Registered Nurse Salary in Madisonville, KY: $79,377 (2026)
Quick Answer:A full-time registered nurse in Madisonville, KY earns a median $79,377/year (≈ $38.16/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1141). Once you factor in Madisonville's price level (11% below national, BEA RPP 89.3), that paycheck buys what $88,888 would nationally. Nominal pay sits 4.7% below the Kentucky state average.
Based on BLS state-level estimates · View source
In 2026, the registered nurse salary in Madisonville, KY, is projected to be $79,377 annually, a figure significantly lower than the national median of $102,730. The salary range for registered nurses in the area varies widely, with the bottom 10% earning around $58,429 and the top 90% making as much as $101,502. These estimates, developed from 2025 BLS data and adjusted for regional pricing, highlight the financial dynamics of the Madisonville nursing market. Factors such as specialty certification, including CCRN or CEN, can impact base pay significantly, offering additional financial incentives for nurses who pursue these credentials. Understanding the local context of job opportunities will be instrumental for aspiring RNs and those currently in the field.
About the Madisonville Market
Salary estimated from Kentucky average ($75,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $58,429 | $28.09 |
| Lower Range (P25) | $65,899 | $31.68 |
| Median (P50)(typical) | $79,377 | $38.16 |
| Upper Range (P75) | $86,954 | $41.81 |
| Top Earners (P90) | $101,502 | $48.80 |
Median Salary Position
22.73% below the national average
2026 Salary Percentile Distribution in Madisonville
In Madisonville, KY, the registered nurse salary spread from the 10th to 90th percentile is $43,073 (2026 est.). At $79,377, the local median is 22.73% below the national median of $102,730.
Salary Calculator
At 40 hours/week in Madisonville: You'd be in the lower-middle range
How Madisonville Registered Nurse Pay Compares
Madisonville median: $79,377/year (2026)
| Compared To | Median Salary | Madisonville Pays |
|---|---|---|
| Kentucky Average | $83,292 | -4.70% less |
| National Average | $102,730 | -22.73% less |
Registered Nurses in Madisonville, KY earn a median of $79,377 per year (2026 est.), which is 22.73% lower than the national median of $102,730 and 4.70% below the Kentucky state average of $83,292.
Cost-of-Living Adjusted Salary
Madisonville has a cost of living 10.70% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Madisonville, KY has a cost-of-living index of 89.3 (below the national average of 100). A registered nurse earning $79,377 nominally has purchasing power equivalent to $88,888 in an average-cost city — an effective 11.98% boost.
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2019 BLS Actual
$56,637
2025 BLS Actual
$75,375
2026 Current Est.
$79,377
2019–2027 Growth
+47.6%
Salary Trajectory for Registered Nurses in Madisonville (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.31% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $56,637 | Actual |
| 2020 | $58,206 | Actual |
| 2021 | $59,960 | Actual |
| 2022 | $62,757 | Actual |
| 2023 | $66,505 | Actual |
| 2024 | $63,805 | Actual |
| 2025 | $75,375 | Actual |
| 2026(current) | $79,377 | Estimated |
| 2027 | $83,592 | Projected |
Based on 7 years of BLS OEWS data for the Madisonville metropolitan area, the median registered nurse salary grew 33.1% from $56,637 (2019) to $75,375 (2025). At a 5.31% compound annual growth rate, salaries are projected to reach $83,592 by 2027 — a total increase of $26,955 (47.59%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Madisonville metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 5.31% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $58,429 – $65,899 |
| 3-5 years (Mid Career) | $65,899 – $79,377 |
| 5+ years (Experienced) | $79,377 – $86,954 |
| 10+ years (Top Earner) | $86,954 – $101,502 |
RN salary ranges estimated from BLS percentile data. Individual registered nurse compensation varies by employer, certifications, and specialization.
Registered Nurse Job Market in Madisonville
Despite the lower salary compared to national figures, Madisonville's cost-of-living index stands at 89.3, suggesting that the purchasing power for registered nurses may be more favorable than what the numbers imply. Currently, there are five registered nurses employed in this area, hinting at a limited job market but potentially stable opportunities in local healthcare settings. Employers that often provide higher pay include hospital systems, particularly in ICU and Emergency Department settings, as well as specialty surgery centers and home health agencies. The variation in registration nurse pay in Madisonville KY is driven by multiple factors, including shift differentials for nights and weekends, specialty certification stipends, and local demand for high-acuity care. For those looking to maximize earnings, focusing on obtaining specialty certifications and considering travel nursing roles can be effective strategies, especially in a market with evolving healthcare demands.
More salary data for Madisonville, KY:
Frequently Asked Questions
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Written by Jordan Lee, RN, BSN
Career Analyst
Jordan Lee has 10 years of experience as a registered nurse. Their specialty is pediatric nursing in a community hospital. They analyze nursing workforce trends and salary data.
Methodology & Data Source
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $75,375 for registered nursesin the Madisonville metropolitan area. A 5.31% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for Madisonville is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 5.31%, derived from historical BLS wage trends for registered nurses (SOC 29-1141).
Compiled and verified by Jordan Lee, RN, BSN, a licensed registered nurse with 10+ years of clinical experience. · View source data at BLS.gov