High paying jobs in Lexington-Fayette, KY

Every occupation below is ranked by its median annual wage in Lexington-Fayette, KY. The percentile range matters more than the median on its own: it shows what the bottom and top of each field actually earn, which a single average hides.

Cost of living: prices in Lexington-Fayette, KY run 7.1% below the national average (2024), so a Lexington-Fayette, KY salary is worth about 1.08× its face value in national terms. That scales every wage here by the same factor — it changes what the numbers mean, not their order.

Local wage estimates are suppressed more often than state ones — BLS withholds any figure too few local employers report — so an occupation missing here simply has no published local estimate.

Wages: BLS OEWS, May 2025 · Cost of living: BEA regional price parities, 2024

Find high paying jobs in Lexington-Fayette, KY

OccupationMedian, Lexington-Fayette, KY · Employed

1Cardiologists$558,180
Doctoral or professional degree
$75,260 – $610,380140
2Physicians, All Other$283,730
Doctoral or professional degree
$74,500 – $452,650820
3Anesthesiologists$273,190
Doctoral or professional degree
$65,180 – $453,860230
4Nurse Anesthetists$242,700
Master's degree
$207,080 – $271,530270
5Family Medicine Physicians$237,650
Doctoral or professional degree
$106,880 – $533,710210
6General Internal Medicine Physicians$180,790
Doctoral or professional degree
$65,080 – $456,710470
7Chief Executives$179,520
Bachelor's degree
$79,740 – $515,150270
8Pediatricians, General$165,300
Doctoral or professional degree
$65,160 – $338,450250
9Natural Sciences Managers$161,450
Bachelor's degree
$52,280 – $193,270100
10Architectural and Engineering Managers$161,170
Bachelor's degree
$124,990 – $200,530390
11Emergency Medicine Physicians$148,180
Doctoral or professional degree
$65,240 – $316,490160
12Computer and Information Systems Managers$144,160
Bachelor's degree
$88,460 – $223,610470
13Education Administrators, Postsecondary$137,250
Master's degree
$77,860 – $424,710200
14Pharmacists$136,530
Doctoral or professional degree
$100,260 – $161,2601,060
15Financial Managers$135,760
Bachelor's degree
$89,400 – $231,260940
16Surgeons, All Other$128,960
Doctoral or professional degree
$64,630 – $468,680330
17Purchasing Managers$128,910
Bachelor's degree
$84,760 – $197,290140
18Managers, All Other$128,870
Bachelor's degree
$59,900 – $199,570320
19Marketing Managers$127,040
Bachelor's degree
$73,510 – $203,860330
20Sales Managers$124,860
Bachelor's degree
$63,340 – $248,590950
21Industrial Production Managers$124,230
Bachelor's degree
$78,630 – $180,370830
22Administrative Services Managers$123,790
Bachelor's degree
$71,400 – $203,460460
23Software Developers$123,510
Bachelor's degree
$79,770 – $167,2701,430
24Computer Hardware Engineers$123,370
Bachelor's degree
$69,950 – $154,460100
25Nurse Practitioners$123,070
Master's degree
$102,040 – $175,600540
26Human Resources Managers$122,850
Bachelor's degree
$79,960 – $207,160270
27Dentists, General$114,990
Doctoral or professional degree
$56,060 – $164,380160
28Radiologists$112,790
Doctoral or professional degree
$66,240 – $145,130120
29Public Relations Managers$112,420
Bachelor's degree
$75,710 – $169,67090
30Physician Assistants$112,230
Master's degree
$52,010 – $187,220300
31Lawyers$111,040
Doctoral or professional degree
$64,130 – $213,6001,040
32Education Administrators, Kindergarten through Secondary$110,210
Master's degree
$75,270 – $136,690620
33Medical and Health Services Managers$109,890
Bachelor's degree
$64,960 – $202,2501,260
34Facilities Managers$109,820
Bachelor's degree
$65,690 – $181,860140
35Obstetricians and Gynecologists$109,070
Doctoral or professional degree
$65,140 – $389,320130
36Veterinarians$109,050
Doctoral or professional degree
$50,660 – $214,870330
37Training and Development Managers$108,600
Bachelor's degree
$61,580 – $188,94090
38Environmental Engineers$107,830
Bachelor's degree
$80,670 – $159,510100
39Computer Science Teachers, Postsecondary$105,690
Doctoral or professional degree
$49,590 – $176,18090
40Electronics Engineers, Except Computer$104,490
Bachelor's degree
$60,520 – $138,140140
41Computer Network Architects$103,840
Bachelor's degree
$68,830 – $172,230240
42Mechanical Engineers$103,820
Bachelor's degree
$68,490 – $139,810900
43Civil Engineers$103,090
Bachelor's degree
$67,340 – $138,270600
44Surgical Assistants$102,330
Postsecondary nondegree award
$68,530 – $168,200100
45Information Security Analysts$102,190
Bachelor's degree
$65,230 – $141,590270
46Social Workers, All Other$102,070
Bachelor's degree
$43,130 – $118,540120
47Industrial Engineers$101,000
Bachelor's degree
$71,750 – $134,7901,160
48Insurance Underwriters$100,990
Bachelor's degree
$56,620 – $100,990290
49Construction Managers$100,810
Bachelor's degree
$54,310 – $213,230590
50Management Analysts$99,190
Bachelor's degree
$57,720 – $141,010560

Bars run from the 10th to the 90th percentile; the middle half is shaded darker, and the tick is the median.

