KY · Lexington · Updated October 15, 2026

Utilization Review Nurse jobs in Lexington, KY

The median utilization review nurse pay in the Lexington area is $39.80 per hour ($82,780 a year), with the typical range running from $33.72 to $43.03. That ranks 177th of 379 U.S. metro areas for utilization review nurse pay, and 166th of 335 once local prices are factored in. The CMS hospital directory lists 7 hospitals in Lexington. Tell us your role and we email current openings near Lexington.

Utilization Review Nurse pay in Lexington, KY

The metro median is 4% above the Kentucky statewide median of $38.42 per hour. Nationally the median is $45.00 per hour. BLS counts about 8,110 registered nurses employed in the Lexington-Fayette metro area, 28.7 per 1,000 jobs. Employment is more concentrated here than in the country as a whole (location quotient 1.35).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$32.38$67,35028% below U.S. median
Lower quartile$33.72$70,14025% below U.S. median
Median$39.80$82,78012% below U.S. median
Upper quartile$43.03$89,5004% below U.S. median
Top 10%$50.91$105,89013% above U.S. median

How Lexington ranks

  • 177th of 379 U.S. metro areas by median hourly pay
  • 166th of 335 after adjusting for local prices
  • 1st of 6 Kentucky metro areas

BLS does not publish a separate figure for utilization review nurse. These numbers are for the broader category it belongs to, Registered Nurses.

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Registered Nurses (SOC 29-1141), 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 $39.80 median hour buys what $42.85 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.

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Estimate your Lexington paycheck

Estimated weekly gross$1,433
  • Per year: $71,640
  • Per month: $5,970

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.

Hospitals in Lexington

CMS lists 7 hospitals in Lexington.

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.

Utilization Review Nurse pay in nearby cities

CityDistanceMedian payPopulation
Louisville, KY65 mi$39.04/hr640,796
Jeffersonville, IN70 mi$39.04/hr52,912
Cincinnati, OH76 mi$39.32/hr314,915
Hamilton, OH94 mi$39.32/hr63,953
Middletown, OH101 mi$39.32/hr52,291
Columbus, IN113 mi$36.62/hr51,970

Utilization Review Nurse jobs in Kentucky · Utilization Review Nurse jobs nationwide

What employers ask for, and tax basics in Kentucky

Utilization review nurses assess admissions and services for medical necessity and coordinate with payers.

  • Active RN license
  • Clinical experience in acute care
  • InterQual or MCG experience

Kentucky taxes wage income. Use your own rates in the take-home pay calculator.

Kentucky state guide · Nurse Licensure Compact guide

Other healthcare roles in Lexington

Lexington city guide: hospitals, employers and licensing

Common questions

How much do utilization review nurses make in Lexington, KY?

Utilization Review Nurses in the Lexington-Fayette metro area have a median pay of $39.80 per hour, about $82,780 a year. The middle half earn between $33.72 and $43.03 per hour (BLS, May 2024).

Is Lexington a good place for utilization review nurses once cost of living is counted?

Lexington-Fayette ranks 166th of 335 metro areas for utilization review nurse pay after adjusting for local prices, and 177th of 379 before adjusting. Overall prices run 7% below the U.S. average.

Where do utilization review nurses work in Lexington?

CMS lists 7 hospitals in Lexington, led by Baptist Health Lexington. Ask for the free report to see current openings and pay.

Do I need a Kentucky license to work in Lexington as an utilization review nurse?

Kentucky is in the Nurse Licensure Compact, so an RN or LPN/LVN with a multistate license from another compact state can work here without a new license. Nurses whose home state is not in the compact apply for a Kentucky license by endorsement. Confirm with the board before you accept a role.

Does Valorem Health place utilization review nurses 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 · UR Nurse near Lexington, KY
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Your UR Nurse pay reportTop-paying hospitals shown · your Kentucky list by name comes with the full report

1Pay for your role at other hospitals

  • Emanate HealthCovina, CA · 1 posting$66.34/ hr$52–$81
  • Veterans Health AdministrationPhiladelphia, PA · 1 posting$56.65/ hr$39–$74
  • MaineGeneral HealthAugusta, ME · 1 posting$53.62/ hr$39–$68
  • Trinity HealthConnecticut · 1 posting$48.05/ hr$36–$60

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

2What they are offering now

Low$36Median$45.44High$66

11 UR Nurse postings with published pay in the US, 10 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

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Open UR Nurse roles near Lexington, KY, each with pay, shift and start date, arrive with your report.

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