Medicare fee schedule by locality · Q4 2026 release
Kentucky Medicare fee schedule localities
Kentucky is a single Medicare payment locality—the whole state shares the same GPCIs. National amounts use GPCI 1.000. Each row below applies that locality's GPCIs to the same example code.
Localities in Kentucky Copy link
Office (non-facility) amount for 99213 by locality, using the Q4 2026 standard non-QP conversion factor (before sequestration). National baseline: $95.19.
| Locality | Work GPCI | PE GPCI | MP GPCI | 99213 amount |
|---|---|---|---|---|
| Kentucky | 1.000 | 0.889 | 0.915 | $89.52 (-6.0% decrease ) |
Need another code or the facility amount? Use the rate calculator and choose a locality from the list above.
Common questions Copy link
How many Medicare payment localities are in Kentucky?
Do Medicare rates vary within Kentucky?
Source & method Copy link
We compute GPCIs and example rates from the CMS Medicare Physician Fee Schedule Q4 2026 release. Example amounts apply each locality's GPCIs to nationally priced Office (non-facility) RVUs, before the ~2% sequestration cut. Past releases are never edited, so a rate for an earlier quarter always matches what CMS published for it.
Did this answer your question about Kentucky?
We're building this out in the open. Tell us what you were actually trying to work out and we'll either answer you directly or build the page that does.