Dietitian Pay

Lexington vs Madisonville: Dietitian and Nutritionist Salary (2026)

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

Lexington, KY
$69,894
$33.60/hr
Madisonville, KY
$67,531
$32.47/hr

Side-by-Side Comparison

MetricLexington, KYMadisonville, KY
Median Salary$69,894$67,531
Hourly Rate$33.60$32.47
Entry Level (P10)$40,511$45,099
25th Percentile$58,652$56,215
75th Percentile$81,208$75,133
Top Earner (P90)$91,287$83,075
Total Employed2205
Side-by-side bar chart comparing Lexington ($69,894) and Madisonville ($67,531) dietitian and nutritionist salaries.LexingtonMadisonvilleMedian Salary$69,894$67,531Entry Level (P10)$40,511$45,099Top Earner (P90)$91,287$83,075US Median $79,380

Verdict

Lexington, KY offers better overall compensation for dietitians and nutritionists, winning 4 out of 4 metrics compared to Madisonville.

The salary gap between Lexington and Madisonville is $2,363 (3.50%). Lexington's median is -11.95% compared to the US national median of $79,380.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Lexington spans $50,776,Madisonville spans $37,976. Lexington has a wider pay range, meaning more potential for high earners but also more variation.

Lexington
P10 (Entry)$40,511
P25$58,652
Median$69,894
P75$81,208
P90 (Top)$91,287
Madisonville
P10 (Entry)$45,099
P25$56,215
Median$67,531
P75$75,133
P90 (Top)$83,075

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Madisonville ($75,623 effective) pays 0.50% more than Lexington ($75,245 effective).

Lexington
Nominal: $69,894
CoL Index: 92.889
Adjusted: $75,245
Madisonville
Nominal: $67,531
CoL Index: 89.3
Adjusted: $75,623

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 ($69,894/year)
  • Better top-earner potential ($91,287)
  • Larger job market (220 employed)
  • You prefer the Kentucky area and lifestyle

Choose Madisonville if…

  • Better purchasing power (CoL-adjusted: $75,623)
  • You prefer the Kentucky area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, dietitian and nutritionist salaries in Lexington grew 9.8% from 2019 to 2025, compared to 27.3% growth in Madisonville over the same period.

Lexington, KY

+9.8%

$61,260 (2019) → $67,270 (2025)

Madisonville, KY

+27.3%

$51,044 (2024) → $64,996 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays dietitian and nutritionists more: Lexington or Madisonville?

Lexington has a higher median dietitian and nutritionist salary at $69,894/year, compared to Madisonville at $67,531/year — a difference of $2,363 (3.50%).

What is the hourly rate difference between Lexington and Madisonville?

Lexington dietitian and nutritionists earn $33.60/hr while Madisonville hygienists earn $32.47/hr (2026 est.).

Should I relocate from Lexington to Madisonville as a dietitian and nutritionist?

Consider more than just salary when comparing Lexington and Madisonville. Factor in cost of living (CoL-adjusted: Lexington = $75,245, Madisonville = $75,623), job availability (220 vs 5 employed), commute, and career growth potential.

What do entry-level dietitian and nutritionists earn in Lexington vs Madisonville?

Entry-level (10th percentile) dietitian and nutritionists earn $40,511 in Lexington and $45,099 in Madisonville. The Madisonville area offers higher starting salaries.
AP

Written by Aisha Patel, MS, RD

Career Analyst

Aisha has 10 years of experience as a nutrition consultant. She specializes in sports nutrition. Aisha works with professional athletes and teams.

Clinically reviewed by Carlos Gomez, RDNData verified by Emily Chen, MS, RDN

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.90% 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, MS, RD, a licensed dietitian and nutritionist with 10+ years of clinical experience. · View source data at BLS.gov