PermanentPosted yesterday
Occupational Therapist
CommonSpirit Health · Lexington, KY
$32.30–$48.05/ hour
New this week
Occupational Therapist jobs in Lexington, KY
Occupational Therapists in the Lexington area earn a median of $41.90 per hour, about $87,160 a year, and the middle half of them earn between $37.47 and $48.85. That ranks 252nd of 354 U.S. metro areas for occupational therapist pay, and 233rd of 327 once local prices are factored in. 1 open role with published pay is listed for Lexington. The free report below lists employers near Lexington and what they pay.
- $41.90median pay per hour, Lexington
- $37–$49typical range per hour
- 290occupational therapists employed in the metro area
- 1open roles with published pay
Open Occupational Therapist roles in Lexington
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15+ more Occupational Therapist roles for you in Lexington, KY
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Named employers near Lexington, what they pay and the roles open now. Free for candidates, email only.
Get my free pay reportOccupational Therapist pay in Lexington, KY
The metro median is 4% below the Kentucky statewide median of $43.87 per hour. Nationally the median is $47.28 per hour. BLS counts about 290 occupational therapists employed in the Lexington-Fayette metro area, 1.0 per 1,000 jobs. Employment is more concentrated here than in the country as a whole (location quotient 1.06).
| Level | Per hour | Per year | Compared with U.S. |
|---|---|---|---|
| Lowest 10% | $31.45 | $65,420 | 33% below U.S. median |
| Lower quartile | $37.47 | $77,940 | 21% below U.S. median |
| Median | $41.90 | $87,160 | 11% below U.S. median |
| Upper quartile | $48.85 | $101,610 | 3% above U.S. median |
| Top 10% | $52.03 | $108,220 | 10% above U.S. median |
How Lexington ranks
- 252nd of 354 U.S. metro areas by median hourly pay
- 233rd of 327 after adjusting for local prices
- 4th of 6 Kentucky metro areas
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Occupational Therapists (SOC 29-1122), all industries. This is what employers report paying, not an offer for a specific role.
What your pay buys in Lexington
- Overall prices in Lexington-Fayette run 7% below the U.S. average (index 92.9, U.S. = 100).
- Housing is the biggest driver: 23% below the U.S. average (index 77.1).
- Adjusted for local prices, a $41.90 median hour buys what $45.11 buys at the national price level, 5% below the national median.
Source: U.S. Bureau of Economic Analysis, Regional Price Parities by metropolitan area, 2024. Prices are for the metro area, not for a single neighborhood.
Estimate your Lexington paycheck
Estimated weekly gross$1,508
- Per year: $75,420
- Per month: $6,285
Gross pay before taxes and benefits, from BLS pay levels for the Lexington-Fayette metro area. For take-home pay use the take-home pay calculator.
Travel assignment per diem in Lexington
| Item | Federal rate |
|---|---|
| Lodging per night | $118 |
| Meals and incidentals per day | $80 |
| Per week (7 nights, 7 days) | $1,386 |
| 13-week assignment | $18,018 |
Travel occupational therapist assignments commonly pay housing and meals stipends. The GSA per diem is the federal benchmark for what those stipends can be tax-free. Whether a stipend is tax-free for you depends on keeping a valid tax home, so confirm with your recruiter and a tax professional. Compare with your offer in the travel pay calculator.
Source: U.S. General Services Administration per diem rates, fiscal year 2026 (average across months).
Hospitals in Lexington
CMS lists 7 hospitals in Lexington, 2 of the 5 rated ones with 4 or 5 stars. Hospitals are a major employer of occupational therapists.
| Hospital | Type | Ownership | CMS rating | Emergency |
|---|---|---|---|---|
| Baptist Health Lexington Lexington, KY | Acute care | Nonprofit | 4 of 5 | Yes |
| University Of Kentucky Hospital Lexington, KY | Acute care | Government and federal | 4 of 5 | Yes |
| Lexington Va Medical Center Lexington, KY | Acute Care - Veterans Administration | Government and federal | 3 of 5 | Yes |
| Saint Joseph Hospital Lexington, KY | Acute care | Nonprofit | 3 of 5 | Yes |
| Saint Joseph East Lexington, KY | Acute care | Nonprofit | 2 of 5 | Yes |
| Eastern State Hospital Lexington, KY | Psychiatric | Nonprofit | Not rated | No |
| The Ridge Behavioral Health System Lexington, KY | Psychiatric | For-profit | Not rated | No |
Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.
