Commercial rate index · state cell

Kentucky healthcare rate index

Name: Reddenda Commercial Rate Atlas: Kentucky
Creator: Reddenda
License: https://creativecommons.org/licenses/by-nc-nd/4.0/

Commercial contracted rates in Kentucky run 0.69x the national Medicare fee schedule across the office-visit basket. On the Reddenda index, where 100 is the national standard, Kentucky prints 71.8, ranked 51 of 51 states.

Index 71.8 0.69x Medicare 214,436 verified rate points 8/8 basket codes published

The basket, code by code

as of 2026-07-15

CPT	Service	State median	vs Medicare	Rate points	Tier
99202	Office visit, new patient, 15-29 min	$58.60	0.82x	26,865	Benchmark
99203	Office visit, new patient, 30-44 min	$83.63	0.76x	35,205	Benchmark
99204	Office visit, new patient, 45-59 min	$121.78	0.73x	24,499	Benchmark
99205	Office visit, new patient, 60-74 min	$175.70	0.80x	33,000	Benchmark
99212	Office visit, established patient, 10-19 min	$36.20	0.64x	21,552	Benchmark
99213	Office visit, established patient, 20-29 min	$60.00	0.65x	25,669	Benchmark
99214	Office visit, established patient, 30-39 min	$79.51	0.60x	25,508	Benchmark
99215	Office visit, established patient, 40-54 min	$119.30	0.64x	22,138	Benchmark

Medians computed across the full verified distribution of practice-level contracted rates in Kentucky. Publication floor: 11 verified rate points and a non-degenerate spread. Denominator: CMS PFS CY2026 national non-facility. Methodology v1.0.

Documented reimbursement figures are modeled, not guaranteed. Derived from federally mandated Transparency in Coverage data (45 CFR 147.212). No PHI.

Metros in Kentucky

The market is metro by metro. So is the index.

Franklin 92.40.89x Medicare Bowling Green 850.82x Medicare Henderson 81.30.78x Medicare Paducah 78.50.75x Medicare Madisonville 78.20.75x Medicare Owensboro 76.50.73x Medicare Murray 74.90.72x Medicare Lexington-Fayette 74.50.72x Medicare Louisville/Jefferson C 71.90.69x Medicare Pikeville 71.70.69x Medicare Corbin 71.10.68x Medicare Glasgow 68.20.66x Medicare Middlesborough 66.60.64x Medicare Somerset 65.70.63x Medicare Frankfort 65.50.63x Medicare Danville 65.40.63x Medicare Mount Sterling 64.40.62x Medicare Mayfield 62.30.60x Medicare Elizabethtown 620.60x Medicare Richmond-Berea 610.59x Medicare Campbellsville 600.58x Medicare

Read it against the country.

The national standard is the RCRI print: 0.9608x Medicare, Vintage 001, established July 2026. Kentucky sits below it. State cells are satellite series to the national print and carry the same frozen methodology.

All states New York · 83.5 West Virginia · 83.3 Ohio · 81.4 The national print

Cite this page

Source: Reddenda Commercial Rate Atlas, Kentucky. Reddenda. https://reddenda.health/atlas/ky/

Series ID

RCRI.US.ST.KY

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Derivation federally mandated TiC MRFs, verified to provider identitystate grain · 214,436 verified rate pointsas of 2026-07-15 · methodology v1.0