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Kidney Disease Progression Risk Test

Maine 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 Maine, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $776 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$776$575 to $955
FacilityA hospital or hospital-owned outpatient department$955$955 to $1,549

How much rates vary

Facilitymedian $955 · 10th to 90th $955 to $2,399Professionalmedian $776 · 10th to 90th $398 to $1,148
$500$1K$2Kfacility $955professional $776

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
$954.99
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$776.25
Typical High
$776.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,096.48
Typical High
$3,311.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$426.58
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,348.96
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$954.99
Typical High
$1,148.15
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$2,398.83
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$776.25
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$954.99
Typical High
$1,659.59

Where Maine 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.

Maine· 18th 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.