Radiologist Pay

Lexington vs Madisonville: Radiologist Salary (2026)

Compare radiologist salaries between Lexington, KY and Madisonville, KY. All figures are 2026 estimates projected from BLS 2025 data.

Lexington, KY
$118,430
$56.94/hr
Madisonville, KY
$375,943
$180.75/hr

Side-by-Side Comparison

MetricLexington, KYMadisonville, KY
Median Salary$118,430$375,943
Hourly Rate$56.94$180.75
Entry Level (P10)$69,552$218,047
25th Percentile$77,480$270,680
75th Percentile$152,387$430,275
Top Earner (P90)$152,387$481,839
Total Employed1205
Side-by-side bar chart comparing Lexington ($118,430) and Madisonville ($375,943) radiologist salaries.LexingtonMadisonvilleMedian Salary$118,430$375,943Entry Level (P10)$69,552$218,047Top Earner (P90)$152,387$481,839US Median $441,903

Verdict

Madisonville, KY offers better overall compensation for radiologists, winning 3 out of 4 metrics compared to Lexington.

The salary gap between Lexington and Madisonville is $257,513 (217.44%). Madisonville's median is -14.93% compared to the US national median of $441,903.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Lexington spans $82,835,Madisonville spans $263,792. Madisonville has a wider pay range, suggesting more variation in pay between entry-level and experienced radiologists.

Lexington
P10 (Entry)$69,552
P25$77,480
Median$118,430
P75$152,387
P90 (Top)$152,387
Madisonville
P10 (Entry)$218,047
P25$270,680
Median$375,943
P75$430,275
P90 (Top)$481,839

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Madisonville ($420,989 effective) pays 230.20% more than Lexington ($127,496 effective).

Lexington
Nominal: $118,430
CoL Index: 92.889
Adjusted: $127,496
Madisonville
Nominal: $375,943
CoL Index: 89.3
Adjusted: $420,989

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Lexington if…

  • Larger job market (120 employed)
  • You prefer the Kentucky area and lifestyle

Choose Madisonville if…

  • Higher median salary ($375,943/year)
  • Better top-earner potential ($481,839)
  • Better purchasing power (CoL-adjusted: $420,989)
  • You prefer the Kentucky area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, radiologist salaries in Lexington grew -65.1% from 2024 to 2025, compared to 22.0% growth in Madisonville over the same period.

Lexington, KY

+-65.1%

$323,450 (2024) → $112,790 (2025)

Madisonville, KY

+22.0%

$293,504 (2024) → $358,041 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays radiologists more: Lexington or Madisonville?

Madisonville has a higher median radiologist salary at $375,943/year, compared to Lexington at $118,430/year — a difference of $257,513 (217.44%).

What is the hourly rate difference between Lexington and Madisonville?

Lexington radiologists earn $56.94/hr while Madisonville hygienists earn $180.75/hr (2026 est.).

Should I relocate from Lexington to Madisonville as a radiologist?

Consider more than just salary when comparing Lexington and Madisonville. Factor in cost of living (CoL-adjusted: Lexington = $127,496, Madisonville = $420,989), job availability (120 vs 5 employed), commute, and career growth potential.

What do entry-level radiologists earn in Lexington vs Madisonville?

Entry-level (10th percentile) radiologists earn $69,552 in Lexington and $218,047 in Madisonville. The Madisonville area offers higher starting salaries.

Related Comparisons

MC

Written by Dr. Maria Chen, MD

Career Analyst

Dr. Chen has 10 years of experience in diagnostic radiology. She specializes in imaging techniques for oncology. She works at a regional medical center.

Clinically reviewed by Dr. Rajesh Patel, MDData verified by Dr. Lisa Gonzalez, MD

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 5.00% 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 Dr. Maria Chen, MD, a licensed radiologist with 10+ years of clinical experience. · View source data at BLS.gov