BLS metro-level wage data places Medical Secretaries and Administrative Assistants pay in Lexington-Fayette, KY at a median of $44,450 per year ($21.37/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $45,930, Lexington-Fayette pays 3% below, which typically tracks with a lower local cost of living or smaller specialized-employer cluster. Approximately 4,600 medical secretaries and administrative assistantss are employed across the Lexington-Fayette MSA in SOC 43-6013.

The Lexington-Fayette pay distribution spans from $35,310 at the 10th percentile to $54,450 at the 90th — a 1.5× spread that reflects experience tenure, specialization, employer size, and the difference between public-sector, nonprofit, and private-sector compensation inside the metro. The 25th percentile sits at $37,810 and the 75th at $46,960, so half of Lexington-Fayette-based medical secretaries and administrative assistantss earn within that middle band.

Metro figures capture where you actually work, not just where you live — which matters for commuters. BLS draws metro boundaries from the OMB MSA definitions, so Lexington-Fayette, KY covers the central city plus outlying counties tied to the metro economically. Remember that OEWS wages reflect base pay only: employer-provided health insurance, retirement matches, stock options, signing bonuses, overtime, and tips are excluded and can add 20-40% to real total compensation. Before using this metro median as a negotiation anchor, triangulate against the same occupation's national profile (linked below), its state-wide KY data, and peer-metro comparisons — a median is a starting point, not a ceiling.