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Kidney Disease Progression Risk Test

New York 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?

$776

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $513 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 9 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$513$398 to $776
FacilityA hospital or hospital-owned outpatient department$1,660$955 to $2,239

How much rates vary

Facilitymedian $1,660 · 10th to 90th $776 to $2,630Professionalmedian $513 · 10th to 90th $339 to $977
$500$1K$2Kfacility $1,660professional $513

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
$776.25
Median
$1,698.24
Typical High
$2,630.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$812.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$2,454.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$1,202.26
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$2,041.74
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$4,570.88
Typical High
$4,570.88
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,584.89
Typical High
$3,630.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$1,862.09
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$912.01
Typical High
$1,047.13
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,778.28
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$707.95
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$954.99
Typical High
$1,174.90
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$1,380.38
Univera
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$954.99
Typical High
$1,096.48
Univera
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$954.99
Typical High
$1,096.48

Where New York 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 York· 31st of 51

$776

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.