Lexington vs Madisonville: Optometrist Salary (2026)
Compare optometrist salaries between Lexington, KY and Madisonville, KY. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Lexington, KY | Madisonville, KY |
|---|---|---|
| Median Salary | $143,176▲ | $119,624 |
| Hourly Rate | $68.83▲ | $57.51 |
| Entry Level (P10) | $81,256▲ | $69,382 |
| 25th Percentile | $96,350 | $96,545▲ |
| 75th Percentile | $180,860▲ | $137,693 |
| Top Earner (P90) | $285,055▲ | $160,971 |
| Total Employed | 40▲ | 5 |
Verdict
Lexington, KY offers better overall compensation for optometrists, winning 4 out of 4 metrics compared to Madisonville.
The salary gap between Lexington and Madisonville is $23,552 (19.69%). Lexington's median is +1.82% compared to the US national median of $140,612.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Lexington spans $203,799,Madisonville spans $91,589. Lexington has a wider pay range, meaning more potential for high earners but also more variation.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Lexington ($154,137 effective) pays 15.06% more than Madisonville ($133,957 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Lexington if…
- ✓Higher median salary ($143,176/year)
- ✓Better top-earner potential ($285,055)
- ✓Larger job market (40 employed)
- ✓Better purchasing power (CoL-adjusted: $154,137)
- ✓You prefer the Kentucky area and lifestyle
Choose Madisonville if…
- ✓You prefer the Kentucky area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, optometrist salaries in Lexington grew -3.9% from 2019 to 2025, compared to 11.9% growth in Madisonville over the same period.
Lexington, KY
$144,770 (2019) → $139,060 (2025)
Madisonville, KY
$103,790 (2024) → $116,185 (2025)
View Full Salary Data
Lexington, KY
Madisonville, KY
Frequently Asked Questions
Which city pays optometrists more: Lexington or Madisonville?
What is the hourly rate difference between Lexington and Madisonville?
Should I relocate from Lexington to Madisonville as a optometrist?
What do entry-level optometrists earn in Lexington vs Madisonville?
Written by Aisha Patel, OD
Career Analyst
Aisha Patel has 10 years of experience in optometry. She specializes in pediatric vision care. Aisha works in a private practice setting.
Methodology & Data Source
All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.96% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.
Data Sources & Methodology
Source: BLS, OEWS , released .
Compiled and verified by Aisha Patel, OD, a licensed optometrist with 10+ years of clinical experience. · View source data at BLS.gov