SOC 31-9094 · Lexington-Fayette, KY metro

Medical Transcriptionists Salary in Lexington, KY

The average salary for medical transcriptionists in Lexington, Kentucky is $43,380 a year ($20.86 an hour), according to BLS estimates for May 2025. The median is $42,900: half of the 130 people in this job in the Lexington-Fayette, KY metro area earn more than that, half earn less. That average is 4% more than the U.S. average for this job ($41,710).

$43,380average per year

$20.86 / hourMedian $42,900Take-home ≈ $34,442

  • $33K10th
  • $39K25th
  • $43KMedian
  • $44K75th
  • $50K90th

median average · bar = middle 50% of workers · how to read it

130people in this job
+4%vs U.S. average
#2 of 2Kentucky metros
93cost of living (U.S. = 100)
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Medical Transcriptionists pay range in Lexington

New workers and the lowest-paid 10% earn about $33,060 a year or less, while the top 10% make $49,960 or more. The middle half of medical transcriptionists in Lexington earn between $39,450 and $44,440.

  • $33K10th
  • $39K25th
  • $43KMedian
  • $44K75th
  • $50K90th

median average · bar = middle 50% of workers · how to read it

Pay levelPer yearPer monthPer hour*
Average$43,380$3,615$20.86
Median$42,900$3,575$20.62
Entry level (25th percentile)$39,450$3,288$18.97
Experienced (75th percentile)$44,440$3,703$21.37

*Hourly figures assume 2,080 paid hours a year. Hourly to annual salary.

Medical Transcriptionists pay in Lexington vs. Kentucky and the U.S.

Medical transcriptionists in Lexington earn 9% more than the Kentucky average ($39,790) and 4% more than the U.S. average ($41,710). At the median the gap is +6% against the U.S. median of $40,410.

AreaAverageMedian10th pct.90th pct.Jobs
Lexington$43,380$42,900$33,060$49,960130
Kentucky$39,790$39,000$27,940$52,420690
United States$41,710$40,410$28,250$55,95041,550

State and U.S. rows: BLS statewide and national estimates, May 2025, which include rural areas.

Medical Transcriptionists salary after taxes in Lexington

On the average salary of $43,380, a single filer in Lexington takes home about $34,442 a year, or $2,870 a month and $1,325 every two weeks. Taxes take 21% of gross pay.

Single filer, standard deduction: federal income tax (2026 brackets), Social Security, Medicare and state income tax (2026 rules). Includes Lexington's local income tax (2.75%).

Kentucky paycheck calculator: try your own salary

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Is Lexington a good place for medical transcriptionists? Pay vs. cost of living

Prices in the Lexington area are 7% below the U.S. average (BEA price parity 92.9), so the average $43,380 buys what about $46,701 would buy in a typical U.S. metro. This job pays 0.9 times the median wage of all jobs in Lexington ($48,620). A typical home costs $327,671, or 7.6 years of this average salary before tax.

See what $43,380 is worth in another city

Medical Transcriptionists salary in other Kentucky cities

Lexington ranks 2nd of 2 Kentucky metro areas for this job; Louisville pays the most ($44,620).

All Medical Transcriptionists salaries in Kentucky

Highest-paying cities for medical transcriptionists

San Jose, CA pays this job the most of the metro areas we cover ($61,530).

Medical Transcriptionists salary by city

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Reviewed before it counts. Medical Transcriptionists in Lexington, KY.

Medical Transcriptionists salary in Lexington: questions

How much do medical transcriptionists make an hour in Lexington?

$20.86 an hour on average, and $20.62 at the median (BLS, May 2025).

What is the entry-level medical transcriptionists salary in Lexington?

The lowest-paid 10% earn about $33,060 a year and the 25th percentile is $39,450, a fair guide to starting pay.

What is the medical transcriptionists take-home pay in Lexington?

About $34,442 a year ($2,870 a month) for a single filer on the average salary of $43,380. Includes Lexington's local income tax (2.75%).

Do medical transcriptionists earn more in Lexington than elsewhere?

The average here is 4% more than the U.S. average for this job ($41,710).

Sources and how to read this page

  • Wages: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates for metropolitan areas. SOC code 31-9094; area Lexington-Fayette, KY (30460). Relative standard error of the mean wage: 2.9%.
  • U.S. and statewide figures: BLS OEWS national and state estimates, May 2025, every employer including rural areas.
  • Cost of living: Bureau of Economic Analysis regional price parities (RPP), 2024; 100 = U.S. average.
  • Home value: Zillow Home Value Index. Typical-wage figure: OEWS all occupations, same metro.
  • Take-home pay: Single filer, standard deduction: federal income tax (2026 brackets), Social Security, Medicare and state income tax (2026 rules). Includes Lexington's local income tax (2.75%).
  • Job concentration: location quotient 1.65, this job is 1.6 times as concentrated as in the U.S. overall.

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