Nurse Practitioner Pay

Ashland vs Lexington: Nurse Practitioner Salary (2026)

Compare nurse practitioner salaries between Ashland, KY and Lexington, KY. All figures are 2026 estimates projected from BLS 2025 data.

Ashland, KY
$131,686
$63.31/hr
Lexington, KY
$127,316
$61.21/hr

Side-by-Side Comparison

MetricAshland, KYLexington, KY
Median Salary$131,686$127,316
Hourly Rate$63.31$61.21
Entry Level (P10)$104,341$105,560
25th Percentile$118,375$112,419
75th Percentile$150,810$135,851
Top Earner (P90)$161,619$181,658
Total Employed4540
Side-by-side bar chart comparing Ashland ($131,686) and Lexington ($127,316) nurse practitioner salaries.AshlandLexingtonMedian Salary$131,686$127,316Entry Level (P10)$104,341$105,560Top Earner (P90)$161,619$181,658US Median $136,864

Verdict

Ashland and Lexington are closely matched on overall nurse practitioner compensation, each winning on different metrics.

The salary gap between Ashland and Lexington is $4,370 (3.43%). Ashland's median is -3.78% compared to the US national median of $136,864.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Ashland spans $57,278,Lexington spans $76,098. Lexington has a wider pay range, suggesting more variation in pay between entry-level and experienced nurse practitioners.

Ashland
P10 (Entry)$104,341
P25$118,375
Median$131,686
P75$150,810
P90 (Top)$161,619
Lexington
P10 (Entry)$105,560
P25$112,419
Median$127,316
P75$135,851
P90 (Top)$181,658

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Ashland ($147,465 effective) pays 7.59% more than Lexington ($137,063 effective).

Ashland
Nominal: $131,686
CoL Index: 89.3
Adjusted: $147,465
Lexington
Nominal: $127,316
CoL Index: 92.889
Adjusted: $137,063

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

Which City Is Right for You?

Choose Ashland if…

  • Higher median salary ($131,686/year)
  • Better purchasing power (CoL-adjusted: $147,465)
  • You prefer the Kentucky area and lifestyle

Choose Lexington if…

  • Better top-earner potential ($181,658)
  • Larger job market (540 employed)
  • You prefer the Kentucky area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse practitioner salaries in Ashland grew 30.3% from 2024 to 2025, compared to 30.6% growth in Lexington over the same period.

Ashland, KY

+30.3%

$97,696 (2024) → $127,294 (2025)

Lexington, KY

+30.6%

$94,250 (2019) → $123,070 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse practitioners more: Ashland or Lexington?

Ashland has a higher median nurse practitioner salary at $131,686/year, compared to Lexington at $127,316/year — a difference of $4,370 (3.43%).

What is the hourly rate difference between Ashland and Lexington?

Ashland nurse practitioners earn $63.31/hr while Lexington hygienists earn $61.21/hr (2026 est.).

Should I relocate from Ashland to Lexington as a nurse practitioner?

Consider more than just salary when comparing Ashland and Lexington. Factor in cost of living (CoL-adjusted: Ashland = $147,465, Lexington = $137,063), job availability (4 vs 540 employed), commute, and career growth potential.

What do entry-level nurse practitioners earn in Ashland vs Lexington?

Entry-level (10th percentile) nurse practitioners earn $104,341 in Ashland and $105,560 in Lexington. The Lexington area offers higher starting salaries.
MG

Written by Maria Gonzalez, MSN, NP-C

Career Analyst

Maria has 10 years of experience in adult healthcare. She works in a community health clinic. Her specialty is chronic disease management.

Clinically reviewed by James Patel, DNP, APRNData verified by Aisha Khan, MSN, FNP-BC

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.45% 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 Maria Gonzalez, MSN, NP-C, a licensed nurse practitioner with 10+ years of clinical experience. · View source data at BLS.gov