Kentucky Medicaid rate for CPT 99285
Kentucky Medicaid pays $116.04 for CPT 99285 in its January 2026 fee-for-service schedule: the 9th-lowest of 42 state Medicaid programs, at 84% of the $138.69 median.
- Non-facility rate
- $116.04
- Rank
- 34 of 42
- vs. state median
- 84%
- vs. KY Medicare
- 69%
What Kentucky Medicaid publishes for 99285
9th-lowest of 42 · 84% of median
- Schedule
- January 2026
- Prior authorization
- Not published
1 rate type
- Standard rate
- Facility $116.04
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
99285 in neighboring states
Each state's comparable non-facility rate for 99285 in its current schedule.
99285 in every state
Map and ranking of every state program that prices 99285.
Compare 99285 across states99285 under Medicare
Medicare's 2026 non-facility payment for 99285 in Kentucky is $167.57; Kentucky Medicaid's rate is 69% of that. The national amount before geographic adjustment is $171.347.
See 99285 Medicare ratesSee Kentucky's full schedule: all 7,515 codes, every published period, and commercial payer rates for 99285.
Book a 15-min Medicaid walkthrough