $1,738professional $617

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
$691.83
Median
$2,570.40
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$616.60
Typical High
$724.44
AvMed
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
AvMed
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$954.99
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$794.33
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,096.48
Typical High
$1,445.44
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$851.14
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$398.11
Typical High
$954.99
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$954.99

Where Florida sits

The same service costs 2.9 times more in South Dakota than in Connecticut. 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.

Florida· 49th of 51

$661

SD $1,820CT $631

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.