Kentucky · VA nurse locality pay · 2026
VA nurse pay scale, Lexington, KY (station 596)
The Department of Veterans Affairs pays nurses on Title 38 locality pay schedules that each medical center sets for its own labor market. These are this station's schedules as the VA publishes them, grade by step, with a calculator.
- VA station 596 sets nurse locality pay for Lexington, KY, Hazard, KY, Berea, KY, Georgetown, KY, Somerset, KY, Morehead, KY.
- Registered nurses (RN) on this station's base schedules earn $71,176 at Nurse I, step 1 up to $137,765 at the top of the highest grade, per the VA's nurse locality pay file (effective ).
- Advanced practice registered nurses (APRN: nurse practitioners and other APRNs) earn $121,354 to $240,738.
- The station also publishes 27 specialty and supervisory schedules (operating room, critical care, managers and others), summarised in the table below.
- Data current as of 3 Sept 2026 in the VA's national nurse locality pay spreadsheet. Locality pay is already built into these rates.
Registered nurse locality pay schedule NF23, Berea, KY, Clay City, KY, Danville, KY, Frankfort, KY and 12 more
| Step \ Grade | Nurse I | Nurse II | Nurse III |
|---|---|---|---|
| 1 | $71,176 | $87,792 | $103,588 |
| 2 | $73,311 | $90,425 | $106,695 |
| 3 | $75,446 | $93,058 | $109,802 |
| 4 | $77,581 | $95,691 | $112,909 |
| 5 | $79,716 | $98,324 | $116,016 |
| 6 | $81,851 | $100,957 | $119,123 |
| 7 | $83,986 | $103,590 | $122,230 |
| 8 | $86,121 | $106,223 | $125,337 |
| 9 | $88,256 | $108,856 | $128,444 |
| 10 | $90,391 | $111,489 | $131,551 |
| 11 | $92,526 | $114,122 | $134,658 |
| 12 | $94,661 | $116,755 | $137,765 |
| 13 | $96,796 | ||
| 14 | $98,931 | ||
| 15 | $101,066 | ||
| 16 | $103,201 | ||
| 17 | $105,336 | ||
| 18 | $107,471 | ||
| 19 | $109,606 |
| Step | Salary | vs. selected |
|---|---|---|
| 2 | $73,311 | +$2,135 |
| 3 | $75,446 | +$4,270 |
| 4 | $77,581 | +$6,405 |
| 5 | $79,716 | +$8,540 |
| 6 | $81,851 | +$10,675 |
Worked example as rendered: Nurse I, step 1 = $71,176 a year, $5,931.33 a month spread over 12 months. Monthly and daily figures are arithmetic on the published annual cell, before any supplement, stipend or deduction.
Title 38 nurse locality pay schedule NF23 for VA station 596, from the VA's national nurse locality pay spreadsheet (current as of 3 Sept 2026).
Nurse I entry levels 1-3 share one rate table in the source; it is shown once.
These are basic pay rates. Locality pay is already built in; premium pay, recruitment and retention incentives are not.
Registered nurse locality pay schedule NU58, Morehead, KY
| Step \ Grade | Nurse I | Nurse II | Nurse III |
|---|---|---|---|
| 1 | $71,176 | $87,792 | $103,588 |
| 2 | $73,311 | $90,425 | $106,695 |
| 3 | $75,446 | $93,058 | $109,802 |
| 4 | $77,581 | $95,691 | $112,909 |
| 5 | $79,716 | $98,324 | $116,016 |
| 6 | $81,851 | $100,957 | $119,123 |
| 7 | $83,986 | $103,590 | $122,230 |
| 8 | $86,121 | $106,223 | $125,337 |
| 9 | $88,256 | $108,856 | $128,444 |
| 10 | $90,391 | $111,489 | $131,551 |
| 11 | $92,526 | $114,122 | $134,658 |
| 12 | $94,661 | $116,755 | $137,765 |
| 13 | $96,796 | ||
| 14 | $98,931 | ||
| 15 | $101,066 | ||
| 16 | $103,201 | ||
| 17 | $105,336 | ||
| 18 | $107,471 | ||
| 19 | $109,606 |
| Step | Salary | vs. selected |
|---|---|---|
| 2 | $73,311 | +$2,135 |
| 3 | $75,446 | +$4,270 |
| 4 | $77,581 | +$6,405 |
| 5 | $79,716 | +$8,540 |
| 6 | $81,851 | +$10,675 |
Worked example as rendered: Nurse I, step 1 = $71,176 a year, $5,931.33 a month spread over 12 months. Monthly and daily figures are arithmetic on the published annual cell, before any supplement, stipend or deduction.
Title 38 nurse locality pay schedule NU58 for VA station 596, from the VA's national nurse locality pay spreadsheet (current as of 3 Sept 2026).
Nurse I entry levels 1-3 share one rate table in the source; it is shown once.
These are basic pay rates. Locality pay is already built in; premium pay, recruitment and retention incentives are not.
