Kentucky Medicaid FFS is parsed from KY Medicaid Physician Fee Schedule 2026, effective 2026-01-01 (Kentucky Department for Medicaid Services). File effective 2026-01-01. Last verified 2026-09-10. Official source.
Last updated
Last verified 2026-09-10 · file effective 2026-01-01. Psychiatric add-ons, age-band variants, and extra procedure types are cited on each rate page, not blended. See Methodology and Data Sources.
| CPT | Medicaid FFS | Facility | Effective | Compare Medicare |
|---|---|---|---|---|
| CPT 90791 | $97.80 | $94.84 | 2026-01-01 | 90791 / Kentucky |
| CPT 90792 | $105.30 | $102.49 | 2026-01-01 | 90792 / Kentucky |
| CPT 90832 | $47.41 | $46.94 | 2026-01-01 | 90832 / Kentucky |
| CPT 90834 | $62.90 | $62.66 | 2026-01-01 | 90834 / Kentucky |
| CPT 90837 | $94.13 | $93.67 | 2026-01-01 | 90837 / Kentucky |
| CPT 90839 | $108.14 | $107.36 | 2026-01-01 | 90839 / Kentucky |
| CPT 90846 | $76.19 | $75.73 | 2026-01-01 | 90846 / Kentucky |
| CPT 90847 | $78.65 | $78.18 | 2026-01-01 | 90847 / Kentucky |
| CPT 90853 | $19.29 | $18.82 | 2026-01-01 | 90853 / Kentucky |
How Kentucky Medicaid compares with Medicare and UnitedHealthcare
In Kentucky, Medicaid fee-for-service pays $94.13 for CPT 90837, from the DMS Physician file effective 2026-01-01. Medicare pays $162.50 in an office setting (CMS RVU26D, effective 2026-10-01), so Medicaid is 57.9% of the lowest Medicare amount in the state. The UnitedHealthcare (Optum Behavioral Health) median is $125.80, and the middle 80% of published UHC rates run from $86.76 to $170.96 (UHC price transparency file dated 2026-09-01).
Related official rates
- CPT 90837 Medicare and Medicaid FFS in Kentucky
- Compare a 90837 offer in Kentucky
- All Medicaid FFS state hubs
- What UnitedHealthcare pays in Kentucky
- CPT 90834 Medicare and Medicaid FFS in Kentucky
- UnitedHealthcare Optum Behavioral Health medians
- How Parite sources rates
Questions
Which psychotherapy codes have official Kentucky Medicaid FFS amounts?
Kentucky Medicaid FFS is parsed for CPT 90791 $97.80; CPT 90792 $105.30; CPT 90832 $47.41; CPT 90834 $62.90; CPT 90837 $94.13; CPT 90839 $108.14; CPT 90846 $76.19; CPT 90847 $78.65; CPT 90853 $19.29.
What is the Kentucky Medicaid FFS amount for CPT 90837?
$94.13 (facility $93.67) from DMS Physician, effective 2026-01-01, last verified 2026-09-10.
What official file is the Kentucky Medicaid FFS extract from?
Kentucky Department for Medicaid Services: KY Medicaid Physician Fee Schedule 2026, effective 2026-01-01. Last verified 2026-09-10. MCO and commercial amounts are not copied from this FFS file.
Are Kentucky Medicaid MCO or commercial rates in these tables?
This hub lists official Medicaid fee-for-service cells. Commercial price transparency percentiles and Medicaid MCO rates stay Coming soon.
How does Kentucky Medicaid pay for 90837 compared with Medicare and UnitedHealthcare?
Kentucky Medicaid fee-for-service pays $94.13 for CPT 90837, which is 57.9% of the lowest Kentucky Medicare non-facility amount ($162.50, CMS RVU26D). The UnitedHealthcare median is $125.80 (77.4% of Medicare), from the UHC price transparency file dated 2026-09-01. Medicaid health plan and other commercial rates can differ.