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Kidney Disease Progression Risk Test

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $1,660 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 7 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$955$708 to $955
FacilityA hospital or hospital-owned outpatient department$1,660$955 to $2,818

How much rates vary

Facilitymedian $1,660 · 10th to 90th $661 to $3,631Professionalmedian $955 · 10th to 90th $631 to $2,042
$500$1K$2K$5Kfacility $1,660professional $955

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
$660.69
Median
$1,659.59
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$660.69
Typical High
$891.25
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$575.44
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$741.31
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,148.15
Typical High
$1,445.44
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,621.81
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$2,137.96
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$575.44
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$954.99
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$954.99
Typical High
$2,570.40

Where Massachusetts 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.

Massachusetts· 22nd 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.