Occupational Therapist pay in nearby cities
| City | Distance | Median pay | Population |
|---|---|---|---|
| Louisville, KY | 65 mi | $42.32/hr | 640,796 |
| Jeffersonville, IN | 70 mi | $42.32/hr | 52,912 |
| Cincinnati, OH | 76 mi | $46.78/hr | 314,915 |
| Hamilton, OH | 94 mi | $46.78/hr | 63,953 |
| Middletown, OH | 101 mi | $46.78/hr | 52,291 |
| Columbus, IN | 113 mi | $44.66/hr | 51,970 |
Occupational Therapist jobs in Kentucky · Occupational Therapist jobs nationwide
License and tax basics in Kentucky
Master’s or doctoral degree in occupational therapy. Credentials are issued state by state, so confirm what Kentucky requires for your role with the Kentucky licensing board and with your recruiter before you commit to a start date.
Kentucky taxes wage income. Use your own rates in the take-home pay calculator.
Other healthcare roles in Lexington
Lexington city guide: hospitals, employers and licensing
Common questions
How much do occupational therapists make in Lexington, KY?
Occupational Therapists in the Lexington-Fayette metro area have a median pay of $41.90 per hour, about $87,160 a year. The middle half earn between $37.47 and $48.85 per hour (BLS, May 2024).
Is Lexington a good place for occupational therapists once cost of living is counted?
Lexington-Fayette ranks 233rd of 327 metro areas for occupational therapist pay after adjusting for local prices, and 252nd of 354 before adjusting. Overall prices run 7% below the U.S. average.
Who is hiring occupational therapists in Lexington?
We list 1 open role with published pay from 1 employer in Lexington. Your free report adds named employers and pay near Lexington.
Do I need a Kentucky license to work in Lexington as an occupational therapist?
Master’s or doctoral degree in occupational therapy. Credentials are issued state by state, so confirm what Kentucky requires for your role with the Kentucky licensing board and with your recruiter before you commit to a start date. Confirm with the board before you accept a role.
What is the per diem for a travel assignment in Lexington?
The federal per diem benchmark in Lexington is $118 a night for lodging and $80 a day for meals and incidentals, about $1,386 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.
Does Valorem Health place occupational therapists in Lexington?
Yes. We place healthcare staff in Lexington and across Kentucky. Tell us your profession and we email the roles open near Lexington.
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What do employers near Lexington pay occupational therapists? Get the report.
Tell us your role and city. Within 24 hours you get an email with three things, by employer name. It costs you nothing, because employers pay us.
- 1Pay for your role at other hospitals
The hourly pay at named employers near you, so you see who pays most.
- 2What they are offering now
The pay range and median across current postings, and how many were posted this month.
- 3Roles open for you right now
Every current opening near you with pay, shift and start date. Reply with one click.
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55+ Occupational Therapist roles in Kentucky, sent free by email
Tell us who you are and what you do. We email the report within 24 hours on business days.
Valorem Health Shift ReportFrom your recruiting team · [email protected]
Your OT pay reportTop-paying hospitals shown · your Kentucky list by name comes with the full report
1Pay for your role at other hospitals
- CommonSpirit HealthLEXINGTON, KY · 4 postings$46.30/ hr$32–$58
- AmedisysVenice, FL · 5 postings$78.48/ hr$52–$89
- Montage HealthMonterey, CA · 4 postings$67.73/ hr$54–$83
- CommonSpirit HealthNORTHRIDGE, CA · 9 postings$64.73/ hr$48–$81
Median posted pay per hour, with the range each employer published. Request your Kentucky list
2What they are offering now
Low$34Median$46.30High$58
4 OT postings with published pay in Kentucky, 3 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.
3Open now: 4 OT roles
- Occupational TherapistPermanent$32.30–$48.05/ hour
- Occupational TherapistPer diem$37.22–$55.37/ hour
+ 2 more in your report. Each one has pay, shift and start date.
I'm interestedOne click. A recruiter writes only after you reply.