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Kidney Disease Progression Risk Test

Tennessee 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?

$741

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $741 for this service. The price depends on where it is billed: about $708 from a physician practice, and about $955 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 $759
FacilityA hospital or hospital-owned outpatient department$955$759 to $2,570

How much rates vary

Facilitymedian $955 · 10th to 90th $575 to $4,467Professionalmedian $708 · 10th to 90th $631 to $955
$200$500$1K$2K$5Kfacility $955professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,023.29
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,380.38
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,148.15
Typical High
$1,445.44
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$851.14
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$954.99

Where Tennessee 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.

Tennessee· 43rd of 51

$741

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.