go back

Kidney Disease Progression Risk Test

Kentucky 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 Kentucky, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $692 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 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$692$339 to $794
FacilityA hospital or hospital-owned outpatient department$955$776 to $1,380

How much rates vary

Facilitymedian $955 · 10th to 90th $776 to $2,291Professionalmedian $692 · 10th to 90th $288 to $955
$100$500$2K$10K$50Kfacility $955professional $692

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
$776.25
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$776.25
Typical High
$954.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$954.99
Typical High
$1,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$338.84
Typical High
$338.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$14,454.40
Typical High
$46,773.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,288.25
Typical High
$17,782.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,380.38
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$4,570.88
Typical High
$4,570.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$954.99
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$954.99

Where Kentucky 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.

Kentucky· 35th 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.