LPN Salary

Lexington vs Madisonville: Licensed Practical Nurse Salary (2026)

Compare licensed practical nurse salaries between Lexington, KY and Madisonville, KY. All figures are 2026 estimates projected from BLS 2025 data.

Lexington, KY
$64,984
$31.24/hr
Madisonville, KY
$62,201
$29.90/hr

Side-by-Side Comparison

MetricLexington, KYMadisonville, KY
Median Salary$64,984$62,201
Hourly Rate$31.24$29.90
Entry Level (P10)$50,884$50,130
25th Percentile$60,027$57,584
75th Percentile$68,462$69,880
Top Earner (P90)$77,732$72,898
Total Employed9705
Side-by-side bar chart comparing Lexington ($64,984) and Madisonville ($62,201) licensed practical nurse salaries.LexingtonMadisonvilleMedian Salary$64,984$62,201Entry Level (P10)$50,884$50,130Top Earner (P90)$77,732$72,898US Median $68,071

Verdict

Lexington, KY offers better overall compensation for licensed practical nurses, winning 4 out of 4 metrics compared to Madisonville.

The salary gap between Lexington and Madisonville is $2,783 (4.47%). Lexington's median is -4.53% compared to the US national median of $68,071.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Lexington spans $26,848,Madisonville spans $22,768. Lexington has a wider pay range, meaning more potential for high earners but also more variation.

Lexington
P10 (Entry)$50,884
P25$60,027
Median$64,984
P75$68,462
P90 (Top)$77,732
Madisonville
P10 (Entry)$50,130
P25$57,584
Median$62,201
P75$69,880
P90 (Top)$72,898

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Lexington ($69,959 effective) pays 0.44% more than Madisonville ($69,654 effective).

Lexington
Nominal: $64,984
CoL Index: 92.889
Adjusted: $69,959
Madisonville
Nominal: $62,201
CoL Index: 89.3
Adjusted: $69,654

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Lexington if…

  • Higher median salary ($64,984/year)
  • Better top-earner potential ($77,732)
  • Larger job market (970 employed)
  • Better purchasing power (CoL-adjusted: $69,959)
  • You prefer the Kentucky area and lifestyle

Choose Madisonville if…

  • You prefer the Kentucky area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, licensed practical nurse salaries in Lexington grew 36.2% from 2019 to 2025, compared to 35.6% growth in Madisonville over the same period.

Lexington, KY

+36.2%

$45,150 (2019) → $61,480 (2025)

Madisonville, KY

+35.6%

$43,388 (2024) → $58,847 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays licensed practical nurses more: Lexington or Madisonville?

Lexington has a higher median licensed practical nurse salary at $64,984/year, compared to Madisonville at $62,201/year — a difference of $2,783 (4.47%).

What is the hourly rate difference between Lexington and Madisonville?

Lexington licensed practical nurses earn $31.24/hr while Madisonville hygienists earn $29.90/hr (2026 est.).

Should I relocate from Lexington to Madisonville as a licensed practical nurse?

Consider more than just salary when comparing Lexington and Madisonville. Factor in cost of living (CoL-adjusted: Lexington = $69,959, Madisonville = $69,654), job availability (970 vs 5 employed), commute, and career growth potential.

What do entry-level licensed practical nurses earn in Lexington vs Madisonville?

Entry-level (10th percentile) licensed practical nurses earn $50,884 in Lexington and $50,130 in Madisonville. The Lexington area offers higher starting salaries.
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Written by Aisha Malik, LPN

Career Analyst

Aisha has 10 years of experience as a licensed practical nurse. She specializes in pediatric nursing. Aisha has worked in various outpatient clinics.

Clinically reviewed by Daniel Thompson, LPNData verified by Maria Gonzalez, LPN

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 5.70% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Aisha Malik, LPN, a licensed licensed practical nurse with 10+ years of clinical experience. · View source data at BLS.gov