go back

Kidney Disease Progression Risk Test

New Mexico 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?

$708

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $708 from a physician practice, and about $1,047 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$708$708 to $1,148
FacilityA hospital or hospital-owned outpatient department$1,047$851 to $1,413

How much rates vary

Facilitymedian $1,047 · 10th to 90th $575 to $2,818Professionalmedian $708 · 10th to 90th $398 to $1,148
$500$1K$2Kfacility $1,047professional $708

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,818.38
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,348.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Providence
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$912.01
Typical High
$1,148.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$851.14
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$758.58

Where New Mexico 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.

New Mexico· 46th of 51

$708

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.