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

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

$112,230
Typical pay a year
$53.96
Typical pay an hour
-7%
vs Kentucky · -17% vs US
300
Physician Assistants employed in the area
Where Physician Assistant pay falls in Lexington
from starting out to the top earners
$52,010
Starting out
$103,180
First years
$112,230
Typical
$137,890
Experienced
$187,220
Top 10%

BLS OES May 2025 · Lexington · Fayette metro area

A typical Physician Assistant in Lexington, Kentucky earns $53.96 per hour, or $112,230 per year, according to the latest government wage data for the area (May 2025). Calculated from the annual figure, that is roughly $9,353 a month. Entry-level positions typically offer around $52,010, and the top 10% of earners make over $187,220.

That pay is 7% below the Kentucky figure of $120,760 and 17% below the national figure of $135,880. Lexington ranks 4th of 4 metro areas in Kentucky for Physician Assistant pay. About 300 Physician 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.

Physician Assistant pay in Lexington at a glance

  • Typical pay is $53.96 an hour, or $112,230 a year.
  • That is 7% below the Kentucky figure, ranking 4th of 4 metro areas in the state.
  • Entry-level positions typically offer around $52,010; the top 10% make over $187,220.
  • Typical pay rose +23% from 2015 to 2025, against +27% for Kentucky as a whole.

BLS OES May 2025

How much does a Physician Assistant make in Lexington?

Pay in Lexington runs from entry-level positions at around $25.00 an hour to more than $90.01 for the top 10% of earners. The table sets each career stage against the Kentucky and national figures.

Physician Assistant pay by career stage in Lexington

Physician Assistant pay by career stage in Lexington
Career stageLexingtonKentuckyUnited States
Starting out$52,010$25.00 an hour$79,550$38.24 an hour$99,380$47.78 an hour
First years$103,180$49.61 an hour$102,430$49.25 an hour$120,670$58.02 an hour
Typical Physician Assistant$112,230$53.96 an hour$120,760$58.06 an hour$135,880$65.33 an hour
Experienced$137,890$66.29 an hour$136,080$65.43 an hour$163,980$78.84 an hour
Top 10%$187,220$90.01 an hour$161,820$77.80 an hour$190,280$91.48 an hour

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

Physician Assistant pay growth in Lexington

$112,230
2025 typical annual pay
+$3,830 vs 2024
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025

Typical (median) annual wage for Physician 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 Physician Assistant pay in Lexington was $91,600 a year. By 2025 it had reached $112,230, a change of +23%, compared with +27% for Kentucky over the same years.

How Lexington compares with other Kentucky cities

Louisville pays Physician Assistants the most in Kentucky at $130,830 a year, $18,600 more than Lexington. The lowest-paying area in the state is Fayette at $112,230.

Typical Physician Assistant pay by metro area in Kentucky
#CityTypical payHourlyVs LexingtonPhysician Assistants employed
1Louisville
metro incl. Jefferson County
$130,830$62.90+17%380
2Ashland$125,690$60.43+12%210
3Paducah$124,990$60.09+11%60
4Lexington
metro incl. Fayette
$112,230$53.96this city300

Every metro area in Kentucky with Physician Assistant wage data · BLS OES May 2025 · Kentucky typical pay $120,760

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

-17%
vs national pay · -7% vs Kentucky
300
Physician Assistants employed in the Lexington · Fayette area
1.0
Physician Assistant jobs per 1,000 jobs, vs about 1.1 nationally

Physician Assistants in Lexington earn less than the national figure: typical pay is $112,230 a year, 17% below the national rate. For every 1,000 jobs in the Lexington · Fayette area, about 1.0 are Physician Assistant positions; nationally, the figure is closer to 1.1. Physician Assistant jobs make up about the same share of the job market as they do across the country.

Frequently asked questions

How much does a Physician Assistant make in Lexington, KY?
A typical Physician Assistant in Lexington earns $112,230 a year, or $53.96 an hour, according to BLS wage data for May 2025. Entry-level pay runs about $52,010 and the top 10% earn over $187,220.
How much does a Physician Assistant make an hour in Lexington?
Typical hourly pay for Physician Assistants in Lexington is $53.96. Entry-level hourly pay runs about $25.00, and the top 10% earn over $90.01 an hour.
What is the starting pay for a Physician Assistant in Lexington?
Entry-level Physician Assistant positions in Lexington typically offer around $25.00 an hour, or $52,010 a year.
Is Physician Assistant pay in Lexington higher than in the rest of Kentucky?
Lexington pay is 7% below the Kentucky figure of $120,760 a year, ranking 4th of 4 metro areas in the state. Louisville pays the most in Kentucky at $130,830.

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