Medical Secretaries and Administrative Assistants Salary
The median pay for a medical secretaries and administrative assistants in Lexington-Fayette, KY is $44,450/year ($21.37/hour), per BLS data. The range runs from $35K at the entry level to $54K for experienced workers. Cost of living is below average (RPP 92.89), which stretches that salary to about $47,852 in buying power. A 2-bedroom apartment runs $1,272/month, about 42% of take-home, which is tight.
So what does $44K get you in Lexington-Fayette?
Groceries, utilities, transportation, and healthcare scaled from national averages by Lexington-Fayette’s Regional Price Parity (92.89). Rent from HUD Fair Market Rents. Taxes estimated for single filer, standard deduction. * Healthcare is the employee-paid share only (premiums + out-of-pocket). Actual costs vary by coverage type: employer-sponsored, ACA marketplace, or uninsured.
About medical secretaries and administrative assistants
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What this looks like in Lexington-Fayette
Medical secretaries and administrative assistants pay in Lexington-Fayette tracks closely to the national median, $44K locally vs. $46K nationwide, a 3% difference. The catch: housing math doesn't keep up. A 2-bedroom at the HUD median rents for $1,272/month, which is 42.4% of the median worker's take-home, past the 30% guideline most planners use. Regional Price Parity sits at 92.89 (national = 100), meaning everyday costs run about 7% cheaper here. Your dollar stretches further than the headline salary suggests. Use the affordability calculator above to model your specific situation.
Compared to nearby metros
Median pay for medical secretaries and administrative assistants in metros near Lexington-Fayette, adjusted for local cost of living.
| Metro | Median pay | COL-adjusted |
|---|---|---|
| Louisville/Jefferson County | $44K | $48K |
| Bowling Green | $38K | $42K |
| Paducah | $38K | $45K |
| Elizabethtown | $37K | $41K |
COL-adjusted = median salary ÷ (BEA Regional Price Parity ÷ 100). Expresses purchasing power in national-average dollars.
Compensation breakdown
Annual earnings by percentile, Lexington-Fayette, KY
Entry-level medical secretaries and administrative assistants (10th percentile) start around $35K. Mid-career wages sit at $44K. Top earners bring in $54K or more, a $19K spread from bottom to top.
Medical Secretaries and Administrative Assistants pay across states
Median income ranked highest to lowest, compared to the national figure
View Medical Secretaries and Administrative Assistants salary in all states
| State | Median salary | vs. national | Employment |
|---|---|---|---|
| Washington | $58K | +26% | 10,960 |
| California | $54K | +19% | 115,050 |
| Massachusetts | $50K | +9% | 22,210 |
| Oregon | $50K | +9% | 16,840 |
| Minnesota | $50K | +9% | 16,860 |
| Hawaii | $50K | +9% | 2,160 |
| District of Columbia | $49K | +7% | 1,930 |
| New Jersey | $49K | +6% | 20,980 |
| Connecticut | $49K | +6% | 6,480 |
| New Hampshire | $48K | +5% | 3,680 |
| Wisconsin | $48K | +5% | 7,760 |
| Vermont | $48K | +5% | 2,390 |
| Alaska | $48K | +4% | 2,520 |
| Maryland | $48K | +4% | 17,290 |
| New York | $48K | +4% | 57,720 |
| Nevada | $47K | +2% | 7,030 |
| Maine | $47K | +2% | 4,610 |
| Colorado | $47K | +2% | 11,560 |
| Rhode Island | $47K | +2% | 2,350 |
| Illinois | $47K | +2% | 27,560 |
| Virginia | $46K | +1% | 27,600 |
| Nebraska | $46K | +0% | 4,110 |
| Arizona | $46K | -0% | 18,090 |
| South Dakota | $46K | -0% | 80 |
| North Dakota | $45K | -1% | 1,120 |
| Pennsylvania | $45K | -2% | 27,600 |
| Idaho | $45K | -2% | 5,120 |
| Delaware | $45K | -3% | 4,510 |
| Wyoming | $44K | -3% | 1,110 |
| Utah | $44K | -3% | 5,260 |
