Medical Administrative Assistant salary in Lexington-Fayette, KY

Pay in Lexington-Fayette against Kentucky and the US

Medical administrative assistants at the 90th percentile earn $54,450, 1.5 times the 10th percentile; the US ratio is 1.7. The middle half of medical administrative assistants in Lexington-Fayette earns $37,810–$46,960. The mean ($43,370) is no higher than the median, so few high earners skew the figures here. From the 25th to the 75th percentile, the local range is only $9,150 wide, against $10,010 across Kentucky and $12,010 nationally: employers in Lexington-Fayette pay within a narrower band.

What to budget for a medical administrative assistant here

Local pay is bunched just above the median: the 75th percentile is only $2,510 over it, while the 25th sits $6,640 below. Moving an offer from the median to the 75th percentile costs about $3,239 more a year with benefits. These percentiles describe what people in the job earn locally, not experience levels, so place your offer by the tasks and seniority you need.

For scale, the US median of $45,930 falls between the median and the 75th percentile in Lexington-Fayette, and the Kentucky statewide median of $38,750 falls between the 25th percentile and the median.

What a hire really costs in Lexington-Fayette

At the $44,450 median, a local hire costs about $57,355 a year: benefits and payroll taxes other than paid leave are 22.5% of total compensation in US private industry², about $12,905 here. Recruiting, equipment and office space come on top. Benefit levels vary by employer, so treat this as an estimate.

We place executive assistants, customer support and e-commerce staff today; for medical administrative assistants we answer within one business day whether we can help. Enter the monthly pay you have in mind to compare it with a local hire. The fee field shows our standard fee³; Deel's contractor plan is the default payroll tool⁴.

Other roles in Lexington-Fayette

Of the 17 roles we track in Lexington-Fayette, this one ranks #13 by median pay, between administrative assistants ($47,790) and e-commerce order specialists ($43,100). Project Coordinator is the highest at $84,520.

Measured against the US median, medical administrative assistants rank #4 of the 17 roles we track in Lexington-Fayette (-3.2%), between HR assistants (+0.2%) and payroll specialists (-3.5%). The typical role here is at -7.8%, so, measured against the US, medical administrative assistants cost more in Lexington-Fayette than the area's general pay level would suggest. Medical administrative assistants hold 15.2% of the jobs in these 17 roles in Lexington-Fayette, 13.3% across Kentucky and 6.1% nationally. The job is a bigger part of the local workforce in these roles than it is nationally.

Other areas in Kentucky

Across the 10 areas of Kentucky with data for this job, the median runs from $35,300 in the East Kentucky nonmetro area to $44,450 in Lexington-Fayette, a gap of $9,150 a year. The one area in Kentucky with more medical administrative assistants, Louisville, KY-IN ($44,430), pays less: a bigger pool at a lower median.

Lexington-Fayette against other US metro areas

By number of jobs, Lexington-Fayette is #44 of 514 US areas for this job. It is one of the larger markets for this job, with pay near the middle of the US range. Outside Kentucky, Greensboro-High Point and Peoria pay just above Lexington-Fayette and Staunton-Stuarts Draft and Rochester just below. All four are within $80 a year of the median in Lexington-Fayette. Of the three markets with about as many medical administrative assistants, one pays more.

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How these pages are built: methodology and data sources. Last updated 2026-11-12.