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How Much Does a Paramedic Make in Lexington, KY in 2026?

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

$63,210
Typical pay a year
$30.39
Typical pay an hour
+27%
vs Kentucky · +4% vs US
200
Paramedics employed in the area
Where Paramedic pay falls in Lexington
from starting out to the top earners
$39,160
Starting out
$49,480
First years
$63,210
Typical
$64,890
Experienced
$65,620
Top 10%

BLS OES May 2025 · Lexington · Fayette metro area

A typical Paramedic in Lexington, Kentucky earns $30.39 per hour, or $63,210 per year, according to the latest government wage data for the area (May 2025). Calculated from the annual figure, that is roughly $5,268 a month. Entry-level positions typically offer around $39,160, and the top 10% of earners make over $65,620.

That pay is 27% above the Kentucky figure of $49,890 and 4% above the national figure of $60,600. Lexington ranks 1st of 5 metro areas in Kentucky for Paramedic pay. About 200 Paramedics 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.

Paramedic pay in Lexington at a glance

  • Typical pay is $30.39 an hour, or $63,210 a year.
  • That is 27% above the Kentucky figure, ranking 1st of 5 metro areas in the state.
  • Entry-level positions typically offer around $39,160; the top 10% make over $65,620.

BLS OES May 2025

How much does a Paramedic make in Lexington?

Pay in Lexington runs from entry-level positions at around $18.83 an hour to more than $31.55 for the top 10% of earners. The table sets each career stage against the Kentucky and national figures.

Paramedic pay by career stage in Lexington

Paramedic pay by career stage in Lexington
Career stageLexingtonKentuckyUnited States
Starting out$39,160$18.83 an hour$40,050$19.25 an hour$44,230$21.27 an hour
First years$49,480$23.79 an hour$44,530$21.41 an hour$49,660$23.88 an hour
Typical Paramedic$63,210$30.39 an hour$49,890$23.99 an hour$60,600$29.13 an hour
Experienced$64,890$31.20 an hour$61,530$29.58 an hour$73,470$35.32 an hour
Top 10%$65,620$31.55 an hour$66,820$32.13 an hour$84,850$40.80 an hour

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

Paramedic pay growth in Lexington

$63,210
2025 typical annual pay
+$600 vs 2024
2021
2022
2023
2024
2025

Typical (median) annual wage for Paramedics in the Lexington · Fayette area · BLS OES May estimates, 2021 to 2025 · hover a bar for the year-over-year change

In 2021, typical Paramedic pay in Lexington was $46,520 a year. By 2025 it had reached $63,210.

How Lexington compares with other Kentucky cities

Lexington pays Paramedics the most of any metro area in Kentucky. The lowest-paying area in the state is Ashland at $43,750.

Typical Paramedic pay by metro area in Kentucky
#CityTypical payHourlyVs LexingtonParamedics employed
1Lexington
metro incl. Fayette
$63,210$30.39this city200
2Louisville
metro incl. Jefferson County
$55,760$26.81-12%490
3Paducah$53,980$25.95-15%60
4Bowling Green$47,260$22.72-25%60
5Ashland$43,750$21.03-31%330

Every metro area in Kentucky with Paramedic wage data · BLS OES May 2025 · Kentucky typical pay $49,890

Is Lexington a good place to work as a Paramedic?

+4%
vs national pay · +27% vs Kentucky
200
Paramedics employed in the Lexington · Fayette area
0.7
Paramedic jobs per 1,000 jobs, vs about 0.6 nationally

Paramedic pay in Lexington sits close to the national figure: $63,210 a year, 4% above the national rate. For every 1,000 jobs in the Lexington · Fayette area, about 0.7 are Paramedic positions; nationally, the figure is closer to 0.6. Paramedic jobs make up about the same share of the job market as they do across the country.

Frequently asked questions

How much does a Paramedic make in Lexington, KY?
A typical Paramedic in Lexington earns $63,210 a year, or $30.39 an hour, according to BLS wage data for May 2025. Entry-level pay runs about $39,160 and the top 10% earn over $65,620.
How much does a Paramedic make an hour in Lexington?
Typical hourly pay for Paramedics in Lexington is $30.39. Entry-level hourly pay runs about $18.83, and the top 10% earn over $31.55 an hour.
What is the starting pay for a Paramedic in Lexington?
Entry-level Paramedic positions in Lexington typically offer around $18.83 an hour, or $39,160 a year.
Is Paramedic pay in Lexington higher than in the rest of Kentucky?
Lexington pay is 27% above the Kentucky figure of $49,890 a year, ranking 1st of 5 metro areas in the state.

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