Medical Assistant Pay

Louisville/Jefferson County vs Nicholasville: Medical Assistant Salary (2026)

Compare medical assistant salaries between Louisville/Jefferson County, KY and Nicholasville, KY. All figures are 2026 estimates projected from BLS 2025 data.

Louisville/Jefferson County, KY
$46,659
$22.43/hr
Nicholasville, KY
$40,644
$19.55/hr

Side-by-Side Comparison

MetricLouisville/Jefferson County, KYNicholasville, KY
Median Salary$46,659$40,644
Hourly Rate$22.43$19.55
Entry Level (P10)$39,133$32,522
25th Percentile$40,403$34,080
75th Percentile$49,777$42,271
Top Earner (P90)$52,422$49,396
Total Employed4,1406
Side-by-side bar chart comparing Louisville/Jefferson County ($46,659) and Nicholasville ($40,644) medical assistant salaries.Louisville/Jefferson CountyNicholasvilleMedian Salary$46,659$40,644Entry Level (P10)$39,133$32,522Top Earner (P90)$52,422$49,396US Median $47,961

Verdict

Louisville/Jefferson County, KY offers better overall compensation for medical assistants, winning 4 out of 4 metrics compared to Nicholasville.

The salary gap between Louisville/Jefferson County and Nicholasville is $6,015 (14.80%). Louisville/Jefferson County's median is -2.71% compared to the US national median of $47,961.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Louisville/Jefferson County spans $13,289,Nicholasville spans $16,874. Nicholasville has a wider pay range, suggesting more variation in pay between entry-level and experienced medical assistants.

Louisville/Jefferson County
P10 (Entry)$39,133
P25$40,403
Median$46,659
P75$49,777
P90 (Top)$52,422
Nicholasville
P10 (Entry)$32,522
P25$34,080
Median$40,644
P75$42,271
P90 (Top)$49,396

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Louisville/Jefferson County ($50,131 effective) pays 10.14% more than Nicholasville ($45,514 effective).

Louisville/Jefferson County
Nominal: $46,659
CoL Index: 93.074
Adjusted: $50,131
Nicholasville
Nominal: $40,644
CoL Index: 89.3
Adjusted: $45,514

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Louisville/Jefferson County if…

  • Higher median salary ($46,659/year)
  • Better top-earner potential ($52,422)
  • Larger job market (4,140 employed)
  • Better purchasing power (CoL-adjusted: $50,131)
  • You prefer the Kentucky area and lifestyle

Choose Nicholasville if…

  • You prefer the Kentucky area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical assistant salaries in Louisville/Jefferson County grew 27.6% from 2019 to 2025, compared to 19.0% growth in Nicholasville over the same period.

Louisville/Jefferson County, KY

+27.6%

$34,830 (2019) → $44,450 (2025)

Nicholasville, KY

+19.0%

$32,541 (2024) → $38,720 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical assistants more: Louisville/Jefferson County or Nicholasville?

Louisville/Jefferson County has a higher median medical assistant salary at $46,659/year, compared to Nicholasville at $40,644/year — a difference of $6,015 (14.80%).

What is the hourly rate difference between Louisville/Jefferson County and Nicholasville?

Louisville/Jefferson County medical assistants earn $22.43/hr while Nicholasville hygienists earn $19.55/hr (2026 est.).

Should I relocate from Louisville/Jefferson County to Nicholasville as a medical assistant?

Consider more than just salary when comparing Louisville/Jefferson County and Nicholasville. Factor in cost of living (CoL-adjusted: Louisville/Jefferson County = $50,131, Nicholasville = $45,514), job availability (4,140 vs 6 employed), commute, and career growth potential.

What do entry-level medical assistants earn in Louisville/Jefferson County vs Nicholasville?

Entry-level (10th percentile) medical assistants earn $39,133 in Louisville/Jefferson County and $32,522 in Nicholasville. The Louisville/Jefferson County area offers higher starting salaries.
EC

Written by Emma Chen, CMA

Career Analyst

Emma has over 8 years of experience as a medical assistant. She has worked in both outpatient clinics and hospitals. Her expertise includes patient care and administrative support.

Clinically reviewed by Carlos Rodriguez, RMAData verified by Sofia Patel, CCMA

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 4.97% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Emma Chen, CMA, a licensed medical assistant with 10+ years of clinical experience. · View source data at BLS.gov