Medical Secretaries and Administrative Assistants Salary in Kentucky
Medical secretaries and administrative assistants in Kentucky earned a median of $38,750 a year ($18.63 an hour) and a mean of $40,880 in May 2025. The median is 15.6% below the U.S. median of $45,930, ranking 45th of 54 states and territories, according to the Bureau of Labor Statistics.
- Median annual
- $38,750
- Median hourly
- $18.63
- Mean annual
- $40,880
- Jobs on record
- 26,430
Grey needle: U.S. median, $45,930 a year.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, state file, May 2025. Wage and salary jobs only; the self-employed are not counted. OEWS pay excludes overtime, shift differentials and non-production bonuses. Confirm any figure on bls.gov/oes. Latest BLS release: May 2025, published May 15, 2026; checked November 10, 2026.
How does Kentucky compare on pay for medical secretaries and administrative assistants?
Kentucky ranks 45th of 54 states and territories. Washington is highest at $58,100, $19,350 more than the Kentucky median.
| State | Rank | Median | Against U.S. | Jobs |
|---|---|---|---|---|
| South Carolina | 43 | $40,170 | -13% | 15,630 |
| Tennessee | 44 | $39,940 | -13% | 41,810 |
| Kentucky | 45 | $38,750 | -16% | 26,430 |
| West Virginia | 46 | $38,430 | -16% | 1,550 |
| Oklahoma | 47 | $38,330 | -17% | 8,430 |
Source: BLS OEWS state file, May 2025. Rank 1 is the highest median among 54 states and territories with a published figure. See every state.
Does Kentucky pay go further after prices?
Prices in Kentucky run 9.8% below the U.S. average, so the $38,750 median buys about what $42,980 buys at average U.S. prices, below the $45,930 U.S. median. On this measure Kentucky ranks 43rd of 51, up from 45th before the adjustment.
Source: BLS OEWS state file, May 2025; BEA Regional Price Parities, 2024. The adjustment divides pay by the state's price level.
Which areas in Kentucky pay medical secretaries and administrative assistants the most?
Lexington-Fayette, KY is highest at $44,450, 14.7% above the Kentucky median.
| Area | Median | Jobs |
|---|---|---|
| Lexington-Fayette, KY | $44,450 | 4,600 |
| Louisville/Jefferson County, KY-IN | $44,430 | 7,910 |
| Paducah, KY-IL | $38,340 | 810 |
| Bowling Green, KY | $37,940 | 1,040 |
| Owensboro, KY | $37,070 | 520 |
| Elizabethtown, KY | $36,920 | 520 |
| Central Kentucky nonmetropolitan area | $36,720 | 2,110 |
| South Central Kentucky nonmetropolitan area | $36,690 | 2,540 |
| West Kentucky nonmetropolitan area | $36,360 | 1,360 |
| East Kentucky nonmetropolitan area | $35,300 | 2,020 |
Source: BLS OEWS metropolitan and nonmetropolitan area file, May 2025. Every area BLS lists for this job in Kentucky is shown; an area that crosses state lines is listed under the first state in its BLS title.
How many medical secretaries and administrative assistants work in Kentucky?
BLS counts 26,430 jobs in Kentucky, 2.7% of the 961,610 in the U.S. That is the 13th largest count among the 53 states and territories with a published figure. That is 13.2 of every 1,000 jobs in Kentucky, a location quotient of 2.14: the occupation's share of local jobs is 2.14 times its national share, so it is more concentrated here than in the U.S. as a whole.
Source: BLS OEWS state file, May 2025 and national file.
Related jobs in Kentucky
Related occupations from O*NET; pay from BLS OEWS state file, May 2025.