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Kidney Disease Progression Risk Test

Washington 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?

$955

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $871 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 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$871$851 to $891
FacilityA hospital or hospital-owned outpatient department$1,047$955 to $1,660

How much rates vary

Facilitymedian $1,047 · 10th to 90th $955 to $3,311Professionalmedian $871 · 10th to 90th $398 to $955
$500$1K$2K$5Kfacility $1,047professional $871

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
$891.25
Median
$2,187.76
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,174.90
Typical High
$2,630.27
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$2,041.74
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,348.96
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,148.15
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,513.56
Typical High
$2,951.21
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,174.90
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,412.54
Typical High
$2,570.40
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,148.15
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$954.99
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$489.78
Typical High
$1,698.24

Where Washington 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.

Washington· 17th of 51

$955

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.