BLS metro-level wage data places Physical Therapists pay in Lexington-Fayette, KY at a median of $94,710 per year ($45.54/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $102,760, Lexington-Fayette pays 8% below, which typically tracks with a lower local cost of living or smaller specialized-employer cluster. Approximately 590 physical therapistss are employed across the Lexington-Fayette MSA in SOC 29-1123.

The Lexington-Fayette pay distribution spans from $65,700 at the 10th percentile to $123,220 at the 90th — a 1.9× 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 $79,320 and the 75th at $108,020, so half of Lexington-Fayette-based physical therapistss 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.