KY · Lexington · Updated October 15, 2026

Speech-Language Pathologist jobs in Lexington, KY

Speech-Language Pathologists in the Lexington area earn a median of $40.76 per hour, about $84,780 a year, and the middle half of them earn between $34.12 and $48.53. That ranks 188th of 362 U.S. metro areas for speech-language pathologist pay, and 169th of 328 once local prices are factored in. 1 open role with published pay is listed for Lexington. Tell us your role and we email current openings near Lexington.

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Speech-Language Pathologist pay in Lexington, KY

The metro median is 2% above the Kentucky statewide median of $39.86 per hour. Nationally the median is $45.87 per hour. BLS counts about 330 speech-language pathologists employed in the Lexington-Fayette metro area, 1.2 per 1,000 jobs. Employment is about as concentrated here than in the country as a whole (location quotient 1.00).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$31.36$65,23032% below U.S. median
Lower quartile$34.12$70,97026% below U.S. median
Median$40.76$84,78011% below U.S. median
Upper quartile$48.53$100,9406% above U.S. median
Top 10%$51.98$108,12013% above U.S. median

How Lexington ranks

  • 188th of 362 U.S. metro areas by median hourly pay
  • 169th of 328 after adjusting for local prices
  • 2nd of 6 Kentucky metro areas

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Speech-Language Pathologists (SOC 29-1127), 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 $40.76 median hour buys what $43.88 buys at the national price level, 4% 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$1,467
  • Per year: $73,368
  • Per month: $6,114

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

ItemFederal 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 speech-language pathologist 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 speech-language pathologists.

HospitalTypeOwnershipCMS ratingEmergency
Baptist Health Lexington
Lexington, KY
Acute careNonprofit4 of 5Yes
University Of Kentucky Hospital
Lexington, KY
Acute careGovernment and federal4 of 5Yes
Lexington Va Medical Center
Lexington, KY
Acute Care - Veterans AdministrationGovernment and federal3 of 5Yes
Saint Joseph Hospital
Lexington, KY
Acute careNonprofit3 of 5Yes
Saint Joseph East
Lexington, KY
Acute careNonprofit2 of 5Yes
Eastern State Hospital
Lexington, KY
PsychiatricNonprofitNot ratedNo
The Ridge Behavioral Health System
Lexington, KY
PsychiatricFor-profitNot ratedNo

Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.

Speech-Language Pathologist pay in nearby cities

CityDistanceMedian payPopulation
Louisville, KY65 mi$47.17/hr640,796
Jeffersonville, IN70 mi$47.17/hr52,912
Cincinnati, OH76 mi$44.59/hr314,915
Hamilton, OH94 mi$44.59/hr63,953
Middletown, OH101 mi$44.59/hr52,291
Columbus, IN113 mi$40.55/hr51,970

Speech-Language Pathologist jobs in Kentucky · Speech-Language Pathologist jobs nationwide

License and tax basics in Kentucky

Master’s degree in speech-language pathology. 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.

Kentucky state guide

Other healthcare roles in Lexington

Lexington city guide: hospitals, employers and licensing

Common questions

How much do speech-language pathologists make in Lexington, KY?

Speech-Language Pathologists in the Lexington-Fayette metro area have a median pay of $40.76 per hour, about $84,780 a year. The middle half earn between $34.12 and $48.53 per hour (BLS, May 2024).

Is Lexington a good place for speech-language pathologists once cost of living is counted?

Lexington-Fayette ranks 169th of 328 metro areas for speech-language pathologist pay after adjusting for local prices, and 188th of 362 before adjusting. Overall prices run 7% below the U.S. average.

Who is hiring speech-language pathologists 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 a speech-language pathologist?

Master’s degree in speech-language pathology. 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 speech-language pathologists 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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Pay report · SLP near Lexington, KY
Valorem Health Shift ReportFrom your recruiting team · [email protected]

Your SLP pay reportTop-paying hospitals shown · your Kentucky list by name comes with the full report

1Pay for your role at other hospitals

  • CommonSpirit HealthFlorence, KY · 2 postings$46.49/ hr$36–$57
  • AmedisysButler, GA · 3 postings$73.50/ hr$49–$85
  • BrightSpring Health ServicesESCONDIDO, CA · 7 postings$62.50/ hr$60–$65
  • CommonSpirit HealthOXNARD, CA · 5 postings$61.91/ hr$50–$77

Median posted pay per hour, with the range each employer published. Request your Kentucky list

2What they are offering now

Low$36Median$49.00High$62

203 SLP postings with published pay in the US, 154 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 2 SLP roles

  1. Speech Language PathologistPer diem
    $38.34–$57.03/ hour
    CommonSpirit Health · Florence, KY · posted 30+ days ago
  2. Speech Language PathologistPer diem
    $36.42–$54.17/ hour
    CommonSpirit Health · Lexington, KY · posted 30+ days ago

Each one has pay, shift and start date.

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