Nurse Practitioner Pay

Florence vs Lexington: Nurse Practitioner Salary (2026)

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

Florence, KY
$126,071
$60.61/hr
Lexington, KY
$127,316
$61.21/hr

Side-by-Side Comparison

MetricFlorence, KYLexington, KY
Median Salary$126,071$127,316
Hourly Rate$60.61$61.21
Entry Level (P10)$99,314$105,560
25th Percentile$113,024$112,419
75th Percentile$145,367$135,851
Top Earner (P90)$157,534$181,658
Total Employed7540
Side-by-side bar chart comparing Florence ($126,071) and Lexington ($127,316) nurse practitioner salaries.FlorenceLexingtonMedian Salary$126,071$127,316Entry Level (P10)$99,314$105,560Top Earner (P90)$157,534$181,658US Median $136,864

Verdict

Lexington, KY offers better overall compensation for nurse practitioners, winning 4 out of 4 metrics compared to Florence.

The salary gap between Florence and Lexington is $1,245 (0.99%). Lexington's median is -6.98% compared to the US national median of $136,864.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Florence spans $58,220,Lexington spans $76,098. Lexington has a wider pay range, suggesting more variation in pay between entry-level and experienced nurse practitioners.

Florence
P10 (Entry)$99,314
P25$113,024
Median$126,071
P75$145,367
P90 (Top)$157,534
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, Florence ($141,177 effective) pays 3.00% more than Lexington ($137,063 effective).

Florence
Nominal: $126,071
CoL Index: 89.3
Adjusted: $141,177
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 Florence if…

  • Better purchasing power (CoL-adjusted: $141,177)
  • You prefer the Kentucky area and lifestyle

Choose Lexington if…

  • Higher median salary ($127,316/year)
  • 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 Florence grew 19.8% from 2024 to 2025, compared to 30.6% growth in Lexington over the same period.

Florence, KY

+19.8%

$101,762 (2024) → $121,867 (2025)

Lexington, KY

+30.6%

$94,250 (2019) → $123,070 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse practitioners more: Florence or Lexington?

Lexington has a higher median nurse practitioner salary at $127,316/year, compared to Florence at $126,071/year — a difference of $1,245 (0.99%).

What is the hourly rate difference between Florence and Lexington?

Florence nurse practitioners earn $60.61/hr while Lexington hygienists earn $61.21/hr (2026 est.).

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

Consider more than just salary when comparing Florence and Lexington. Factor in cost of living (CoL-adjusted: Florence = $141,177, Lexington = $137,063), job availability (7 vs 540 employed), commute, and career growth potential.

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

Entry-level (10th percentile) nurse practitioners earn $99,314 in Florence 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