#	Occupation	MedianLexington-Fayette, KY	10th–90th percentilemiddle half shaded darker	Employed
1	CardiologistsDoctoral or professional degree	$558,180	$75,260 – $610,380	140
2	Physicians, All OtherDoctoral or professional degree	$283,730	$74,500 – $452,650	820
3	AnesthesiologistsDoctoral or professional degree	$273,190	$65,180 – $453,860	230
4	Nurse AnesthetistsMaster's degree	$242,700	$207,080 – $271,530	270
5	Family Medicine PhysiciansDoctoral or professional degree	$237,650	$106,880 – $533,710	210
6	General Internal Medicine PhysiciansDoctoral or professional degree	$180,790	$65,080 – $456,710	470
7	Chief ExecutivesBachelor's degree	$179,520	$79,740 – $515,150	270
8	Pediatricians, GeneralDoctoral or professional degree	$165,300	$65,160 – $338,450	250
9	Natural Sciences ManagersBachelor's degree	$161,450	$52,280 – $193,270	100
10	Architectural and Engineering ManagersBachelor's degree	$161,170	$124,990 – $200,530	390
11	Emergency Medicine PhysiciansDoctoral or professional degree	$148,180	$65,240 – $316,490	160
12	Computer and Information Systems ManagersBachelor's degree	$144,160	$88,460 – $223,610	470
13	Education Administrators, PostsecondaryMaster's degree	$137,250	$77,860 – $424,710	200
14	PharmacistsDoctoral or professional degree	$136,530	$100,260 – $161,260	1,060
15	Financial ManagersBachelor's degree	$135,760	$89,400 – $231,260	940
16	Surgeons, All OtherDoctoral or professional degree	$128,960	$64,630 – $468,680	330
17	Purchasing ManagersBachelor's degree	$128,910	$84,760 – $197,290	140
18	Managers, All OtherBachelor's degree	$128,870	$59,900 – $199,570	320
19	Marketing ManagersBachelor's degree	$127,040	$73,510 – $203,860	330
20	Sales ManagersBachelor's degree	$124,860	$63,340 – $248,590	950
21	Industrial Production ManagersBachelor's degree	$124,230	$78,630 – $180,370	830
22	Administrative Services ManagersBachelor's degree	$123,790	$71,400 – $203,460	460
23	Software DevelopersBachelor's degree	$123,510	$79,770 – $167,270	1,430
24	Computer Hardware EngineersBachelor's degree	$123,370	$69,950 – $154,460	100
25	Nurse PractitionersMaster's degree	$123,070	$102,040 – $175,600	540
26	Human Resources ManagersBachelor's degree	$122,850	$79,960 – $207,160	270
27	Dentists, GeneralDoctoral or professional degree	$114,990	$56,060 – $164,380	160
28	RadiologistsDoctoral or professional degree	$112,790	$66,240 – $145,130	120
29	Public Relations ManagersBachelor's degree	$112,420	$75,710 – $169,670	90
30	Physician AssistantsMaster's degree	$112,230	$52,010 – $187,220	300
31	LawyersDoctoral or professional degree	$111,040	$64,130 – $213,600	1,040
32	Education Administrators, Kindergarten through SecondaryMaster's degree	$110,210	$75,270 – $136,690	620
33	Medical and Health Services ManagersBachelor's degree	$109,890	$64,960 – $202,250	1,260
34	Facilities ManagersBachelor's degree	$109,820	$65,690 – $181,860	140
35	Obstetricians and GynecologistsDoctoral or professional degree	$109,070	$65,140 – $389,320	130
36	VeterinariansDoctoral or professional degree	$109,050	$50,660 – $214,870	330
37	Training and Development ManagersBachelor's degree	$108,600	$61,580 – $188,940	90
38	Environmental EngineersBachelor's degree	$107,830	$80,670 – $159,510	100
39	Computer Science Teachers, PostsecondaryDoctoral or professional degree	$105,690	$49,590 – $176,180	90
40	Electronics Engineers, Except ComputerBachelor's degree	$104,490	$60,520 – $138,140	140
41	Computer Network ArchitectsBachelor's degree	$103,840	$68,830 – $172,230	240
42	Mechanical EngineersBachelor's degree	$103,820	$68,490 – $139,810	900
43	Civil EngineersBachelor's degree	$103,090	$67,340 – $138,270	600
44	Surgical AssistantsPostsecondary nondegree award	$102,330	$68,530 – $168,200	100
45	Information Security AnalystsBachelor's degree	$102,190	$65,230 – $141,590	270
46	Social Workers, All OtherBachelor's degree	$102,070	$43,130 – $118,540	120
47	Industrial EngineersBachelor's degree	$101,000	$71,750 – $134,790	1,160
48	Insurance UnderwritersBachelor's degree	$100,990	$56,620 – $100,990	290
49	Construction ManagersBachelor's degree	$100,810	$54,310 – $213,230	590
50	Management AnalystsBachelor's degree	$99,190	$57,720 – $141,010	560

Ranked among the occupations common enough to employ roughly one in every three thousand workers in Lexington-Fayette, KY. The rarer ones are real jobs — but a 1,190-person occupation at the top of a list answers a different question than the one most readers are asking.

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The same fields, narrowed to what you can enter without one. Fields missing here have too few such occupations in Lexington-Fayette, KY to rank honestly.

High paying jobs in Lexington-Fayette, KY

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