Occupational Therapy Assistants pay range in Lexington
New workers and the lowest-paid 10% earn about $50,840 a year or less, while the top 10% make $80,010 or more. The middle half of occupational therapy assistants in Lexington earn between $59,880 and $66,360.
- $51K10th
- $60K25th
- $65KMedian
- $66K75th
- $80K90th
median average · bar = middle 50% of workers · how to read it
| Pay level | Per year | Per month | Per hour* |
|---|---|---|---|
| Average | $65,370 | $5,448 | $31.43 |
| Median | $65,210 | $5,434 | $31.35 |
| Entry level (25th percentile) | $59,880 | $4,990 | $28.79 |
| Experienced (75th percentile) | $66,360 | $5,530 | $31.90 |
*Hourly figures assume 2,080 paid hours a year. Hourly to annual salary.
Occupational Therapy Assistants pay in Lexington vs. Kentucky and the U.S.
Occupational therapy assistants in Lexington earn about the same as the Kentucky average ($65,360) and 8% less than the U.S. average ($70,710). At the median the gap is -10% against the U.S. median of $72,300.
| Area | Average | Median | 10th pct. | 90th pct. | Jobs |
|---|---|---|---|---|---|
| Lexington | $65,370 | $65,210 | $50,840 | $80,010 | 40 |
| Kentucky | $65,360 | $65,230 | $50,840 | $77,270 | 500 |
| United States | $70,710 | $72,300 | $51,490 | $89,780 | 51,290 |
State and U.S. rows: BLS statewide and national estimates, May 2025, which include rural areas.
Occupational Therapy Assistants salary after taxes in Lexington
On the average salary of $65,370, a single filer in Lexington takes home about $50,737 a year, or $4,228 a month and $1,951 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 occupational therapy 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 $65,370 buys what about $70,374 would buy in a typical U.S. metro. This job pays 1.3 times the median wage of all jobs in Lexington ($48,620). A typical home costs $327,671, or 5.0 years of this average salary before tax.
Occupational Therapy Assistants salary in other Kentucky cities
Lexington ranks 2nd of 4 Kentucky metro areas for this job; Louisville pays the most ($67,420).
- Louisville$67,420
- Lexington$65,370
- Bowling Green$62,710
- Owensboro$62,430
Highest-paying cities for occupational therapy assistants
San Francisco, CA pays this job the most of the metro areas we cover ($99,250).
- San Francisco, CA$99,250
- San Jose, CA$94,960
- Sacramento, CA$92,750
- Modesto, CA$92,640
- Bakersfield, CA$91,880
Does this match what you are paid?
Anonymous, no account. Results update as visitors answer.
Share your pay anonymously
Occupational Therapy Assistants salary in Lexington: questions
How much do occupational therapy assistants make an hour in Lexington?
$31.43 an hour on average, and $31.35 at the median (BLS, May 2025).
What is the entry-level occupational therapy assistants salary in Lexington?
The lowest-paid 10% earn about $50,840 a year and the 25th percentile is $59,880, a fair guide to starting pay.
What is the occupational therapy assistants take-home pay in Lexington?
About $50,737 a year ($4,228 a month) for a single filer on the average salary of $65,370. Includes Lexington's local income tax (2.75%).
Do occupational therapy assistants earn more in Lexington than elsewhere?
The average here is 8% less than the U.S. average for this job ($70,710).
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 31-2011; area Lexington-Fayette, KY (30460). Relative standard error of the mean wage: 3.6%.
- 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 0.46, this job is less common than in the U.S. overall (location quotient 0.46).
Read the full methodology. Spotted an error? Tell us.