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Kidney Disease Progression Risk Test

Pennsylvania 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?

$813

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $776 from a physician practice, and about $1,820 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 8 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$741 to $813
FacilityA hospital or hospital-owned outpatient department$1,820$1,148 to $2,399

How much rates vary

Facilitymedian $1,820 · 10th to 90th $813 to $3,388Professionalmedian $776 · 10th to 90th $575 to $955
$500$1K$2K$5Kfacility $1,820professional $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
$812.83
Median
$1,819.70
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$891.25
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,445.44
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,348.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$562.34
Typical High
$1,380.38
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$1,659.59
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,995.26
Typical High
$3,388.44
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$2,818.38
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,047.13
Typical High
$2,344.23
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$954.99
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$954.99
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$602.56
Typical High
$1,412.54

Where Pennsylvania 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.

Pennsylvania· 28th of 51

$813

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.