Sonographer Pay

Lexington vs Louisville: Diagnostic Medical Sonographer Salary (2026)

Compare diagnostic medical sonographer salaries between Lexington, KY and Louisville, KY. All figures are 2026 estimates projected from BLS 2025 data.

Lexington, KY
$88,068
$42.34/hr
Louisville, KY
$98,675
$47.44/hr

Side-by-Side Comparison

MetricLexington, KYLouisville, KY
Median Salary$88,068$98,675
Hourly Rate$42.34$47.44
Entry Level (P10)$48,971$63,898
25th Percentile$79,338$77,935
75th Percentile$106,347$111,378
Top Earner (P90)$110,586$136,658
Total Employed120132
Side-by-side bar chart comparing Lexington ($88,068) and Louisville ($98,675) diagnostic medical sonographer salaries.LexingtonLouisvilleMedian Salary$88,068$98,675Entry Level (P10)$48,971$63,898Top Earner (P90)$110,586$136,658US Median $101,352

Verdict

Louisville, KY offers better overall compensation for diagnostic medical sonographers, winning 4 out of 4 metrics compared to Lexington.

The salary gap between Lexington and Louisville is $10,607 (12.04%). Louisville's median is -2.64% compared to the US national median of $101,352.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Lexington spans $61,615,Louisville spans $72,760. Louisville has a wider pay range, suggesting more variation in pay between entry-level and experienced diagnostic medical sonographers.

Lexington
P10 (Entry)$48,971
P25$79,338
Median$88,068
P75$106,347
P90 (Top)$110,586
Louisville
P10 (Entry)$63,898
P25$77,935
Median$98,675
P75$111,378
P90 (Top)$136,658

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Louisville ($110,498 effective) pays 16.55% more than Lexington ($94,810 effective).

Lexington
Nominal: $88,068
CoL Index: 92.889
Adjusted: $94,810
Louisville
Nominal: $98,675
CoL Index: 89.3
Adjusted: $110,498

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

Which City Is Right for You?

Choose Lexington if…

  • You prefer the Kentucky area and lifestyle

Choose Louisville if…

  • Higher median salary ($98,675/year)
  • Better top-earner potential ($136,658)
  • Larger job market (132 employed)
  • Better purchasing power (CoL-adjusted: $110,498)
  • You prefer the Kentucky area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, diagnostic medical sonographer salaries in Lexington grew 25.8% from 2019 to 2025, compared to 34.2% growth in Louisville over the same period.

Lexington, KY

+25.8%

$66,740 (2019) → $83,930 (2025)

Louisville, KY

+34.2%

$70,098 (2024) → $94,039 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays diagnostic medical sonographers more: Lexington or Louisville?

Louisville has a higher median diagnostic medical sonographer salary at $98,675/year, compared to Lexington at $88,068/year — a difference of $10,607 (12.04%).

What is the hourly rate difference between Lexington and Louisville?

Lexington diagnostic medical sonographers earn $42.34/hr while Louisville hygienists earn $47.44/hr (2026 est.).

Should I relocate from Lexington to Louisville as a diagnostic medical sonographer?

Consider more than just salary when comparing Lexington and Louisville. Factor in cost of living (CoL-adjusted: Lexington = $94,810, Louisville = $110,498), job availability (120 vs 132 employed), commute, and career growth potential.

What do entry-level diagnostic medical sonographers earn in Lexington vs Louisville?

Entry-level (10th percentile) diagnostic medical sonographers earn $48,971 in Lexington and $63,898 in Louisville. The Louisville area offers higher starting salaries.
AK

Written by Aisha Khan, RDMS, RVT

Career Analyst

Aisha has over 10 years of experience in abdominal sonography. She works at a regional hospital. Aisha also conducts training for new sonographers.

Clinically reviewed by Liam Johnson, RDMS, RTData verified by Maria Gonzalez, ARDMS, RVT

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 4.93% 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 Khan, RDMS, RVT, a licensed diagnostic medical sonographer with 10+ years of clinical experience. · View source data at BLS.gov