Nurse Practitioners pay range in Lexington
New workers and the lowest-paid 10% earn about $102,040 a year or less, while the top 10% make $175,600 or more. The middle half of nurse practitioners in Lexington earn between $108,670 and $131,320.
- $102K10th
- $109K25th
- $123KMedian
- $131K75th
- $176K90th
median average · bar = middle 50% of workers · how to read it
| Pay level | Per year | Per month | Per hour* |
|---|---|---|---|
| Average | $127,400 | $10,617 | $61.25 |
| Median | $123,070 | $10,256 | $59.17 |
| Entry level (25th percentile) | $108,670 | $9,056 | $52.25 |
| Experienced (75th percentile) | $131,320 | $10,943 | $63.13 |
*Hourly figures assume 2,080 paid hours a year. Hourly to annual salary.
Nurse Practitioners pay in Lexington vs. Kentucky and the U.S.
Nurse practitioners in Lexington earn about the same as the Kentucky average ($125,010) and 7% less than the U.S. average ($137,300). At the median the gap is -7% against the U.S. median of $132,300.
| Area | Average | Median | 10th pct. | 90th pct. | Jobs |
|---|---|---|---|---|---|
| Lexington | $127,400 | $123,070 | $102,040 | $175,600 | 540 |
| Kentucky | $125,010 | $122,870 | $95,710 | $162,960 | 4,770 |
| United States | $137,300 | $132,300 | $101,340 | $174,420 | 323,040 |
State and U.S. rows: BLS statewide and national estimates, May 2025, which include rural areas.
Nurse Practitioners salary after taxes in Lexington
On the average salary of $127,400, a single filer in Lexington takes home about $90,499 a year, or $7,542 a month and $3,481 every two weeks. Taxes take 29% 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%).
Is Lexington a good place for nurse practitioners? 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 $127,400 buys what about $137,153 would buy in a typical U.S. metro. This job pays 2.5 times the median wage of all jobs in Lexington ($48,620). A typical home costs $327,671, or 2.6 years of this average salary before tax.
Nurse Practitioners salary in other Kentucky cities
Lexington ranks 2nd of 6 Kentucky metro areas for this job; Owensboro pays the most ($129,790).
- Owensboro$129,790
- Lexington$127,400
- Louisville$126,690
- Paducah$122,990
- Elizabethtown$120,500
- Bowling Green$120,120
Highest-paying cities for nurse practitioners
San Jose, CA pays this job the most of the metro areas we cover ($225,610).
- San Jose, CA$225,610
- San Francisco, CA$215,430
- Vallejo, CA$196,780
- Napa, CA$188,720
- Modesto, CA$187,690
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Nurse Practitioners salary in Lexington: questions
How much do nurse practitioners make an hour in Lexington?
$61.25 an hour on average, and $59.17 at the median (BLS, May 2025).
What is the entry-level nurse practitioners salary in Lexington?
The lowest-paid 10% earn about $102,040 a year and the 25th percentile is $108,670, a fair guide to starting pay.
What is the nurse practitioners take-home pay in Lexington?
About $90,499 a year ($7,542 a month) for a single filer on the average salary of $127,400. Includes Lexington's local income tax (2.75%).
Do nurse practitioners earn more in Lexington than elsewhere?
The average here is 7% less than the U.S. average for this job ($137,300).
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 29-1171; area Lexington-Fayette, KY (30460). Relative standard error of the mean wage: 2.4%.
- 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 0.90, this job is about as common as in the U.S. overall.
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