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Kidney Disease Progression Risk Test

Illinois 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?

$977

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $1,445 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 5 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$813$724 to $1,000
FacilityA hospital or hospital-owned outpatient department$1,445$977 to $1,905

How much rates vary

Facilitymedian $1,445 · 10th to 90th $776 to $2,089Professionalmedian $813 · 10th to 90th $575 to $1,950
$200$500$1K$2K$5Kfacility $1,445professional $813

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
$776.25
Median
$1,445.44
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$776.25
Typical High
$1,949.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,288.25
Typical High
$1,548.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,819.70
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,148.15
Typical High
$1,445.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$1,230.27
Typical High
$1,698.24
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$954.99
Typical High
$1,905.46
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$954.99

Where Illinois 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.

Illinois· 13th of 51

$977

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.