Highest Paying Jobs in Kentucky

Top 100 occupations ranked by median annual salary — Bureau of Labor Statistics, May 2025

Highest Salary

$558,180

Cardiologists

Top 25 Average

$237,150

median salary

$100K+ Jobs

79

occupations

Occupations

100

with wage data

This ranking surfaces the 100 highest-paying occupations in Kentucky by BLS OEWS state median salary, drawn from the May 2025 release. At the top, Cardiologists pays a state median of $558,180, +13% above the national median of $496,010 for the same role. Of the 100 tracked positions, 79 pay above $100,000 per year in Kentucky — a useful threshold for separating specialist professional roles from mid-tier employment. The top-10 average sits at $333,508, giving a sense of what elite specialists inside this state actually clear.

The "Difference" column compares each state median to the corresponding national median for the same SOC code, making pay premiums and discounts immediately visible. In this list, 29 of 100 occupations pay above the national median in Kentucky, which usually signals one of three things: a local concentration of specialized employers (finance hubs, tech clusters, research universities, federal agencies), a cost-of-living adjustment baked into state-wide wage scales, or scarce in-state talent supply bidding up competitive roles. Occupations paying below the national median are not necessarily bad news — they often reflect lower cost of living in the state or industries where Kentucky is not a concentrated employer.

Rankings like this show ceiling-potential by specialty, but they don't tell you the odds of landing one of those roles. Pair this table with the employment column (how many workers the state actually employs in each occupation) and the growth projections on each occupation's national page to see whether the field is expanding or contracting. BLS wages exclude benefits, bonuses, and overtime — especially distorting for top-paying roles where equity and performance compensation can represent 30-50% of total pay. Use this leaderboard to shortlist careers worth exploring in Kentucky, then drill into each row's linked profile to check percentile spread, typical education, metro-level variation, and whether projected openings match your timeline.

# Occupation State Median
1 Cardiologists $558,180
2 Airline Pilots, Copilots, and Flight Engineers $350,950
3 Anesthesiologists $347,960
4 Neurologists $338,850
5 Physicians, All Other $327,390
6 Physicians, Pathologists $324,390
7 Obstetricians and Gynecologists $317,110
8 Radiologists $279,990
9 Family Medicine Physicians $248,730
10 General Internal Medicine Physicians $241,530
11 Psychiatrists $237,770
12 Nurse Anesthetists $222,520
13 Podiatrists $201,260
14 Dermatologists $195,830
15 Physicists $180,910
16 Chief Executives $179,530
17 Pediatricians, General $175,690
18 Emergency Medicine Physicians $169,390
19 Surgeons, All Other $162,160
20 Judges, Magistrate Judges, and Magistrates $150,650
21 Psychologists, All Other $149,990
22 Architectural and Engineering Managers $147,680
23 Law Teachers, Postsecondary $140,820
24 Computer and Information Systems Managers $140,360
25 Environmental Science Teachers, Postsecondary $139,110
26 Sociologists $136,870
27 Pharmacists $136,530
28 Dentists, General $134,160
29 Financial Managers $130,650
30 Commercial Pilots $129,990
31 Marketing Managers $128,930
32 Optometrists $128,860
33 Sales Managers $128,650
34 Air Traffic Controllers $127,800
35 Natural Sciences Managers $126,440
36 Aerospace Engineers $126,130
37 Database Architects $125,400
38 Fundraising Managers $124,770
39 Purchasing Managers $124,350
40 Airfield Operations Specialists $123,290
41 Managers, All Other $122,930
42 Nurse Practitioners $122,870
43 Human Resources Managers $121,460
44 Physician Assistants $120,760
45 Ship Engineers $120,550
46 Actuaries $120,400
47 Chemical Engineers $117,170
48 Computer Hardware Engineers $116,200
49 Education Administrators, Postsecondary $114,310
50 Compensation and Benefits Managers $114,290
51 Training and Development Managers $112,750
52 Statisticians $112,520
53 Public Relations Managers $112,320
54 Industrial Production Managers $112,250
55 Engineering Teachers, Postsecondary $110,810
56 Software Developers $109,010
57 Health and Safety Engineers, Except Mining Safety Engineers and Inspectors $107,760
58 Environmental Engineers $107,520
59 Advertising and Promotions Managers $107,030
60 Economics Teachers, Postsecondary $106,250
61 Power Distributors and Dispatchers $105,600
62 Gambling Managers $105,340
63 Veterinarians $104,100
64 Computer Network Architects $103,740
65 Information Security Analysts $103,630
66 Medical and Health Services Managers $103,450
67 Mining and Geological Engineers, Including Mining Safety Engineers $103,300
68 Atmospheric and Space Scientists $103,240
69 Education Administrators, All Other $102,610
70 Anthropology and Archeology Teachers, Postsecondary $102,140
71 Ophthalmologists, Except Pediatric $101,940
72 Electronics Engineers, Except Computer $101,860
73 Lawyers $101,550
74 Mechanical Engineers $101,050
75 Civil Engineers $100,930
76 Facilities Managers $100,720
77 Physical Therapists $100,710
78 Materials Engineers $100,620
79 Transportation, Storage, and Distribution Managers $100,340
80 Education Administrators, Kindergarten through Secondary $99,920
81 Engineers, All Other $99,830
82 Genetic Counselors $99,770
83 Clinical and Counseling Psychologists $99,140
84 Electrical and Electronics Repairers, Powerhouse, Substation, and Relay $98,860
85 Food Scientists and Technologists $98,710
86 Postmasters and Mail Superintendents $98,570
87 Electrical Engineers $98,550
88 Insurance Appraisers, Auto Damage $97,950
89 Radiation Therapists $97,760
90 Architects, Except Landscape and Naval $97,680
91 Occupational Therapists $97,650
92 Sales Representatives, Wholesale and Manufacturing, Technical and Scientific Products $97,640
93 Chemical Plant and System Operators $97,550
94 Construction Managers $97,020
95 Industrial Engineers $96,820
96 Atmospheric, Earth, Marine, and Space Sciences Teachers, Postsecondary $95,830
97 Management Analysts $95,630
98 Nuclear Medicine Technologists $95,470
99 Bioengineers and Biomedical Engineers $95,360
100 Computer Systems Analysts $95,090

More ways to explore Kentucky pay and compare with national data.

About This Data

All salary data comes from the U.S. Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2025. State-level data reflects wages for workers employed in Kentucky. The "Difference" column shows how Kentucky pay compares to the national median for that occupation.

Last updated: May 2025. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025. Rankings by median annual salary in Kentucky.

National benchmark comparisons computed against BLS OEWS National Occupational Employment and Wage Estimates, May 2025.