Registered nurse pay in Kentucky after taxes: what you keep (2026)

The median registered nurse in Kentucky earned $79,910 a year in May 2024, which is $38 an hour for a full-time year, according to the Bureau of Labor Statistics. Half of the 48,170 registered nurses the BLS counts in Kentucky earned more than that and half earned less; the middle half of them sat between $72,450 and $95,190. That is the gross figure, before anyone takes anything. What you keep depends on Kentucky's tax, and Kentucky has a flat 4% state income tax.

What the median registered nurse keeps in Kentucky

For a single filer on the median $79,910, taking the standard deduction and no other adjustments:

The state line is 4.0% of gross at this salary. Many cities and counties add an occupational tax, which is not in the table. Health insurance, retirement contributions and local taxes are not in it either; they vary by employer and by city.

Where Kentucky ranks for registered nurse pay

Of the 50 states, Kentucky ranks 39 of 50 on the gross median for registered nurses. The highest-paying state is California at $140,330 and the lowest is South Dakota at $69,510. Gross rank is not take-home rank: a state with no income tax climbs several places once the state line is applied, and a high-tax state drops.

Across the border

The same job in the states next to Kentucky, gross median and estimated take-home for a single filer:

Virginia, Illinois, Tennessee, Ohio, Indiana, West Virginia and Missouri leave a registered nurse with more at the end of the year than Kentucky does; Virginia by about $5,889. Pay is one line; rent is the other, and a higher median in a metro with higher rent can leave you with less.

Where the registered nurse jobs are in Kentucky

The BLS count of 48,170 registered nurses is statewide. The metros with the most of that work are Louisville, Lexington and Bowling Green, which is where the median is set and where the upper quartile ($95,190 and above) is most often paid. Employers who could not hire locally and have filed with the Department of Labor are listed on the Kentucky openings page; those filings are the ones already paying to bring people in, and housing or transport is often part of the offer.

What people get wrong about registered nurse pay in Kentucky

• Quoting the mean. The BLS mean for Kentucky is $40 an hour, pulled up by the top earners. The median ($38) is what the typical registered nurse makes.
• Comparing gross across states. A $79,910 offer in Kentucky is $61,180 in hand; the same number in a no-tax state is $64,376.
• Forgetting the employer's share of insurance. A job that pays $77,910 with full health coverage can beat one that pays $82,910 without it.
• Treating the statewide median as the metro median. Louisville pays differently from a rural county; ask for the figure for the place you are actually going.

Everything about Kentucky, on one page

The Kentucky page has the licence registries and boards, the state tax at three salaries, the programs that pay you to come, and the openings filed in Kentucky this month. If you know which state you are leaving, the move pages compare the two directly. Creating a free Workmerica profile with your trade and your destination puts you in front of Kentucky employers hiring from out of state.

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024 state estimates for Registered nurse. Tax lines are a single filer with the standard deduction, 2024 federal brackets, and the state rate in lib/us-states.ts; progressive states are approximated. Not tax advice.