Medical Assistants pay range in Lexington
New workers and the lowest-paid 10% earn about $36,510 a year or less, while the top 10% make $47,620 or more. The middle half of medical assistants in Lexington earn between $38,380 and $46,670.
- $37K10th
- $38K25th
- $40KMedian
- $47K75th
- $48K90th
median average · bar = middle 50% of workers · how to read it
| Pay level | Per year | Per month | Per hour* |
|---|---|---|---|
| Average | $42,550 | $3,546 | $20.46 |
| Median | $40,370 | $3,364 | $19.41 |
| Entry level (25th percentile) | $38,380 | $3,198 | $18.45 |
| Experienced (75th percentile) | $46,670 | $3,889 | $22.44 |
*Hourly figures assume 2,080 paid hours a year. Hourly to annual salary.
Medical Assistants pay in Lexington vs. Kentucky and the U.S.
Medical assistants in Lexington earn 4% more than the Kentucky average ($40,940) and 8% less than the U.S. average ($46,120). At the median the gap is -12% against the U.S. median of $45,690.
| Area | Average | Median | 10th pct. | 90th pct. | Jobs |
|---|---|---|---|---|---|
| Lexington | $42,550 | $40,370 | $36,510 | $47,620 | 2,210 |
| Kentucky | $40,940 | $39,270 | $32,950 | $47,940 | 13,440 |
| United States | $46,120 | $45,690 | $36,050 | $59,310 | 817,870 |
State and U.S. rows: BLS statewide and national estimates, May 2025, which include rural areas.
Medical Assistants salary after taxes in Lexington
On the average salary of $42,550, a single filer in Lexington takes home about $33,827 a year, or $2,819 a month and $1,301 every two weeks. Taxes take 21% 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 medical 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 $42,550 buys what about $45,807 would buy in a typical U.S. metro. This job pays 0.8 times the median wage of all jobs in Lexington ($48,620). A typical home costs $327,671, or 7.7 years of this average salary before tax.
Medical Assistants salary in other Kentucky cities
Lexington ranks 2nd of 6 Kentucky metro areas for this job; Louisville pays the most ($43,680).
- Louisville$43,680
- Lexington$42,550
- Paducah$40,630
- Elizabethtown$40,060
- Bowling Green$39,430
- Owensboro$38,820
Highest-paying cities for medical assistants
Vallejo, CA pays this job the most of the metro areas we cover ($66,730).
- Vallejo, CA$66,730
- San Jose, CA$65,360
- Santa Rosa, CA$64,160
- San Francisco, CA$63,330
- Napa, CA$62,580
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Medical Assistants salary in Lexington: questions
How much do medical assistants make an hour in Lexington?
$20.46 an hour on average, and $19.41 at the median (BLS, May 2025).
What is the entry-level medical assistants salary in Lexington?
The lowest-paid 10% earn about $36,510 a year and the 25th percentile is $38,380, a fair guide to starting pay.
What is the medical assistants take-home pay in Lexington?
About $33,827 a year ($2,819 a month) for a single filer on the average salary of $42,550. Includes Lexington's local income tax (2.75%).
Do medical assistants earn more in Lexington than elsewhere?
The average here is 8% less than the U.S. average for this job ($46,120).
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 31-9092; area Lexington-Fayette, KY (30460). Relative standard error of the mean wage: 1.2%.
- 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 1.47, this job is 1.5 times as concentrated as in the U.S. overall.
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