Physician Assistants pay range in Lexington
New workers and the lowest-paid 10% earn about $52,010 a year or less, while the top 10% make $187,220 or more. The middle half of physician assistants in Lexington earn between $103,180 and $137,890.
- $52K10th
- $103K25th
- $112KMedian
- $138K75th
- $187K90th
median average · bar = middle 50% of workers · how to read it
| Pay level | Per year | Per month | Per hour* |
|---|---|---|---|
| Average | $118,940 | $9,912 | $57.18 |
| Median | $112,230 | $9,352 | $53.96 |
| Entry level (25th percentile) | $103,180 | $8,598 | $49.61 |
| Experienced (75th percentile) | $137,890 | $11,491 | $66.29 |
*Hourly figures assume 2,080 paid hours a year. Hourly to annual salary.
Physician Assistants pay in Lexington vs. Kentucky and the U.S.
Physician assistants in Lexington earn about the same as the Kentucky average ($119,990) and 16% less than the U.S. average ($141,280). At the median the gap is -17% against the U.S. median of $135,880.
| Area | Average | Median | 10th pct. | 90th pct. | Jobs |
|---|---|---|---|---|---|
| Lexington | $118,940 | $112,230 | $52,010 | $187,220 | 300 |
| Kentucky | $119,990 | $120,760 | $79,550 | $161,820 | 1,360 |
| United States | $141,280 | $135,880 | $99,380 | $190,280 | 162,150 |
State and U.S. rows: BLS statewide and national estimates, May 2025, which include rural areas.
Physician Assistants salary after taxes in Lexington
On the average salary of $118,940, a single filer in Lexington takes home about $85,188 a year, or $7,099 a month and $3,276 every two weeks. Taxes take 28% 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 physician assistants? 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 $118,940 buys what about $128,045 would buy in a typical U.S. metro. This job pays 2.3 times the median wage of all jobs in Lexington ($48,620). A typical home costs $327,671, or 2.8 years of this average salary before tax.
Physician Assistants salary in other Kentucky cities
Lexington ranks 3rd of 3 Kentucky metro areas for this job; Louisville pays the most ($129,970).
- Louisville$129,970
- Paducah$119,590
- Lexington$118,940
Highest-paying cities for physician assistants
San Jose, CA pays this job the most of the metro areas we cover ($207,660).
- San Jose, CA$207,660
- Salinas, CA$202,320
- San Francisco, CA$182,610
- Vallejo, CA$182,520
- Bakersfield, CA$177,840
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Physician Assistants salary in Lexington: questions
How much do physician assistants make an hour in Lexington?
$57.18 an hour on average, and $53.96 at the median (BLS, May 2025).
What is the entry-level physician assistants salary in Lexington?
The lowest-paid 10% earn about $52,010 a year and the 25th percentile is $103,180, a fair guide to starting pay.
What is the physician assistants take-home pay in Lexington?
About $85,188 a year ($7,099 a month) for a single filer on the average salary of $118,940. Includes Lexington's local income tax (2.75%).
Do physician assistants earn more in Lexington than elsewhere?
The average here is 16% less than the U.S. average for this job ($141,280).
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 29-1071; area Lexington-Fayette, KY (30460). Relative standard error of the mean wage: 4.9%.
- 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 0.99, this job is about as common as in the U.S. overall.
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