Physician assistant salary in Kentucky
Kentucky physician assistants earn a median of $120,760 a year ($58.06 an hour), according to BLS data for May 2025. That is 11% below the national median of $135,880, and ranks 46th of 51 states.
Median, Kentucky
$120,760
Mean $119,990
Middle half earns
$102,430 to $136,080
US: $120,670 to $163,980
Employed in Kentucky
1,360
0.65x the national concentration
Where Kentucky sits in the range
Kentucky
Statewide
United States
National
Cincinnati
Metro area
Louisville/Jefferson County
Metro area
Lexington
Metro area
Huntington
Metro area
Physician assistant pay by percentile
Ten percent of Kentucky physician assistants earned less than $79,550 and ten percent earned more than $161,820, a spread of $82,270. Where you land depends mostly on specialty, setting, experience and how the productivity pay is built, which is why two offers in the same city can be far apart.
| Percentile | Kentucky | United States | Difference |
|---|---|---|---|
| 10th | $79,550 | $99,380 | -20.0% |
| 25th | $102,430 | $120,670 | -15.1% |
| Median | $120,760 | $135,880 | -11.1% |
| 75th | $136,080 | $163,980 | -17.0% |
| 90th | $161,820 | $190,280 | -15.0% |
Physician assistant pay by metro area
BLS published PA pay for 6 metro areas that include part of Kentucky. Louisville/Jefferson County, KY-IN has the highest median at $130,830. Metro estimates rest on smaller samples than the statewide figure, so treat a low-precision row as a direction, not a number.
| Metro area | Employed | Median | Middle half |
|---|---|---|---|
| Cincinnati, OH-KY-IN | 920 | $128,520 | $98,640 to $145,710 |
| Louisville/Jefferson County, KY-INmoderate precision | 380 | $130,830 | $109,970 to $138,180 |
| Lexington-Fayette, KY | 300 | $112,230 | $103,180 to $137,890 |
| Huntington-Ashland, WV-KY-OH | 210 | $125,690 | $109,490 to $137,180 |
| Clarksville, TN-KY | 80 | $121,710 | $102,690 to $133,280 |
| Paducah, KY-ILmoderate precision | 60 | $124,990 | $102,070 to $134,980 |
How PA pay compares with other clinicians in Kentucky
| Occupation | Kentucky | United States |
|---|---|---|
| Physician assistant | $120,760 | $135,880 |
| Nurse practitioner | $122,870 | $132,300 |
| Nurse anesthetist (CRNA) | $222,520 | $236,590 |
| Registered nurse | $81,040 | $97,550 |
The Kentucky PA workforce
BLS counts 1,360 physician assistants on Kentucky payrolls, or 0.68 for every 1,000 jobs in the state, less concentrated than in the country as a whole. The federal NPI registry, which also counts self-employed and part-time clinicians, lists 2,308 physician assistants with a Kentucky practice address, and 112 new PA NPIs there in the past twelve months.
Using these numbers when you negotiate
A state median is a reference point, not a target. If an offer comes in under $102,430, it sits in the bottom quarter of what Kentucky physician assistants earn, and you should know why before you sign: a new-grad rate, a light schedule, or a base kept low because a productivity bonus is supposed to make up the difference. If it is above $136,080, ask what is expected in return, such as call, volume targets or a longer non-compete.
Compare the whole package, not the base: how the bonus is calculated, call pay, CME, PTO and who pays malpractice tail coverage. The negotiation guide and the contract checklist walk through each term.
Questions about PA pay in Kentucky
How much does a PA make in Kentucky?
The median annual wage for physician assistants in Kentucky was $120,760 in May 2025, and the mean was $119,990, per the BLS. The middle half earned between $102,430 and $136,080.
What is the hourly rate for physician assistants in Kentucky?
The median hourly wage was $58.06 and the mean was $57.69. BLS computes hourly figures from annual pay assuming a full-time year, so per-shift or per-diem rates can differ.
Where do PAs earn the most in Kentucky?
Among Kentucky metro areas with published data, Louisville/Jefferson County, KY-IN had the highest median at $130,830, and Lexington-Fayette, KY the lowest at $112,230.
How does Kentucky rank for PA pay?
Kentucky ranks 46th of 51 states (including DC) by median PA pay, 11% below the national median of $135,880. Pay is only half the picture: compare it with what housing and taxes cost where you would live.
How many physician assistants work in Kentucky?
BLS estimated 1,360 physician assistants employed in Kentucky in May 2025. The federal NPI registry lists 2,308 with a Kentucky practice address.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 (bls.gov/oes), SOC 29-1071, all industries and ownerships. NPI counts: NPPES monthly file, August 2026 (CMS, public domain). BLS wages are straight-time pay: they include production bonuses but leave out overtime, shift differentials, non-production bonuses and benefits, and they exclude the self-employed.
Have an offer on the table?
Book a free intro call with Max. Tell him what you are weighing, and he will tell you whether coaching would help, or whether you just need a few answers.