go back

Kidney Disease Progression Risk Test

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $832 from a physician practice, and about $1,230 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$832$479 to $1,096
FacilityA hospital or hospital-owned outpatient department$1,230$955 to $1,660

How much rates vary

Facilitymedian $1,230 · 10th to 90th $912 to $2,188Professionalmedian $832 · 10th to 90th $339 to $1,585
$500$1K$2K$5Kfacility $1,230professional $832

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
$912.01
Median
$1,584.89
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$912.01
Typical High
$1,584.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$3,311.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$575.44
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,995.26
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,348.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,659.59
Typical High
$4,466.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$1,047.13
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
$1,148.15

Where Missouri 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.

Missouri· 15th 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.