Occupational Therapists pay range in Lexington
New workers and the lowest-paid 10% earn about $67,360 a year or less, while the top 10% make $117,060 or more. The middle half of occupational therapists in Lexington earn between $78,420 and $103,060.
- $67K10th
- $78K25th
- $96KMedian
- $103K75th
- $117K90th
median average · bar = middle 50% of workers · how to read it
| Pay level | Per year | Per month | Per hour* |
|---|---|---|---|
| Average | $93,310 | $7,776 | $44.86 |
| Median | $95,820 | $7,985 | $46.07 |
| Entry level (25th percentile) | $78,420 | $6,535 | $37.70 |
| Experienced (75th percentile) | $103,060 | $8,588 | $49.55 |
*Hourly figures assume 2,080 paid hours a year. Hourly to annual salary.
Occupational Therapists pay in Lexington vs. Kentucky and the U.S.
Occupational therapists in Lexington earn about the same as the Kentucky average ($95,450) and 8% less than the U.S. average ($101,280). At the median the gap is -4% against the U.S. median of $100,330.
| Area | Average | Median | 10th pct. | 90th pct. | Jobs |
|---|---|---|---|---|---|
| Lexington | $93,310 | $95,820 | $67,360 | $117,060 | 320 |
| Kentucky | $95,450 | $97,650 | $71,030 | $119,250 | 2,190 |
| United States | $101,280 | $100,330 | $71,690 | $131,950 | 162,450 |
State and U.S. rows: BLS statewide and national estimates, May 2025, which include rural areas.
Occupational Therapists salary after taxes in Lexington
On the average salary of $93,310, a single filer in Lexington takes home about $68,759 a year, or $5,730 a month and $2,645 every two weeks. Taxes take 26% 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 occupational therapists? 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 $93,310 buys what about $100,453 would buy in a typical U.S. metro. This job pays 2.0 times the median wage of all jobs in Lexington ($48,620). A typical home costs $327,671, or 3.5 years of this average salary before tax.
Occupational Therapists salary in other Kentucky cities
Lexington ranks 3rd of 6 Kentucky metro areas for this job; Louisville pays the most ($99,670).
- Louisville$99,670
- Elizabethtown$97,900
- Lexington$93,310
- Paducah$92,530
- Owensboro$90,960
- Bowling Green$88,910
Highest-paying cities for occupational therapists
San Jose, CA pays this job the most of the metro areas we cover ($137,450).
- San Jose, CA$137,450
- San Francisco, CA$136,250
- Santa Cruz, CA$131,980
- Vallejo, CA$128,760
- Santa Rosa, CA$128,610
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Occupational Therapists salary in Lexington: questions
How much do occupational therapists make an hour in Lexington?
$44.86 an hour on average, and $46.07 at the median (BLS, May 2025).
What is the entry-level occupational therapists salary in Lexington?
The lowest-paid 10% earn about $67,360 a year and the 25th percentile is $78,420, a fair guide to starting pay.
What is the occupational therapists take-home pay in Lexington?
About $68,759 a year ($5,730 a month) for a single filer on the average salary of $93,310. Includes Lexington's local income tax (2.75%).
Do occupational therapists earn more in Lexington than elsewhere?
The average here is 8% less than the U.S. average for this job ($101,280).
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 29-1122; 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 1.07, this job is about as common as in the U.S. overall.
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