Registered Nurse Salary

Louisville/Jefferson County vs Paducah: Registered Nurse Salary (2026)

Compare registered nurse salaries between Louisville/Jefferson County, KY and Paducah, KY. All figures are 2026 estimates projected from BLS 2025 data.

Louisville/Jefferson County, KY
$89,356
$42.96/hr
Paducah, KY
$84,164
$40.46/hr

Side-by-Side Comparison

MetricLouisville/Jefferson County, KYPaducah, KY
Median Salary$89,356$84,164
Hourly Rate$42.96$40.46
Entry Level (P10)$68,767$68,662
25th Percentile$82,005$80,446
75th Percentile$102,898$100,329
Top Earner (P90)$124,476$106,658
Total Employed18,1801,720
Side-by-side bar chart comparing Louisville/Jefferson County ($89,356) and Paducah ($84,164) registered nurse salaries.Louisville/Jefferson CountyPaducahMedian Salary$89,356$84,164Entry Level (P10)$68,767$68,662Top Earner (P90)$124,476$106,658US Median $102,730

Verdict

Louisville/Jefferson County, KY offers better overall compensation for registered nurses, winning 4 out of 4 metrics compared to Paducah.

The salary gap between Louisville/Jefferson County and Paducah is $5,192 (6.17%). Louisville/Jefferson County's median is -13.02% compared to the US national median of $102,730.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Louisville/Jefferson County spans $55,709,Paducah spans $37,996. Louisville/Jefferson County has a wider pay range, meaning more potential for high earners but also more variation.

Louisville/Jefferson County
P10 (Entry)$68,767
P25$82,005
Median$89,356
P75$102,898
P90 (Top)$124,476
Paducah
P10 (Entry)$68,662
P25$80,446
Median$84,164
P75$100,329
P90 (Top)$106,658

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Paducah ($97,770 effective) pays 1.84% more than Louisville/Jefferson County ($96,005 effective).

Louisville/Jefferson County
Nominal: $89,356
CoL Index: 93.074
Adjusted: $96,005
Paducah
Nominal: $84,164
CoL Index: 86.084
Adjusted: $97,770

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

Which City Is Right for You?

Choose Louisville/Jefferson County if…

  • Higher median salary ($89,356/year)
  • Better top-earner potential ($124,476)
  • Larger job market (18,180 employed)
  • You prefer the Kentucky area and lifestyle

Choose Paducah if…

  • Better purchasing power (CoL-adjusted: $97,770)
  • You prefer the Kentucky area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, registered nurse salaries in Louisville/Jefferson County grew 32.8% from 2019 to 2025, compared to 3.3% growth in Paducah over the same period.

Louisville/Jefferson County, KY

+32.8%

$63,900 (2019) → $84,850 (2025)

Paducah, KY

+3.3%

$77,400 (2024) → $79,920 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays registered nurses more: Louisville/Jefferson County or Paducah?

Louisville/Jefferson County has a higher median registered nurse salary at $89,356/year, compared to Paducah at $84,164/year — a difference of $5,192 (6.17%).

What is the hourly rate difference between Louisville/Jefferson County and Paducah?

Louisville/Jefferson County registered nurses earn $42.96/hr while Paducah hygienists earn $40.46/hr (2026 est.).

Should I relocate from Louisville/Jefferson County to Paducah as a registered nurse?

Consider more than just salary when comparing Louisville/Jefferson County and Paducah. Factor in cost of living (CoL-adjusted: Louisville/Jefferson County = $96,005, Paducah = $97,770), job availability (18,180 vs 1,720 employed), commute, and career growth potential.

What do entry-level registered nurses earn in Louisville/Jefferson County vs Paducah?

Entry-level (10th percentile) registered nurses earn $68,767 in Louisville/Jefferson County and $68,662 in Paducah. The Louisville/Jefferson County area offers higher starting salaries.
JL

Written by Jordan Lee, RN, BSN

Career Analyst

Jordan Lee has 10 years of experience as a registered nurse. Their specialty is pediatric nursing in a community hospital. They analyze nursing workforce trends and salary data.

Clinically reviewed by Amina Patel, RN, MSNData verified by Carlos Gomez, RN, DNP

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 5.31% 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 Jordan Lee, RN, BSN, a licensed registered nurse with 10+ years of clinical experience. · View source data at BLS.gov