Medical Imaging AI Specialist.
Louisville.
$162,000
median salary, 15% below the national average
$121,000 to $212,000. Last updated April 2026.
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Data points to own the conversation.
A Medical Imaging AI Specialist in Louisville earns a median of $162,000 in 2026. That is 15% below the national average. The range runs from $121,000 to $212,000, and where you land depends on your experience, your skills, and how well you negotiate. Deep knowledge of medical image analysis, FDA regulatory pathways, and clinical validation methodologies drives top compensation.
Salary range
Where do you fall?
Salary by experience
The gap between entry and lead level is typically $146,000. Where you land depends on years of experience and what you bring to the table.
Entry (0-2 yrs)
$105,000
to $130,000
Mid (3-5 yrs)
$138,000
to $170,000
Senior (6-9 yrs)
$178,000
to $211,000
Lead (10+ yrs)
$203,000
to $251,000
Salary trend
+4% YoYTotal compensation
Base salary is not the full picture. Equity, bonus, and signing can add $45,000 to the total package.
Base
$162,000
Equity
$26,000
Bonus
$16,000
Signing
$3,000
Estimated total: $207,000
How Louisville compares
Louisville, KY
$162,000
Cost of living: 12% below average
National Average
$190,000
Louisville is $28,000 below
Medical Imaging AI Specialist salary by city
Salary by role in Louisville
What you should know
Here is what the Medical Imaging AI Specialist market actually looks like in Louisville. Louisville is home to UPS Worldport, the world's largest automated package handling facility, making it a logistics and supply chain powerhouse. The city also has strong healthcare and bourbon distillery industries. Its central location and affordable cost of living make it attractive for distribution and operations roles. Deep knowledge of medical image analysis, FDA regulatory pathways, and clinical validation methodologies drives top compensation. Specialists who understand radiology workflows and can navigate the 510(k) or De Novo approval process are extremely rare. Experience with specific modalities like CT, MRI, pathology, or ultrasound AI adds significant premiums.
Junior medical imaging engineers start at $115,000 to $150,000. Mid level specialists with regulatory submission experience earn $170,000 to $215,000. Senior specialists reach $220,000 to $275,000. VP of AI at medical imaging companies can exceed $350,000 in total compensation with equity. In Louisville, your dollars stretch further. Cost of living runs 12% below the national average, which means even a median salary buys a stronger lifestyle.
Base salary is not the full picture. Equity at medical AI startups adds 20 to 40% of total compensation. Performance bonuses of 15 to 25% are standard. Signing bonuses of $25,000 to $75,000 are common. Benefits often include continuing medical education credits and conference travel budgets. And on the tax side: kentucky has a flat 4% state income tax. Louisville has an occupational tax of about 2.2%. The combined rate is moderate, and the low cost of living offsets the local tax. When someone quotes you $162,000, ask what the total package looks like. The gap between base and total comp is where real money hides.
On negotiation: Leverage UPS and the logistics corridor when negotiating. Supply chain and operations professionals command premiums in Louisville's distribution heavy economy. The range for Medical Imaging AI Specialists in Louisville runs from $121,000 to $212,000. That is not a narrow window. Where you land inside it depends almost entirely on whether you negotiate and how well you prepare.
Sources: SEC filings, H-1B LCA (DOL), BLS OES, 50+ job posting platforms. COL: BEA Regional Price Parities (2025). Data verified by Justin Bartak, Founder & Chief AI Officer. Last verified April 8, 2026. Full methodology
Considering a related role?
- A AI Safety Engineer in Louisville earns $161,000 (1% less)
- The highest-paying role in Louisville is Chief Data & AI Officer at $267,000
Common questions.
Medical Imaging AI Specialist salary in other cities
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