Medical Procedure Costs in Kentucky
Kentucky Medicare physician rates are generally below the national average (-7.0%). One statewide locality — the ZIP tool still maps you onto that locality.
Look up any CPT in Kentucky
Featured table below is 59 procedures. Search covers 7,500+ fee-schedule codes.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. These Kentucky averages are unweighted means of the state’s localities, not population-weighted.
How Medicare prices Kentucky
Kentucky's fee schedule runs on one statewide locality, with geographic indices below the national average, so Louisville, Lexington, and the Appalachian east all publish the same Medicare-approved amounts. The uniform locality smooths over a state with sharp internal contrasts, from urban river cities to some of the most rural counties in America. Because the adjustments are identical everywhere, the statewide figures here transfer cleanly to any Kentucky address. Setting of care, office versus hospital outpatient, remains the biggest driver of what a patient actually pays.
Louisville and Lexington host the state's two academic medical centers and absorb referrals from a wide rural hinterland, while northern Kentucky functions as part of the Cincinnati market across the river. Eastern Kentucky's mountain counties face persistent physician shortages and long travel for specialty procedures. For residents along the borders, comparing against Cincinnati, Nashville, or Huntington providers is often worthwhile.
Use a ZIP lookup for your area of Kentucky, whether Louisville, Lexington, the northern Kentucky suburbs of Cincinnati, Bowling Green, Owensboro, or the Appalachian east.
Featured physician rates in Kentucky
Office (non-facility) physician rates. Open a row for the locality table and ZIP tool.
Other states
Medical costs in Kentucky: questions
Across the 59 featured procedures on this page, Kentucky sits below the national average by about 7%. Examples: incision & drainage of abscess $119, skin biopsy (tangential) $87, skin biopsy (punch) $111. Search any other CPT in the box above — those codes are in the tool, not as extra Kentucky articles.
Kentucky is one Medicare locality, so the physician fee schedule is statewide. Site of service (office vs hospital) and hospital facility fees still change what a patient is billed.
Medicare physician allowed amounts only — the professional fee after GPCI. They do not include hospital facility charges, anesthesia, or your plan’s contracted rate. Medicare patients typically owe 20% of the allowed amount after the Part B deductible, before Medigap.
Yes. The table is the featured set (59 procedures). The search box looks up 7,500+ payable codes from the 2026 fee schedule and applies Kentucky’s locality when you enter a ZIP.