Commercial rate index · metro cell
Lexington-Fayette healthcare rate index
Commercial contracted rates in Lexington-Fayette, KY run 0.72x the national Medicare fee schedule across the office-visit basket. Index 74.5, where 100 is the national standard.
Index 74.5
0.72x Medicare
34,399 verified rate points
8/8 basket codes
state index 71.8
The basket in Lexington-Fayette
as of 2026-07-15| CPT | Service | Metro median | vs Medicare | Rate points | Tier |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, 15-29 min | $63.20 | 0.89x | 4,614 | Benchmark |
| 99203 | Office visit, new patient, 30-44 min | $93.20 | 0.84x | 5,894 | Benchmark |
| 99204 | Office visit, new patient, 45-59 min | $123.31 | 0.74x | 3,704 | Benchmark |
| 99205 | Office visit, new patient, 60-74 min | $189.66 | 0.86x | 5,479 | Benchmark |
| 99212 | Office visit, established patient, 10-19 min | $39.36 | 0.69x | 3,793 | Benchmark |
| 99213 | Office visit, established patient, 20-29 min | $61.14 | 0.66x | 3,905 | Benchmark |
| 99214 | Office visit, established patient, 30-39 min | $75.50 | 0.57x | 3,615 | Benchmark |
| 99215 | Office visit, established patient, 40-54 min | $125.00 | 0.67x | 3,395 | Benchmark |
Medians across the full verified distribution of practice-level contracted rates in this CBSA (30460). Floor: 11 verified rate points per code, 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.
The market around it.
Lexington-Fayette prints above its state cell (Kentucky at 71.8) and below the national standard of 100.
Cite this page
Source: Reddenda Commercial Rate Atlas, Lexington-Fayette, KY. Reddenda. https://reddenda.health/atlas/ky/lexington-fayette-30460/
Derivation federally mandated TiC MRFs, verified to provider identityCBSA 30460 · metro grainas of 2026-07-15 · methodology v1.0