Paramedics pay range in Lexington
New workers and the lowest-paid 10% earn about $39,160 a year or less, while the top 10% make $65,620 or more. The middle half of paramedics in Lexington earn between $49,480 and $64,890.
- $39K10th
- $49K25th
- $63KMedian
- $65K75th
- $66K90th
median average · bar = middle 50% of workers · how to read it
| Pay level | Per year | Per month | Per hour* |
|---|---|---|---|
| Average | $57,430 | $4,786 | $27.61 |
| Median | $63,210 | $5,268 | $30.39 |
| Entry level (25th percentile) | $49,480 | $4,123 | $23.79 |
| Experienced (75th percentile) | $64,890 | $5,408 | $31.20 |
*Hourly figures assume 2,080 paid hours a year. Hourly to annual salary.
Paramedics pay in Lexington vs. Kentucky and the U.S.
Paramedics in Lexington earn 9% more than the Kentucky average ($52,510) and 9% less than the U.S. average ($63,360). At the median the gap is +4% against the U.S. median of $60,600.
| Area | Average | Median | 10th pct. | 90th pct. | Jobs |
|---|---|---|---|---|---|
| Lexington | $57,430 | $63,210 | $39,160 | $65,620 | 200 |
| Kentucky | $52,510 | $49,890 | $40,050 | $66,820 | 1,800 |
| United States | $63,360 | $60,600 | $44,230 | $84,850 | 100,610 |
State and U.S. rows: BLS statewide and national estimates, May 2025, which include rural areas.
Paramedics salary after taxes in Lexington
On the average salary of $57,430, a single filer in Lexington takes home about $44,853 a year, or $3,738 a month and $1,725 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 paramedics? 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 $57,430 buys what about $61,826 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 5.7 years of this average salary before tax.
Paramedics salary in other Kentucky cities
Lexington ranks 1st of 4 Kentucky metro areas for this job, the best-paid in the state.
- Lexington$57,430
- Louisville$56,950
- Paducah$53,020
- Bowling Green$48,870
Highest-paying cities for paramedics
Bellingham, WA pays this job the most of the metro areas we cover ($119,190).
- Bellingham, WA$119,190
- Seattle, WA$117,660
- Bremerton, WA$110,800
- Olympia, WA$109,680
- Mount Vernon, WA$106,520
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Paramedics salary in Lexington: questions
How much do paramedics make an hour in Lexington?
$27.61 an hour on average, and $30.39 at the median (BLS, May 2025).
What is the entry-level paramedics salary in Lexington?
The lowest-paid 10% earn about $39,160 a year and the 25th percentile is $49,480, a fair guide to starting pay.
What is the paramedics take-home pay in Lexington?
About $44,853 a year ($3,738 a month) for a single filer on the average salary of $57,430. Includes Lexington's local income tax (2.75%).
Do paramedics earn more in Lexington than elsewhere?
The average here is 9% less than the U.S. average for this job ($63,360).
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 29-2043; area Lexington-Fayette, KY (30460). Relative standard error of the mean wage: 2.6%.
- 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 1.08, this job is about as common as in the U.S. overall.
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