Nurse Anesthetists (CRNA) Salary

Louisville/Jefferson County vs Lexington: Nurse Anesthetist Salary (2026)

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

Louisville/Jefferson County, KY
$234,091
$112.54/hr
Lexington, KY
$255,320
$122.75/hr

Side-by-Side Comparison

MetricLouisville/Jefferson County, KYLexington, KY
Median Salary$234,091$255,320
Hourly Rate$112.54$122.75
Entry Level (P10)$222,814$217,848
25th Percentile$222,814$218,511
75th Percentile$234,102$285,650
Top Earner (P90)$326,625$285,650
Total Employed710270
Side-by-side bar chart comparing Louisville/Jefferson County ($234,091) and Lexington ($255,320) nurse anesthetist salaries.Louisville/Jefferson CountyLexingtonMedian Salary$234,091$255,320Entry Level (P10)$222,814$217,848Top Earner (P90)$326,625$285,650US Median $248,893

Verdict

Louisville/Jefferson County and Lexington are closely matched on overall nurse anesthetist compensation, each winning on different metrics.

The salary gap between Louisville/Jefferson County and Lexington is $21,229 (9.07%). 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 Louisville/Jefferson County spans $103,811,Lexington spans $67,802. Louisville/Jefferson County has a wider pay range, meaning more potential for high earners but also more variation.

Louisville/Jefferson County
P10 (Entry)$222,814
P25$222,814
Median$234,091
P75$234,102
P90 (Top)$326,625
Lexington
P10 (Entry)$217,848
P25$218,511
Median$255,320
P75$285,650
P90 (Top)$285,650

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Lexington ($274,866 effective) pays 9.29% more than Louisville/Jefferson County ($251,511 effective).

Louisville/Jefferson County
Nominal: $234,091
CoL Index: 93.074
Adjusted: $251,511
Lexington
Nominal: $255,320
CoL Index: 92.889
Adjusted: $274,866

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

Which City Is Right for You?

Choose Louisville/Jefferson County if…

  • Better top-earner potential ($326,625)
  • Larger job market (710 employed)
  • You prefer the Kentucky area and lifestyle

Choose Lexington if…

  • Higher median salary ($255,320/year)
  • Better purchasing power (CoL-adjusted: $274,866)
  • You prefer the Kentucky area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse anesthetist salaries in Louisville/Jefferson County grew 49.5% from 2019 to 2025, compared to 44.1% growth in Lexington over the same period.

Louisville/Jefferson County, KY

+49.5%

$148,810 (2019) → $222,520 (2025)

Lexington, KY

+44.1%

$168,480 (2019) → $242,700 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse anesthetists more: Louisville/Jefferson County or Lexington?

Lexington has a higher median nurse anesthetist salary at $255,320/year, compared to Louisville/Jefferson County at $234,091/year — a difference of $21,229 (9.07%).

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

Louisville/Jefferson County nurse anesthetists earn $112.54/hr while Lexington hygienists earn $122.75/hr (2026 est.).

Should I relocate from Louisville/Jefferson County to Lexington as a nurse anesthetist?

Consider more than just salary when comparing Louisville/Jefferson County and Lexington. Factor in cost of living (CoL-adjusted: Louisville/Jefferson County = $251,511, Lexington = $274,866), job availability (710 vs 270 employed), commute, and career growth potential.

What do entry-level nurse anesthetists earn in Louisville/Jefferson County vs Lexington?

Entry-level (10th percentile) nurse anesthetists earn $222,814 in Louisville/Jefferson County and $217,848 in Lexington. The Louisville/Jefferson County 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