Top Paying Jobs in Lexington-Fayette, KY (2026)
Lexington-Fayette, KY has 110 jobs across diverse industries. The highest-paying occupations include Pediatricians, General ($237,740), Psychiatrists ($235,770), General Internal Medicine Physicians ($231,240). The cost of living index is 92.89 (national average = 100). Median 2-bedroom rent is $1,272/month.
$138K
Avg. median salary
92.89
Cost of living index
$1,272
Median 2BR rent
N/A
Population
Highest paying careers in Lexington-Fayette
| Rank | Occupation | Category | Median salary | Hourly |
|---|---|---|---|---|
| 1 | Pediatricians, General | Healthcare | $238K | $114.3/hr |
| 2 | Psychiatrists | Healthcare | $236K | $113.35/hr |
| 3 | General Internal Medicine Physicians | Healthcare | $231K | $111.17/hr |
| 4 | Architectural and Engineering Managers | Management | $156K | $75.14/hr |
| 5 | Dentists, General | Healthcare | $150K | $72.11/hr |
| 6 | Computer and Information Systems Managers | Management | $140K | $67.46/hr |
| 7 | Pharmacists | Healthcare | $138K | $66.49/hr |
| 8 | Optometrists | Healthcare | $133K | $63.8/hr |
| 9 | Natural Sciences Managers | Management | $132K | $63.36/hr |
| 10 | Financial Managers | Management | $131K | $63.07/hr |
| 11 | Purchasing Managers | Management | $128K | $61.59/hr |
| 12 | Fundraising Managers | Management | $127K | $61.01/hr |
| 13 | Managers, All Other | Management | $126K | $60.75/hr |
| 14 | Psychologists, All Other | Science | $124K | $59.78/hr |
| 15 | Software Developers | Technology | $123K | $59.24/hr |
| 16 | Commercial Pilots | Transportation | $122K | $/hr |
| 17 | Computer Network Architects | Technology | $119K | $57.38/hr |
| 18 | Human Resources Managers | Management | $117K | $56.42/hr |
| 19 | Nurse Practitioners | Healthcare | $114K | $54.74/hr |
| 20 | Public Relations Managers | Management | $110K | $53.09/hr |
| 21 | Sales Managers | Management | $110K | $52.91/hr |
| 22 | Medical and Health Services Managers | Management | $109K | $52.63/hr |
| 23 | Physician Assistants | Healthcare | $108K | $52.11/hr |
| 24 | Therapists, All Other | Healthcare | $108K | $51.99/hr |
| 25 | Marketing Managers | Management | $107K | $51.4/hr |
Affordability snapshot: Lexington-Fayette
Cost of living vs. national average-7.1% less expensive
Studio apartment (FMR)$/mo
1-bedroom apartment (FMR)$/mo
2-bedroom apartment (FMR)$1,272/mo
3-bedroom apartment (FMR)$/mo
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After federal and state taxes