| Ohio | $44K | -4% | 29,110 |
| New Mexico | $44K | -4% | 4,590 |
| North Carolina | $44K | -4% | 56,840 |
| Indiana | $44K | -4% | 21,180 |
| Missouri | $44K | -4% | 12,260 |
| Montana | $44K | -5% | 4,410 |
| Georgia | $43K | -6% | 39,380 |
| Kansas | $43K | -6% | 6,470 |
| Texas | $43K | -7% | 78,740 |
| Florida | $42K | -9% | 96,000 |
| Michigan | $41K | -11% | 27,960 |
| Iowa | $41K | -11% | 10,560 |
| South Carolina | $40K | -13% | 15,630 |
| Tennessee | $40K | -13% | 41,810 |
| Kentucky | $39K | -16% | 26,430 |
| West Virginia | $38K | -16% | 1,550 |
| Oklahoma | $38K | -17% | 8,430 |
| Arkansas | $37K | -19% | 2,190 |
| Alabama | $37K | -20% | 16,580 |
| Louisiana | $37K | -20% | 2,970 |
| Mississippi | $36K | -21% | N/A |
Showing 1–10 of 51 (all 50 states + DC)
Track medical secretaries and administrative assistants salary changes
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Frequently asked questions
Can a medical secretaries and administrative assistant afford a 2BR apartment alone in Lexington-Fayette?
It’s a stretch — at the median salary of $44K, rent takes 42.4% of take-home pay. A 2-bedroom at the HUD Fair Market Rent runs $1,272/month. The 30% guideline puts the comfortable ceiling at roughly $900/month in rent — so roommates or a 1-bedroom would ease the math significantly.
What’s the entry-level salary for medical secretaries and administrative assistants in Lexington-Fayette?
The 10th-percentile wage — what new medical secretaries and administrative assistants typically earn — is $35K/year. Take-home on that works out to about $2,119/month. At HUD’s $1,272/month FMR, rent would take 60% of that take-home — above the 30% guideline, so a 1-bedroom or shared housing is likely necessary starting out.
Is medical secretaries and administrative assistant a high-paying job in Lexington-Fayette?
Pay here is roughly in line with the national average — $44K locally vs. $46K nationally, a 3% difference.
How does Lexington-Fayette compare to the national average for medical secretaries and administrative assistants?
Lexington-Fayette pays $44K median vs. the U.S. average of $46K — that’s -3%. After adjusting for local cost of living (RPP 92.89), the purchasing-power equivalent is $48K — still ahead of the national median.
How much do medical secretaries and administrative assistants make in Lexington-Fayette, KY?
The median is $44,450 a year, that works out to about $21 an hour. But the range is wide: entry-level workers start around $35,310, and experienced medical secretaries and administrative assistants can clear $54,450. These are BLS numbers, based on employer-reported data, not self-reported surveys.
Is $44K enough to live in Lexington-Fayette?
On that salary, you'd take home roughly $2,998/month after taxes. A 2-bedroom here rents for about $1,272/month, which eats 42.4% of your paycheck. That's above the 30% rule of thumb, housing will be a stretch at the median salary, though you can manage with roommates or a smaller place.
How far does a medical secretaries and administrative assistants salary go in Lexington-Fayette?
Lexington-Fayette has a Regional Price Parity of 92.89 (100 is the national average). That's below average, your money stretches further here than the raw salary number suggests. After cost-of-living adjustment, the median medical secretaries and administrative assistants salary is worth about $47,852 in national-average purchasing power.
Where do medical secretaries and administrative assistants get paid the most?
The table above ranks every state by median pay for this role. Keep in mind that the highest-paying states tend to have the highest costs of living, so the top salary doesn't always mean the most money in your pocket.
