Updated October 15, 2026

Registered Nurse salary in Kentucky

Registered Nurses in Kentucky earn a median of $38.42 per hour, about $79,910 a year, 15% below the U.S. median of $45.00. The middle half earn between $34.83 and $45.76 per hour. The highest median among Kentucky metro areas is in Lexington-Fayette, KY, at $39.80 per hour. Source: BLS, May 2024.

Registered Nurse pay in Kentucky: percentiles

LevelKentucky per hourKentucky per yearU.S. per hour
Lowest 10%$30.38$63,190$31.75
Lower quartile$34.83$72,450$37.79
Median$38.42$79,910$45.00
Upper quartile$45.76$95,180$51.90
Top 10%$50.21$104,440$65.06

Registered Nurse pay by metro area in Kentucky

Metro areaMedian / hrMedian / yearEmployedvs Kentucky medianAfter cost of living
Lexington-Fayette, KY$39.80$82,7808,1104% above$42.85
Louisville/Jefferson County, KY-IN$39.04$81,20017,3002% above$41.95
Owensboro, KY$38.23$79,5101,660in line with$43.14
Elizabethtown, KY$38.05$79,1408601% below$42.01
Paducah, KY-IL$37.21$77,4001,6303% below$43.23
Bowling Green, KY$36.84$76,6201,6404% below$40.85

Metro areas with 30 or more workers in the BLS sample. After cost of living divides the median by the BEA regional price index (U.S. = 100).

Registered Nurse pay in states next to Kentucky

StateMedian / hrMedian / yearCompared with Kentucky
Illinois$41.54$86,4108% above Kentucky
Indiana$38.82$80,7401% above Kentucky
Missouri$38.35$79,770in line with Kentucky
Ohio$39.06$81,2502% above Kentucky
Tennessee$38.00$79,0301% below Kentucky
Virginia$42.70$88,82011% above Kentucky
West Virginia$38.46$79,990in line with Kentucky

What employers are posting in Kentucky

  • 44roles with published pay
  • $36.75median pay per hour
  • $30–$45typical published range
  • 3employers hiring
EmployerRolesMedian pay / hour
CommonSpirit Health41$36.75
Veterans Health Administration2$54.19
Department of War Education Activity1$47.95

Midpoints of pay ranges in 44 postings collected October 15, 2026. Posted pay is a different measure from the BLS survey above and can run higher or lower.

Registered Nurse jobs in Kentucky · Registered Nurse salary nationwide · Kentucky state guide · Kentucky licensing guide

Common questions

How much does a registered nurse make in Kentucky?

The median is $38.42 per hour, about $79,910 a year. The lowest 10% earn under $30.38 and the top 10% earn over $50.21 (BLS, May 2024).

Which Kentucky city pays registered nurses the most?

Among Kentucky metro areas, Lexington-Fayette, KY has the highest median at $39.80 per hour. See the metro table for the rest and for pay after cost of living.

Where does Kentucky rank for registered nurse pay?

Kentucky ranks 39th of 50 states by median registered nurse pay.

Is this the same as the pay in job postings?

No. BLS figures come from a survey of employers and cover all workers in the occupation. Posted pay is the range an employer lists on one open role. Both are useful: use the survey for the market and the posting for a specific job.

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Your RN pay reportKentucky · pay published by employers and employer-reported wage offers in federal filings

1Pay for your role at other employers

  • Veterans Health AdministrationLexington, KY · 2 postings$54.19/ hr$38–$71
  • Insight Global, LLCCovington, KY · 2 wage offers$39.56/ hr$38–$41
  • CommonSpirit HealthLEXINGTON, KY · 41 postings$36.75/ hr$27–$56

Median pay per hour, with the range each employer published or reported in federal filings.

2What they are offering now

Low$30Median$36.75High$45

44 RN postings with published pay in Kentucky, 39 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 44 RN roles

  1. RN Home HealthPermanent
    $35.53–$52.85/ hour
    CommonSpirit Health · Lexington, KY · posted yesterday
  2. Registered Nurse - Progressive Care UnitPermanent
    $78k–$145k/ year
    Veterans Health Administration · Lexington, KY · posted 2 days ago

+ 42 more in your report. Each one has pay, shift and start date.

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