Kentucky Medicaid reimbursement rates
39,971 current fee-for-service and managed-care rates from Kentucky Medicaid, across 101 services and 11 programs, normalized by code, provider level and unit. Each links to one of 108 official source documents.
Last retrieved 2026-10-05. History back to 2019-07-01.
- Current rates
- 39,971
- Services
- 101
- Programs
- 11
- Lines with a plan rule
- 6of 20 service lines
By industry
Applied behavior analysis (ABA)Kentucky rates, labor costs and changesBehavioral healthKentucky rates, labor costs and changesHome healthKentucky rates, labor costs and changesHome care & personal careKentucky rates, labor costs and changesPrivate duty nursingKentucky rates, labor costs and changesSkilled nursing facilitiesKentucky rates, labor costs and changesHospiceKentucky rates, labor costs and changesIntellectual & developmental disabilitiesKentucky rates, labor costs and changesOutpatient therapy (PT, OT, speech)Kentucky rates, labor costs and changes
Kentucky rates by service
The median current rate for each service, like-for-like by unit. Follow a service to compare it with every other state.
Most-compared billing codes in Kentucky
Where Kentucky ranks among states for codes published widely. Rank 1 = highest rate.
| Code | Service | Kentucky | All-state median | Rank |
|---|---|---|---|---|
| 10005 | Physician and practitioner services (fee schedule) | $98.66 | $85.55 | 20 of 48 |
| 10006 | Physician and practitioner services (fee schedule) | $48.03 | $45.64 | 20 of 48 |
| 10007 | Physician and practitioner services (fee schedule) | $217.33 | $186.96 | 23 of 48 |
| 10008 | Physician and practitioner services (fee schedule) | $123.04 | $92.51 | 12 of 48 |
| 10009 | Physician and practitioner services (fee schedule) | $353.34 | $273.41 | 13 of 48 |
| 10010 | Physician and practitioner services (fee schedule) | $213.94 | $153.30 | 11 of 48 |
| 10021 | Physician and practitioner services (fee schedule) | $52.50 | $71.68 | 35 of 48 |
| 10030 | Physician and practitioner services (fee schedule) | $581.61 | $382.62 | 9 of 48 |
| 10060 | Physician and practitioner services (fee schedule) | $45.64 | $88.74 | 43 of 48 |
| 10061 | Physician and practitioner services (fee schedule) | $91.40 | $153.30 | 42 of 48 |
| 10080 | Physician and practitioner services (fee schedule) | $62.16 | $129.47 | 38 of 48 |
| 10081 | Physician and practitioner services (fee schedule) | $104.08 | $200.51 | 40 of 48 |
| 10120 | Physician and practitioner services (fee schedule) | $48.47 | $98.41 | 44 of 48 |
| 10121 | Physician and practitioner services (fee schedule) | $107.20 | $171.22 | 41 of 48 |
| 10140 | Physician and practitioner services (fee schedule) | $57.52 | $109.79 | 43 of 48 |
| 10160 | Physician and practitioner services (fee schedule) | $45.15 | $86.10 | 45 of 48 |
| 10180 | Physician and practitioner services (fee schedule) | $97.09 | $181.20 | 44 of 48 |
| 11000 | Physician and practitioner services (fee schedule) | $38.40 | $37.55 | 23 of 48 |
| 11001 | Physician and practitioner services (fee schedule) | $20.66 | $17.78 | 19 of 48 |
| 11004 | Physician and practitioner services (fee schedule) | $422.77 | $437.24 | 29 of 48 |
| 11005 | Physician and practitioner services (fee schedule) | $574.70 | $593.30 | 27 of 48 |
| 11006 | Physician and practitioner services (fee schedule) | $531.05 | $545.22 | 28 of 48 |
| 11008 | Physician and practitioner services (fee schedule) | $215.69 | $210.47 | 22 of 48 |
| 11010 | Physician and practitioner services (fee schedule) | $237.46 | $279.22 | 34 of 48 |
| 11011 | Physician and practitioner services (fee schedule) | $283.02 | $321.34 | 30 of 48 |
| 11012 | Physician and practitioner services (fee schedule) | $393.35 | $431.82 | 30 of 48 |
| 11042 | Physician and practitioner services (fee schedule) | $48.18 | $82.72 | 40 of 48 |
| 11043 | Physician and practitioner services (fee schedule) | $110.51 | $165.09 | 43 of 48 |
| 11044 | Physician and practitioner services (fee schedule) | $154.45 | $227.02 | 42 of 48 |
| 11055 | Physician and practitioner services (fee schedule) | $14.74 | $38.32 | 38 of 48 |
| 11056 | Physician and practitioner services (fee schedule) | $20.76 | $45.25 | 37 of 48 |
| 11057 | Physician and practitioner services (fee schedule) | $22.12 | $50.83 | 40 of 48 |
| 11102 | Physician and practitioner services (fee schedule) | $75.29 | $70.00 | 21 of 48 |
| 11103 | Physician and practitioner services (fee schedule) | $40.69 | $36.04 | 15 of 48 |
| 11104 | Physician and practitioner services (fee schedule) | $94.66 | $82.45 | 19 of 48 |
| 11105 | Physician and practitioner services (fee schedule) | $46.66 | $42.01 | 19 of 48 |
| 11106 | Physician and practitioner services (fee schedule) | $114.57 | $100.59 | 19 of 48 |
| 11107 | Physician and practitioner services (fee schedule) | $55.06 | $48.97 | 19 of 48 |
| 11300 | Physician and practitioner services (fee schedule) | $30.40 | $49.39 | 35 of 48 |
| 11301 | Physician and practitioner services (fee schedule) | $44.37 | $63.36 | 34 of 48 |
Managed care in Kentucky
15 plans on record, 23 state-directed payment records, 234 published capitation cells.
Who sets the rate, line by line →Recent rate changes and notices
Frequently asked questions
Where does Kentucky publish its Medicaid fee schedules?
Kentucky publishes rates across 108 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.
How many Medicaid rates does Kentucky publish?
39,971 rates are current across 101 services and 11 programs, with 74,461 versions on record since 2019-07-01.
Do Kentucky Medicaid managed-care plans pay the fee schedule?
For 6 of 20 service lines, plan contracts or state law set a rule plans must follow (a floor, a state-set rate or a required pass-through). For the rest, plans negotiate. See the managed-care page for each line's rule and citation.
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Your Kentucky rate cardYour codes, what Kentucky pays, what plans must pay, and every change in 2026.