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How Much Does a Medical Assistant Make in Lexington, KY in 2026?

Typical pay for Medical Assistants in Lexington, from federal wage data (May 2025), with the ten-year trend and how the city compares across Kentucky.

$40,370
Typical pay a year
$19.41
Typical pay an hour
+3%
vs Kentucky · -12% vs US
2,210
Medical Assistants employed in the area
Where Medical Assistant pay falls in Lexington
from starting out to the top earners
$36,510
Starting out
$38,380
First years
$40,370
Typical
$46,670
Experienced
$47,620
Top 10%

BLS OES May 2025 · Lexington · Fayette metro area

A typical Medical Assistant in Lexington, Kentucky earns $19.41 per hour, or $40,370 per year, according to the latest government wage data for the area (May 2025). Calculated from the annual figure, that is roughly $3,364 a month. Entry-level positions typically offer around $36,510, and the top 10% of earners make over $47,620.

That pay is 3% above the Kentucky figure of $39,270 and 12% below the national figure of $45,690. Lexington ranks 2nd of 7 metro areas in Kentucky for Medical Assistant pay. About 2,210 Medical Assistants work in the Lexington · Fayette area. Lexington is part of the Lexington · Fayette metro area, and BLS reports pay for the metro as a whole, so Fayette share these figures.

Medical Assistant pay in Lexington at a glance

  • Typical pay is $19.41 an hour, or $40,370 a year.
  • That is 3% above the Kentucky figure, ranking 2nd of 7 metro areas in the state.
  • Entry-level positions typically offer around $36,510; the top 10% make over $47,620.
  • Typical pay rose +38% from 2015 to 2025, against +39% for Kentucky as a whole.

BLS OES May 2025

How much does a Medical Assistant make in Lexington?

Pay in Lexington runs from entry-level positions at around $17.55 an hour to more than $22.90 for the top 10% of earners. The table sets each career stage against the Kentucky and national figures.

Medical Assistant pay by career stage in Lexington

Medical Assistant pay by career stage in Lexington
Career stageLexingtonKentuckyUnited States
Starting out$36,510$17.55 an hour$32,950$15.84 an hour$36,050$17.33 an hour
First years$38,380$18.45 an hour$36,560$17.58 an hour$38,470$18.50 an hour
Typical Medical Assistant$40,370$19.41 an hour$39,270$18.88 an hour$45,690$21.97 an hour
Experienced$46,670$22.44 an hour$45,940$22.09 an hour$49,180$23.65 an hour
Top 10%$47,620$22.90 an hour$47,940$23.05 an hour$59,310$28.52 an hour

BLS OES May 2025 · city figures cover the Lexington · Fayette area as BLS defines it

Medical Assistant pay growth in Lexington

$40,370
2025 typical annual pay
+$550 vs 2024
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025

Typical (median) annual wage for Medical Assistants in the Lexington · Fayette area · BLS OES May estimates, 2015 to 2025 · hover a bar for the year-over-year change

In 2015, typical Medical Assistant pay in Lexington was $29,350 a year. By 2025 it had reached $40,370, a change of +38%, compared with +39% for Kentucky over the same years.

How Lexington compares with other Kentucky cities

Jefferson County pays Medical Assistants the most in Kentucky at $44,450 a year, $4,080 more than Lexington. The lowest-paying area in the state is Owensboro at $37,020.

Typical Medical Assistant pay by metro area in Kentucky
#CityTypical payHourlyVs LexingtonMedical Assistants employed
1Jefferson County
metro incl. Louisville
$44,450$21.37+10%4,140
2Lexington
metro incl. Fayette
$40,370$19.41this city2,210
3Paducah$39,360$18.92-3%450
4Bowling Green$39,270$18.88-3%600
5Elizabethtown$38,530$18.53-5%240
6Ashland$37,500$18.03-7%1,040
7Owensboro$37,020$17.80-8%280

Every metro area in Kentucky with Medical Assistant wage data · BLS OES May 2025 · Kentucky typical pay $39,270

Is Lexington a good place to work as a Medical Assistant?

-12%
vs national pay · +3% vs Kentucky
2,210
Medical Assistants employed in the Lexington · Fayette area
7.7
Medical Assistant jobs per 1,000 jobs, vs about 5.2 nationally

Medical Assistants in Lexington earn less than the national figure: typical pay is $40,370 a year, 12% below the national rate. For every 1,000 jobs in the Lexington · Fayette area, about 7.7 are Medical Assistant positions; nationally, the figure is closer to 5.2. That makes the local economy more reliant on Medical Assistants than most places, and turnover keeps positions opening through the year.

Frequently asked questions

How much does a Medical Assistant make in Lexington, KY?
A typical Medical Assistant in Lexington earns $40,370 a year, or $19.41 an hour, according to BLS wage data for May 2025. Entry-level pay runs about $36,510 and the top 10% earn over $47,620.
How much does a Medical Assistant make an hour in Lexington?
Typical hourly pay for Medical Assistants in Lexington is $19.41. Entry-level hourly pay runs about $17.55, and the top 10% earn over $22.90 an hour.
What is the starting pay for a Medical Assistant in Lexington?
Entry-level Medical Assistant positions in Lexington typically offer around $17.55 an hour, or $36,510 a year.
Is Medical Assistant pay in Lexington higher than in the rest of Kentucky?
Lexington pay is 3% above the Kentucky figure of $39,270 a year, ranking 2nd of 7 metro areas in the state. Jefferson County pays the most in Kentucky at $44,450.

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