go back

Kidney Disease Progression Risk Test

Indiana 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?

$955

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $955 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$724$288 to $776
FacilityA hospital or hospital-owned outpatient department$955$955 to $1,905

How much rates vary

Facilitymedian $955 · 10th to 90th $955 to $2,818Professionalmedian $724 · 10th to 90th $74 to $912
$100$200$500$1K$2K$5K$10Kfacility $955professional $724

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
$954.99
Median
$1,047.13
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$776.25
Typical High
$954.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$2,818.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$109.65
Typical High
$691.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$13,803.84
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$1,096.48
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$954.99
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$1,047.13

Where Indiana 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.

Indiana· 20th of 51

$955

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.