Physician Assistant.
Lexington.
$101,000
median salary, 14% below the national average
$88,000 to $119,000. Last updated April 2026.
Get the job.
Data points to own the conversation.
If you are evaluating a Physician Assistant offer in Lexington, KY, here is the reality: $88,000 to $119,000, with $101,000 as the midpoint. 14% below the national average. Surgical subspecialties and emergency medicine pay the highest PA salaries, often 20 to 30% above primary care. Do not accept the first number.
Salary range
Where do you fall?
Salary by experience
The gap between entry and lead level is typically $91,000. Where you land depends on years of experience and what you bring to the table.
Entry (0-2 yrs)
$66,000
to $81,000
Mid (3-5 yrs)
$86,000
to $106,000
Senior (6-9 yrs)
$111,000
to $131,000
Lead (10+ yrs)
$126,000
to $157,000
Salary trend
+7% YoYTotal compensation
Base salary is not the full picture. Equity, bonus, and signing can add $27,000 to the total package.
Base
$101,000
Equity
$15,000
Bonus
$10,000
Signing
$2,000
Estimated total: $128,000
How Lexington compares
Lexington, KY
$101,000
Cost of living: 14% below average
National Average
$118,000
Lexington is $17,000 below
Physician Assistant salary by city
Salary by role in Lexington
What you should know
Here is what the Physician Assistant market actually looks like in Lexington. Lexington is Kentucky's second largest city with an economy driven by the University of Kentucky, healthcare, and the equine industry. A growing tech startup scene and affordable cost of living are attracting remote workers. The bourbon and manufacturing sectors also contribute to the local economy. Surgical subspecialties and emergency medicine pay the highest PA salaries, often 20 to 30% above primary care. Geographic location matters significantly, with rural and underserved areas offering premium pay to attract talent. Experience in procedural skills and first-assist certification further boost compensation.
Entry-level PAs earn $95,000 to $105,000 in their first role. Mid-career PAs with specialty experience reach $120,000 to $135,000. Senior PAs in surgical specialties or leadership positions can command $145,000 to $165,000 with additional administrative responsibilities. In Lexington, your dollars stretch further. Cost of living runs 14% below the national average, which means even a median salary buys a stronger lifestyle.
Base salary is not the full picture. PAs commonly receive productivity bonuses, CME allowances of $2,000 to $5,000 annually, malpractice insurance, and relocation assistance. Hospital systems often add shift differentials for nights, weekends, and call coverage. And on the tax side: kentucky has a flat 4% state income tax. Lexington has an occupational tax of about 2.25%. The combined rate is moderate and the very affordable housing stretches salaries further. When someone quotes you $101,000, ask what the total package looks like. The gap between base and total comp is where real money hides.
On negotiation: Leverage UK Health and the medical corridor when negotiating. Healthcare and biotech roles command nationally competitive salaries in Lexington. The range for Physician Assistants in Lexington runs from $88,000 to $119,000. 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 IT Project Manager in Lexington earns $100,000 (1% less)
- The highest-paying role in Lexington is Distinguished Engineer at $275,000
Common questions.
Physician Assistant salary in other cities
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