Medical Records Specialists pay range in Lexington
New workers and the lowest-paid 10% earn about $37,820 a year or less, while the top 10% make $71,680 or more. The middle half of medical records specialists in Lexington earn between $44,320 and $59,590.
- $38K10th
- $44K25th
- $50KMedian
- $60K75th
- $72K90th
median average · bar = middle 50% of workers · how to read it
| Pay level | Per year | Per month | Per hour* |
|---|---|---|---|
| Average | $53,910 | $4,492 | $25.92 |
| Median | $49,760 | $4,147 | $23.92 |
| Entry level (25th percentile) | $44,320 | $3,693 | $21.31 |
| Experienced (75th percentile) | $59,590 | $4,966 | $28.65 |
*Hourly figures assume 2,080 paid hours a year. Hourly to annual salary.
Medical Records Specialists pay in Lexington vs. Kentucky and the U.S.
Medical records specialists in Lexington earn about the same as the Kentucky average ($53,520) and 5% less than the U.S. average ($56,790). At the median the gap is -3% against the U.S. median of $51,140.
| Area | Average | Median | 10th pct. | 90th pct. | Jobs |
|---|---|---|---|---|---|
| Lexington | $53,910 | $49,760 | $37,820 | $71,680 | 540 |
| Kentucky | $53,520 | $48,410 | $36,290 | $74,520 | 4,210 |
| United States | $56,790 | $51,140 | $37,000 | $81,150 | 194,720 |
State and U.S. rows: BLS statewide and national estimates, May 2025, which include rural areas.
Medical Records Specialists salary after taxes in Lexington
On the average salary of $53,910, a single filer in Lexington takes home about $42,245 a year, or $3,520 a month and $1,625 every two weeks. Taxes take 22% 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 records specialists? 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 $53,910 buys what about $58,037 would buy in a typical U.S. metro. This job pays 1.0 times the median wage of all jobs in Lexington ($48,620). A typical home costs $327,671, or 6.1 years of this average salary before tax.
Medical Records Specialists salary in other Kentucky cities
Lexington ranks 2nd of 6 Kentucky metro areas for this job; Louisville pays the most ($57,300).
- Louisville$57,300
- Lexington$53,910
- Elizabethtown$51,050
- Paducah$50,080
- Owensboro$49,240
- Bowling Green$49,020
Highest-paying cities for medical records specialists
San Jose, CA pays this job the most of the metro areas we cover ($97,430).
- San Jose, CA$97,430
- Sacramento, CA$76,110
- Chattanooga, TN$76,090
- San Francisco, CA$75,570
- Seattle, WA$72,530
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Medical Records Specialists salary in Lexington: questions
How much do medical records specialists make an hour in Lexington?
$25.92 an hour on average, and $23.92 at the median (BLS, May 2025).
What is the entry-level medical records specialists salary in Lexington?
The lowest-paid 10% earn about $37,820 a year and the 25th percentile is $44,320, a fair guide to starting pay.
What is the medical records specialists take-home pay in Lexington?
About $42,245 a year ($3,520 a month) for a single filer on the average salary of $53,910. Includes Lexington's local income tax (2.75%).
Do medical records specialists earn more in Lexington than elsewhere?
The average here is 5% less than the U.S. average for this job ($56,790).
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 29-2072; area Lexington-Fayette, KY (30460). Relative standard error of the mean wage: 3.2%.
- 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 1.51, this job is 1.5 times as concentrated as in the U.S. overall.
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