Medical Secretary and Administrative Assistant salary in Kentucky
Updated Updated for 2026 tax law
A medical secretary and administrative assistant in Kentucky earns a median of $38,750 a year ($18.63/hour equivalent), 15.6% below the national median of $45,930. Kentucky ranks #45 of 51 states. About 26,430 people do this job in Kentucky.
Take-home pay in Kentucky
At the Kentucky median, a single filer keeps about $32,077 a year after federal, FICA and Kentucky taxes — $1,234 every two weeks. Try your own numbers with the Kentucky paycheck calculator.
- Gross pay
- $1,490.38
- Federal income tax
- −$95.00
- Social Security (6.2%)
- −$92.40
- Medicare (1.45%)
- −$21.61
- Kentucky income tax
- −$47.64
- Take-home pay
- $1,233.73
Annual breakdown
- Gross
- $38,750
- Federal
- $2,470
- FICA
- $2,964
- State + local
- $1,239
- Net
- $32,077
- Marginal federal rate
- 12.0%
- Marginal state rate
- 3.5%
2026 federal brackets (Rev. Proc. 2025-32) and 2026 state rules. Estimates assume wages are your only income and use annual liability, so your actual withholding can differ slightly.
How Kentucky compares
| Rank | State | Median salary |
|---|---|---|
| #1 | Washington | $58,100 |
| #2 | California | $54,490 |
| #3 | Massachusetts | $50,290 |
| #4 | Oregon | $50,130 |
| #5 | Minnesota | $50,030 |
| #45 | Kentucky | $38,750 |
| #49 | Alabama | $36,930 |
| #50 | Louisiana | $36,930 |
| #51 | Mississippi | $36,290 |
See the national medical secretary and administrative assistant salary page for the full pay range and all states.
BLS occupation: Medical Secretaries and Administrative Assistants (SOC 43-6013), May 2025, state estimates.
Frequently asked questions
How much does a medical secretary and administrative assistant make in Kentucky?
The median salary is $38,750 a year and the average is $40,880 (BLS May 2025).
Is Kentucky a good state for medical secretaries and administrative assistants?
Kentucky ranks #45 of 51 states for median pay in this job, 16% below the national median of $45,930.
What is $38,750 after taxes in Kentucky?
About $32,077 a year ($1,234 every two weeks) for a single filer in 2026.
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Estimates for information only — not tax, legal or financial advice.