Updated · 2026 tax rules · Data: IRS, BLS, BEA, HUD · How we calculate

Home Health and Personal Care Aide Salary in Lexington, KY

Home Health and Personal Care Aides in the Lexington-Fayette, KY metro area earn a median $35,190 a year — 2% less than the national median. After 2026 taxes, that is $29,341 take-home, or $2,445 a month.

Median salary
$35,190
$16.92 per hour
Typical range
$29,590 – $43,780
10th to 90th percentile
Jobs in Lexington, KY
2,990
0.38× national concentration
▲5.0%
Pay trend: The median for home health and personal care aides in Lexington, KY rose from $33,520 (May 2024) to $35,190 (May 2025). That beat inflation (2.4%), a real raise of about 2.6%.

Take-home pay calculator

Pre-filled with the median home health and personal care aide salary in Lexington, KY. Enter your own offer to see your paycheck.

Home Health and Personal Care Aide in Lexington, KY
Deductions, kids & local tax

2026 tax year. Federal brackets from IRS Rev. Proc. 2025-32.

Your take-home pay
$29,341
per year · effective tax rate 16.6%
$2,445Monthly
$1,223Twice a month
$1,129Every 2 weeks
$14.11Hourly
  • Federal income tax$2,043
  • Social Security (6.2%)$2,182
  • Medicare (1.45%)$510
  • Kentucky income tax$1,114
  • Take-home pay$29,341

Marginal rate: 12% federal + 3.50% state

Got an offer somewhere else? Compare it with this one after taxes and rent →

Home Health and Personal Care Aide pay by experience in Lexington, KY

PercentileSalaryHourlyTake-home / yrPer month
10th percentile (entry level)$29,590$14.23$25,038$2,086
25th percentile$32,130$15.45$26,990$2,249
Median (50th)$35,190$16.92$29,341$2,445
75th percentile$43,180$20.76$35,481$2,957
90th percentile (top earners)$43,780$21.05$35,943$2,995

Wages: BLS Occupational Employment and Wage Statistics, May 2025. Take-home: single filer, Kentucky resident, 2026 tax rules.

What $35,190 buys in Lexington, KY

Prices in Lexington, KY are 7.1% lower than the U.S. average (housing costs are 23% below the national average). Adjusted for local prices, a median home health and personal care aide's $29,341 take-home pay has the buying power of $31,587 in a typical American city.

1-bedroom rent
$1,079
44% of monthly take-home
2-bedroom rent
$1,272
52% of monthly take-home
Left after 1-BR rent
$1,366
per month for everything else

Rents: HUD Fair Market Rents, FY2026 (40th-percentile gross rent incl. utilities). Price levels: BEA Regional Price Parities, 2024.

Home Health and Personal Care Aide jobs are less concentrated in Lexington, KY than nationally (location quotient 0.38), so openings may be scarcer.

Best-paying cities for home health and personal care aides, adjusted for cost of living

Lexington, KY ranks #50 of 180 metro areas once taxes and local prices are taken into account.

#Metro areaMedian salaryTake-homeReal value*
1Grants Pass, OR $53,120$41,044$41,984
2Kennewick, WA $47,810$40,595$40,563
3Spokane, WA $47,410$40,274$40,135
4Yakima, WA $44,490$37,928$39,696
5Seattle, WA $48,210$40,917$36,818
6Bellingham, WA $44,080$37,598$36,385
7Olympia, WA $44,060$37,582$36,252
8Fargo, ND $37,910$32,641$35,920
50Lexington, KY$35,190$29,341$31,587

*Take-home pay divided by the BEA price level, so every city is measured in U.S.-average dollars. See all 180 metros →

About the job: home health and personal care aides

Typical education
High school diploma or equivalent
Work experience
None required
On-the-job training
Short-term on-the-job training
Job outlook, 2025–35
+18.1% (much faster than average)

Source: BLS Standard Occupational Classification and Employment Projections, 2025–35.

Home Health and Personal Care Aide salaries elsewhere in Kentucky

Frequently asked questions

How much does a home health and personal care aide make in Lexington, KY?

The median home health and personal care aide salary in the Lexington-Fayette, KY metro area is $35,190 a year, or about $16.92 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $32,130 and $43,180.

What is a home health and personal care aide’s take-home pay in Lexington, KY?

On the median $35,190 salary, a single filer living in Kentucky takes home about $29,341 a year ($2,445 a month) after federal tax, Social Security, Medicare and $1,114 in Kentucky taxes in 2026.

Is Lexington, KY a good place to work as a home health and personal care aide?

Pay here is 2% below the national median of $35,800. Local prices are 7.1% below the U.S. average, so the take-home pay buys what $31,587 would in a typical U.S. city. Lexington, KY ranks #50 of 180 metro areas for cost-of-living-adjusted pay in this job.

Can a home health and personal care aide afford rent in Lexington, KY?

HUD’s fair market rent for a one-bedroom in Lexington, KY is $1,079 a month ($1,272 for two bedrooms) — 44% of a median home health and personal care aide’s monthly take-home pay. Financial planners usually suggest keeping rent under about 30%.

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Cost of living & all salaries in Lexington, KY →