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Kidney Disease Progression Risk Test

Utah 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?

$851

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $851 for this service. The price depends on where it is billed: about $832 from a physician practice, and about $4,571 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 6 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$832$724 to $891
FacilityA hospital or hospital-owned outpatient department$4,571$851 to $4,571

How much rates vary

Facilitymedian $4,571 · 10th to 90th $851 to $6,026Professionalmedian $832 · 10th to 90th $708 to $1,000
$500$1K$2K$5Kfacility $4,571professional $832

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
$851.14
Median
$4,570.88
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,000.00
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,348.96
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,096.48
Typical High
$1,737.80
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$812.83
Typical High
$851.14
Select Health
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Select Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$954.99
Typical High
$1,230.27
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$831.76
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$954.99

Where Utah 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.

Utah· 25th of 51

$851

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.