Lexington vs Louisville: Surgical Technologist Salary (2026)
Compare surgical technologist salaries between Lexington, KY and Louisville, KY. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Lexington, KY | Louisville, KY |
|---|---|---|
| Median Salary | $65,211 | $66,341▲ |
| Hourly Rate | $31.36 | $31.89▲ |
| Entry Level (P10) | $51,108▲ | $43,493 |
| 25th Percentile | $54,787▲ | $53,254 |
| 75th Percentile | $69,501 | $83,481▲ |
| Top Earner (P90) | $85,838 | $102,828▲ |
| Total Employed | 270▲ | 132 |
Verdict
Louisville, KY offers better overall compensation for surgical technologists, winning 3 out of 4 metrics compared to Lexington.
The salary gap between Lexington and Louisville is $1,130 (1.73%). Louisville's median is -2.64% compared to the US national median of $68,141.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Lexington spans $34,730,Louisville spans $59,335. Louisville has a wider pay range, suggesting more variation in pay between entry-level and experienced surgical technologists.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Louisville ($74,290 effective) pays 5.82% more than Lexington ($70,203 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Lexington if…
- ✓Larger job market (270 employed)
- ✓You prefer the Kentucky area and lifestyle
Choose Louisville if…
- ✓Higher median salary ($66,341/year)
- ✓Better top-earner potential ($102,828)
- ✓Better purchasing power (CoL-adjusted: $74,290)
- ✓You prefer the Kentucky area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, surgical technologist salaries in Lexington grew 42.9% from 2019 to 2025, compared to 29.3% growth in Louisville over the same period.
Lexington, KY
$43,310 (2019) → $61,870 (2025)
Louisville, KY
$48,679 (2024) → $62,942 (2025)
View Full Salary Data
Lexington, KY
Louisville, KY
Frequently Asked Questions
Which city pays surgical technologists more: Lexington or Louisville?
What is the hourly rate difference between Lexington and Louisville?
Should I relocate from Lexington to Louisville as a surgical technologist?
What do entry-level surgical technologists earn in Lexington vs Louisville?
Written by Jessica Thompson, BA, CST
Career Analyst
Jessica has over 10 years of experience as a surgical technologist. She specializes in orthopedic surgical procedures. Jessica works at a community hospital.
Methodology & Data Source
All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 5.40% 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 Jessica Thompson, BA, CST, a licensed surgical technologist with 10+ years of clinical experience. · View source data at BLS.gov