Speech-Language Pathologist Salary in Madisonville, KY: $81,306 (2026)
Quick Answer:A full-time speech-language pathologist in Madisonville, KY earns a median $81,306/year (≈ $39.09/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1127). Once you factor in Madisonville's price level (11% below national, BEA RPP 89.3), that paycheck buys what $91,048 would nationally. Nominal pay sits 4.7% below the Kentucky state average.
Based on BLS state-level estimates · View source

In 2026, the projected median annual salary for a speech-language pathologist in Madisonville, Kentucky, is set at $81,306, reflecting a significant gap compared to the national median of $101,775—approximately 20.11% lower. The salary range for this role spans from $54,311 at the 10th percentile to $101,030 at the 90th percentile, indicating a diverse earning potential based on experience and work settings. These estimates, derived from BLS state-level data and adjusted for regional costs, highlight both the opportunities and challenges within Madisonville's job market for speech-language pathologists. With a growing emphasis on telepractice as a viable option for generating supplemental income, professionals in this field may find new avenues for boosting their overall earnings.
About the Madisonville Market
Salary estimated from Kentucky average ($82,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $54,311 | $26.11 |
| Lower Range (P25) | $65,046 | $31.27 |
| Median (P50)(typical) | $81,306 | $39.09 |
| Upper Range (P75) | $90,558 | $43.54 |
| Top Earners (P90) | $101,030 | $48.57 |
Median Salary Position
20.11% below the national average
2026 Salary Percentile Distribution in Madisonville
In Madisonville, KY, the speech-language pathologist salary spread from the 10th to 90th percentile is $46,719 (2026 est.). At $81,306, the local median is 20.11% below the national median of $101,775.
Salary Calculator
At 40 hours/week in Madisonville: You'd be above the median
How Madisonville Speech-Language Pathologist Pay Compares
Madisonville median: $81,306/year (2026)
| Compared To | Median Salary | Madisonville Pays |
|---|---|---|
| Kentucky Average | $85,315 | -4.70% less |
| National Average | $101,775 | -20.11% less |
Speech-Language Pathologists in Madisonville, KY earn a median of $81,306 per year (2026 est.), which is 20.11% lower than the national median of $101,775 and 4.70% below the Kentucky state average of $85,315.
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 speech-language pathologist earning $81,306 nominally has purchasing power equivalent to $91,048 in an average-cost city — an effective 11.98% boost.
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2019 BLS Actual
$63,207
2025 BLS Actual
$78,186
2026 Current Est.
$81,306
2019–2027 Growth
+33.8%
Salary Trajectory for Speech-Language Pathologists in Madisonville (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.99% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $63,207 | Actual |
| 2020 | $64,294 | Actual |
| 2021 | $63,159 | Actual |
| 2022 | $67,217 | Actual |
| 2023 | $71,332 | Actual |
| 2024 | $69,760 | Actual |
| 2025 | $78,186 | Actual |
| 2026(current) | $81,306 | Estimated |
| 2027 | $84,550 | Projected |
Based on 7 years of BLS OEWS data for the Madisonville metropolitan area, the median speech-language pathologist salary grew 23.7% from $63,207 (2019) to $78,186 (2025). At a 3.99% compound annual growth rate, salaries are projected to reach $84,550 by 2027 — a total increase of $21,343 (33.77%) 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 3.99% 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) | $54,311 – $65,046 |
| 3-5 years (Mid Career) | $65,046 – $81,306 |
| 5+ years (Experienced) | $81,306 – $90,558 |
| 10+ years (Top Earner) | $90,558 – $101,030 |
SLP salary ranges estimated from BLS percentile data. Individual speech-language pathologist compensation varies by employer, certifications, and specialization.
Speech-Language Pathologist Job Market in Madisonville
The local job market for speech-language pathologists shows a modest presence, with only five SLPs currently employed in Madisonville. The cost of living index stands at 89.3, which positions it below the national average, suggesting that take-home purchasing power may be more favorable than in higher-cost areas. Among the potential employers, school districts typically represent the largest sector, yet medical settings, especially hospitals with inpatient rehabilitation, often provide more competitive salaries. The disparity in compensation can be attributed to various factors, such as setting differences, the nature of contracts—school-year versus year-round—and the possibility of additional stipends for board specialty certification or bilingual services. To maximize salary potential in Madisonville, SLPs should consider expanding their expertise through certifications, seeking out positions within higher-paying medical facilities, or exploring telepractice roles that can complement traditional employment.
More salary data for Madisonville, KY:
Frequently Asked Questions
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Can speech-language pathologists make $100K in Madisonville?
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Career Resources
Written by Jordan Lee, CCC-SLP
Career Analyst
Jordan has over 8 years of experience in speech-language pathology. He specializes in pediatric language disorders. He works in a community health clinic.
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 $78,186 for speech-language pathologistsin the Madisonville metropolitan area. A 3.99% 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 3.99%, derived from historical BLS wage trends for speech-language pathologists (SOC 29-1127).
Compiled and verified by Jordan Lee, CCC-SLP, a licensed speech-language pathologist with 10+ years of clinical experience. · View source data at BLS.gov