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Kidney Disease Progression Risk Test

West Virginia 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 West Virginia, July 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $1,175 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 4 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$759$708 to $776
FacilityA hospital or hospital-owned outpatient department$1,175$776 to $1,413

How much rates vary

Facilitymedian $1,175 · 10th to 90th $776 to $1,413Professionalmedian $759 · 10th to 90th $427 to $813
$500$1K$2K$5Kfacility $1,175professional $759

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
$1,174.90
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$758.58
Typical High
$812.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,380.38
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$4,570.88
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$426.58
Typical High
$954.99

Where West Virginia 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.

West Virginia· 32nd 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.