The air-kerma is one of the most important physical quantities in ionizing radiation dosimetry. The measurement of air-kerma rate in narrow-spectrum series is the basis to determine the radiation dose at protection level. In this article, the absolute measurement method is used to derive the standard air-kerma rate of the ISO 4037 narrow-spectrum series that ranges from 60 kV to 150 kV by a primary standard ionization chamber, it is used in direct comparison for air kerma. The indirect method is used to obtain the air-kerma rate by a secondary standard transfer ionization chamber named A5 chamber with calibration factors of the corresponding reference qualities. The results are very similar comparing between absolute and indirect methods for air-kerma rate, all the differences are within ±3.3%.