Nurse Practitioner Pay

Ashland vs Louisville/Jefferson County: Nurse Practitioner Salary (2026)

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

Ashland, KY
$131,686
$63.31/hr
Louisville/Jefferson County, KY
$127,140
$61.13/hr

Side-by-Side Comparison

MetricAshland, KYLouisville/Jefferson County, KY
Median Salary$131,686$127,140
Hourly Rate$63.31$61.13
Entry Level (P10)$104,341$107,681
25th Percentile$118,375$110,919
75th Percentile$150,810$142,585
Top Earner (P90)$161,619$165,375
Total Employed41,580
Side-by-side bar chart comparing Ashland ($131,686) and Louisville/Jefferson County ($127,140) nurse practitioner salaries.AshlandLouisville/Jefferson CountyMedian Salary$131,686$127,140Entry Level (P10)$104,341$107,681Top Earner (P90)$161,619$165,375US Median $136,864

Verdict

Ashland and Louisville/Jefferson County are closely matched on overall nurse practitioner compensation, each winning on different metrics.

The salary gap between Ashland and Louisville/Jefferson County is $4,546 (3.58%). Ashland's median is -3.78% compared to the US national median of $136,864.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Ashland spans $57,278,Louisville/Jefferson County spans $57,694. Louisville/Jefferson County has a wider pay range, suggesting more variation in pay between entry-level and experienced nurse practitioners.

Ashland
P10 (Entry)$104,341
P25$118,375
Median$131,686
P75$150,810
P90 (Top)$161,619
Louisville/Jefferson County
P10 (Entry)$107,681
P25$110,919
Median$127,140
P75$142,585
P90 (Top)$165,375

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Ashland ($147,465 effective) pays 7.95% more than Louisville/Jefferson County ($136,601 effective).

Ashland
Nominal: $131,686
CoL Index: 89.3
Adjusted: $147,465
Louisville/Jefferson County
Nominal: $127,140
CoL Index: 93.074
Adjusted: $136,601

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

Which City Is Right for You?

Choose Ashland if…

  • Higher median salary ($131,686/year)
  • Better purchasing power (CoL-adjusted: $147,465)
  • You prefer the Kentucky area and lifestyle

Choose Louisville/Jefferson County if…

  • Better top-earner potential ($165,375)
  • Larger job market (1,580 employed)
  • You prefer the Kentucky area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse practitioner salaries in Ashland grew 30.3% from 2024 to 2025, compared to 23.3% growth in Louisville/Jefferson County over the same period.

Ashland, KY

+30.3%

$97,696 (2024) → $127,294 (2025)

Louisville/Jefferson County, KY

+23.3%

$99,700 (2019) → $122,900 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse practitioners more: Ashland or Louisville/Jefferson County?

Ashland has a higher median nurse practitioner salary at $131,686/year, compared to Louisville/Jefferson County at $127,140/year — a difference of $4,546 (3.58%).

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

Ashland nurse practitioners earn $63.31/hr while Louisville/Jefferson County hygienists earn $61.13/hr (2026 est.).

Should I relocate from Ashland to Louisville/Jefferson County as a nurse practitioner?

Consider more than just salary when comparing Ashland and Louisville/Jefferson County. Factor in cost of living (CoL-adjusted: Ashland = $147,465, Louisville/Jefferson County = $136,601), job availability (4 vs 1,580 employed), commute, and career growth potential.

What do entry-level nurse practitioners earn in Ashland vs Louisville/Jefferson County?

Entry-level (10th percentile) nurse practitioners earn $104,341 in Ashland and $107,681 in Louisville/Jefferson County. The Louisville/Jefferson County area offers higher starting salaries.
MG

Written by Maria Gonzalez, MSN, NP-C

Career Analyst

Maria has 10 years of experience in adult healthcare. She works in a community health clinic. Her specialty is chronic disease management.

Clinically reviewed by James Patel, DNP, APRNData verified by Aisha Khan, MSN, FNP-BC

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.45% 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 Maria Gonzalez, MSN, NP-C, a licensed nurse practitioner with 10+ years of clinical experience. · View source data at BLS.gov