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$29/mo7-day free trialThese pages show common-procedure samples per category. The complete all-codes Kentucky schedules export as CSV with the Rates plan.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Kentucky's published schedules by category
Codes on the current schedule, the newest effective date, the median published rate as a percentage of national Medicare where a comparator exists, and one recognizable procedure's rate per category. Open a category for its common-procedure table.
| Category | Codes | Effective | Median % of Medicare | Example rate | PA required |
|---|---|---|---|---|---|
| Physician | 7,029 | Jan 2024 | 74.1% | $42.63 Office visit, established patient, low complexity (20-29 min) (99213) | 229 |
| Lab & Imaging | 2,645 | 2026 | 100% | $23.03 Chest X-ray, 2 views (71046) | 111 |
| DME & Supplies | 1,815 | 2026 | 63.5% | $507.20 Continuous positive airway pressure (cpap) device (E0601) | 1 |
| Drugs | 505 | 2026 | -- | -- | -- |
| Vision | 152 | 2026 | 60.9% | $94.51 Eye exam, new patient, comprehensive (92004) | 1 |
| Behavioral Health | 48 | 2026 | 59.3% | $94.13 Psychotherapy, 60 minutes (90837) | -- |
| Anesthesia | 10 | 2026 | -- | -- | -- |
| Hearing | 14 | Oct 2023 | -- | -- | -- |
| State-Specific Services | 524 | 2026 | 97.6% | -- | -- |
| Dental | Kentucky's dental Medicaid rates live in the dental section, with their own per-state page. | ||||
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one.
Where Kentucky publishes its fee schedules
- Publisher
- Kentucky Cabinet for Health and Family Services, Department for Medicaid Services (DMS)
- Program
- Kentucky Medicaid
- Official source
- https://www.chfs.ky.gov/agencies/dms/Pages/feesrates.aspx
- Last checked
- Aug 21, 2026
ProviderSignal collects every category from the state's publication, standardizes the rows and labels each code in its own plain language. Rates are the published amounts; the state's page remains the legal source.
These are common-procedure samples. The complete Kentucky schedules, every category and every code, export as CSV on the Rates plan.
Compare Kentucky nationally
Frequently asked questions
Does Kentucky publish a Medicaid fee schedule?
Yes. Kentucky publishes 12,742 Medicaid fee-for-service procedure rates across 9 service categories, effective through 2026, all collected and normalized here with plain-language procedure names. Kentucky Cabinet for Health and Family Services, Department for Medicaid Services (DMS) publishes Kentucky's Medicaid fee schedules.
Who publishes Kentucky's Medicaid fee schedule?
Kentucky Cabinet for Health and Family Services, Department for Medicaid Services (DMS) publishes Kentucky's Medicaid fee schedules. The state's own fee-schedule page is https://www.chfs.ky.gov/agencies/dms/Pages/feesrates.aspx. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Aug 21, 2026).
What does Kentucky Medicaid pay for common services?
An established-patient office visit (99213) pays $42.63, a two-view chest X-ray (71046) $23.03 and a CPAP device (E0601) $507.20. Every figure is the state's published fee-for-service amount for the code's benchmark locality; managed-care plans can pay differently. The category pages list common procedures with plain-language names, and the complete all-codes schedules export as CSV on the Rates plan.
How do Kentucky's Medicaid rates compare with Medicare?
Pooled across categories with a national Medicare comparator, Kentucky's published rates run a median 78.1% of the Medicare amount, ranking 34 of 49 jurisdictions with a comparable basis.
What service categories does Kentucky publish?
Physician (7,029 codes), Lab & Imaging (2,645 codes), DME & Supplies (1,815 codes), Drugs (505 codes), Vision (152 codes), Behavioral Health (48 codes), Anesthesia (10 codes), Hearing (14 codes), State-Specific Services (524 codes). Dental rates have their own section with per-state pages.
How current are these rates?
Rates come from Kentucky's currently published fee schedules, the newest effective 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.