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Kidney Disease Progression Risk Test

Nebraska 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?

$631

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $977 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$631$575 to $851
FacilityA hospital or hospital-owned outpatient department$977$676 to $2,512

How much rates vary

Facilitymedian $977 · 10th to 90th $575 to $2,512Professionalmedian $631 · 10th to 90th $575 to $1,549
$500$1K$2K$5Kfacility $977professional $631

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
$676.08
Median
$2,511.89
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,148.15
Typical High
$2,238.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,479.11
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,819.70
Typical High
$2,290.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$630.96
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
$398.11
Median
$851.14
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$575.44
Typical High
$1,905.46

Where Nebraska 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.

Nebraska· 50th of 51

$631

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.