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Fee-for-service rateAs of January 2026

Kentucky Medicaid rate for CPT 20610

Kentucky Medicaid pays $50.81 for CPT 20610 in its January 2026 fee-for-service schedule: the 16th-lowest of 44 state Medicaid programs, at 93% of the $54.825 median.

Non-facility rate
$50.81
Rank
29 of 44
vs. state median
93%
vs. KY Medicare
79%

What Kentucky Medicaid publishes for 20610

16th-lowest of 44 · 93% of median

16th-lowest of 44 · 93% of median

Schedule
January 2026
Prior authorization
Not published
1 rate type
Standard rate
Facility $50.81

Unmodified non-facility fee-for-service rate from the state's published file. Managed-care contracts, supplemental payments, and claim-specific adjustments can change what is paid. DMS Fees & Rates

20610 in neighboring states

Each state's comparable non-facility rate for 20610 in its current schedule.

StateRatevs. Kentucky
Illinois$31.80-37%
Indiana$58.61+15%
Ohio$51.36+1%
Virginia$59.61+17%
West Virginia$47.58-6%

20610 under Medicare

Medicare's 2026 non-facility payment for 20610 in Kentucky is $64.14; Kentucky Medicaid's rate is 79% of that. The national amount before geographic adjustment is $68.806.

See 20610 Medicare rates

See Kentucky's full schedule: all 7,515 codes, every published period, and commercial payer rates for 20610.

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Other Kentucky Medicaid rates