Nurse Anesthetists (CRNA) Salary

Lexington vs Madisonville: Nurse Anesthetist Salary (2026)

Compare nurse anesthetist salaries between Lexington, KY and Madisonville, KY. All figures are 2026 estimates projected from BLS 2025 data.

Lexington, KY
$255,320
$122.75/hr
Madisonville, KY
$211,742
$101.80/hr

Side-by-Side Comparison

MetricLexington, KYMadisonville, KY
Median Salary$255,320$211,742
Hourly Rate$122.75$101.80
Entry Level (P10)$217,848$144,484
25th Percentile$218,511$186,775
75th Percentile$285,650$250,927
Top Earner (P90)$285,650$275,885
Total Employed2705
Side-by-side bar chart comparing Lexington ($255,320) and Madisonville ($211,742) nurse anesthetist salaries.LexingtonMadisonvilleMedian Salary$255,320$211,742Entry Level (P10)$217,848$144,484Top Earner (P90)$285,650$275,885US Median $248,893

Verdict

Lexington, KY offers better overall compensation for nurse anesthetists, winning 4 out of 4 metrics compared to Madisonville.

The salary gap between Lexington and Madisonville is $43,578 (20.58%). Lexington's median is +2.58% compared to the US national median of $248,893.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Lexington spans $67,802,Madisonville spans $131,401. Madisonville has a wider pay range, suggesting more variation in pay between entry-level and experienced nurse anesthetists.

Lexington
P10 (Entry)$217,848
P25$218,511
Median$255,320
P75$285,650
P90 (Top)$285,650
Madisonville
P10 (Entry)$144,484
P25$186,775
Median$211,742
P75$250,927
P90 (Top)$275,885

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Lexington ($274,866 effective) pays 15.92% more than Madisonville ($237,113 effective).

Lexington
Nominal: $255,320
CoL Index: 92.889
Adjusted: $274,866
Madisonville
Nominal: $211,742
CoL Index: 89.3
Adjusted: $237,113

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

Which City Is Right for You?

Choose Lexington if…

  • Higher median salary ($255,320/year)
  • Better top-earner potential ($285,650)
  • Larger job market (270 employed)
  • Better purchasing power (CoL-adjusted: $274,866)
  • You prefer the Kentucky area and lifestyle

Choose Madisonville if…

  • You prefer the Kentucky area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse anesthetist salaries in Lexington grew 44.1% from 2019 to 2025, compared to 13.7% growth in Madisonville over the same period.

Lexington, KY

+44.1%

$168,480 (2019) → $242,700 (2025)

Madisonville, KY

+13.7%

$176,953 (2024) → $201,276 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse anesthetists more: Lexington or Madisonville?

Lexington has a higher median nurse anesthetist salary at $255,320/year, compared to Madisonville at $211,742/year — a difference of $43,578 (20.58%).

What is the hourly rate difference between Lexington and Madisonville?

Lexington nurse anesthetists earn $122.75/hr while Madisonville hygienists earn $101.80/hr (2026 est.).

Should I relocate from Lexington to Madisonville as a nurse anesthetist?

Consider more than just salary when comparing Lexington and Madisonville. Factor in cost of living (CoL-adjusted: Lexington = $274,866, Madisonville = $237,113), job availability (270 vs 5 employed), commute, and career growth potential.

What do entry-level nurse anesthetists earn in Lexington vs Madisonville?

Entry-level (10th percentile) nurse anesthetists earn $217,848 in Lexington and $144,484 in Madisonville. The Lexington area offers higher starting salaries.

Related Comparisons

AJ

Written by Alexandra Johnson, MSN, CRNA

Career Analyst

Alexandra Johnson has 10 years of experience as a nurse anesthetist. She specializes in anesthesia for orthopedic surgeries. She works in a regional medical center.

Clinically reviewed by Michael Lee, DNP, CRNAData verified by Fatima Ahmad, MSN, CRNA

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 5.20% 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 Alexandra Johnson, MSN, CRNA, a licensed nurse anesthetist with 10+ years of clinical experience. · View source data at BLS.gov