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Kidney Disease Progression Risk Test

Georgia 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?

$759

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $1,072 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$631$575 to $832
FacilityA hospital or hospital-owned outpatient department$1,072$759 to $1,288

How much rates vary

Facilitymedian $1,072 · 10th to 90th $676 to $1,738Professionalmedian $631 · 10th to 90th $339 to $912
$200$500$1K$2Kfacility $1,072professional $631

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
$630.96
Median
$851.14
Typical High
$2,630.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$741.31
Typical High
$891.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,096.48
Typical High
$1,288.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$1,202.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,148.15
Typical High
$1,445.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,096.48
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$851.14
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$954.99

Where Georgia 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.

Georgia· 38th of 51

$759

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.