Advanced practice registered nurse (APRN) locality pay schedule NF25, Berea, KY, Danville, KY, Harrodsburg, KY, Hazard, KY and 3 more
| Step \ Grade | Nurse II | Nurse III | Nurse IV |
|---|---|---|---|
| 1 | $130,003 | $153,398 | $181,008 |
| 2 | $133,903 | $157,999 | $186,438 |
| 3 | $137,803 | $162,600 | $191,868 |
| 4 | $141,703 | $167,201 | $197,298 |
| 5 | $145,603 | $171,802 | $202,728 |
| 6 | $149,503 | $176,403 | $208,158 |
| 7 | $153,403 | $181,004 | $213,588 |
| 8 | $157,303 | $185,605 | $219,018 |
| 9 | $161,203 | $190,206 | $224,448 |
| 10 | $165,103 | $194,807 | $229,878 |
| 11 | $169,003 | $199,408 | $235,308 |
| 12 | $172,903 | $204,009 | $240,738 |
| Step | Salary | vs. selected |
|---|---|---|
| 2 | $133,903 | +$3,900 |
| 3 | $137,803 | +$7,800 |
| 4 | $141,703 | +$11,700 |
| 5 | $145,603 | +$15,600 |
| 6 | $149,503 | +$19,500 |
Worked example as rendered: Nurse II, step 1 = $130,003 a year, $10,833.58 a month spread over 12 months. Monthly and daily figures are arithmetic on the published annual cell, before any supplement, stipend or deduction.
Title 38 nurse locality pay schedule NF25 for VA station 596, from the VA's national nurse locality pay spreadsheet (current as of 3 Sept 2026).
Nurse I entry levels 1-3 share one rate table in the source; it is shown once.
These are basic pay rates. Locality pay is already built in; premium pay, recruitment and retention incentives are not.
Advanced practice registered nurse (APRN) locality pay schedule NR68, Morehead, KY
| Step \ Grade | Nurse II | Nurse III |
|---|---|---|
| 1 | $121,354 | $143,196 |
| 2 | $124,994 | $147,491 |
| 3 | $128,634 | $151,786 |
| 4 | $132,274 | $156,081 |
| 5 | $135,914 | $160,376 |
| 6 | $139,554 | $164,671 |
| 7 | $143,194 | $168,966 |
| 8 | $146,834 | $173,261 |
| 9 | $150,474 | $177,556 |
| 10 | $154,114 | $181,851 |
| 11 | $157,754 | $186,146 |
| 12 | $161,394 | $190,441 |
| Step | Salary | vs. selected |
|---|---|---|
| 2 | $124,994 | +$3,640 |
| 3 | $128,634 | +$7,280 |
| 4 | $132,274 | +$10,920 |
| 5 | $135,914 | +$14,560 |
| 6 | $139,554 | +$18,200 |
Worked example as rendered: Nurse II, step 1 = $121,354 a year, $10,112.83 a month spread over 12 months. Monthly and daily figures are arithmetic on the published annual cell, before any supplement, stipend or deduction.
Title 38 nurse locality pay schedule NR68 for VA station 596, from the VA's national nurse locality pay spreadsheet (current as of 3 Sept 2026).
Nurse I entry levels 1-3 share one rate table in the source; it is shown once.
These are basic pay rates. Locality pay is already built in; premium pay, recruitment and retention incentives are not.
Specialty and supervisory schedules
Step 1 of each grade and the highest cell on each schedule. Each is a separate locality pay schedule, set by the station alongside the base RN schedule.
| Schedule | Nurse I step 1 | Nurse II step 1 | Nurse III step 1 | Top cell |
|---|---|---|---|---|
| RN Staff - Pain Management N01G · Lexington, KY | $74,806 | $88,265 | $104,147 | $138,511 |
| RN STAFF - PROGRESSIVE CARE N01H · Lexington, KY | $78,432 | $92,545 | $109,194 | $145,219 |
| RN Staff - PACU N01I · Lexington, KY | $74,806 | $88,265 | $104,147 | $138,511 |
| RN STAFF - EDUCATOR N01J · Lexington, KY | $74,805 | $88,263 | $104,146 | $138,510 |
| RN Staff - Oncology/Chemothera N01K · Lexington, KY | $74,806 | $88,265 | $104,147 | $138,511 |
| RN Staff - Cardiac Catheteriza N01L · Lexington, KY | $74,806 | $88,265 | $104,147 | $138,511 |
| RN STAFF - GASTROINTESTINAL SP N01M · Lexington, KY | $74,806 | $88,265 | $104,147 | $138,511 |
| RN Staff - Interventional Radi N01N · Lexington, KY | $74,806 | $88,265 | $104,147 | $138,511 |
| RN STAFF - DIALYSIS N01O · Lexington, KY | $74,806 | $88,265 | $104,147 | $138,511 |
| RN STAFF - ASST MGR N01P · Hazard, KY, Lexington, KY | $80,789 | $95,323 | $112,477 | $149,591 |
| RN, Infection Contro N02W · Lexington, KY | $70,375 | $97,822 | $106,626 | $141,804 |
| RN - Assistant/Associate/Depu N06H · Berea, KY, Georgetown, KY, Hazard, KY +1 | – | $110,879 | $124,184 | $165,159 |
| RN-Recruiter N06X · Lexington, KY | $74,964 | $88,460 | $104,381 | $138,822 |
| RN ADMIN - FACILITY ADMIN N07K · Lexington, KY, Richmond, KY, Winchester, KY | $68,803 | $81,183 | $95,791 | $127,394 |
| CNS-Medicine Specialty N0DL · Berea, KY, Hazard, KY, Lexington, KY | – | $96,558 | $113,938 | $151,536 |
| RN - Supv Prog Mgr/Coord N0DQ · Lexington, KY | $86,202 | $101,715 | $120,017 | $159,617 |
| RN STAFF - RESOURCE/FLOAT POOL N0DV · Berea, KY, Lexington, KY | $77,398 | $91,329 | $107,762 | $143,314 |
| RN Staff-Inpt NN54 · Lexington, KY | $64,825 | $79,955 | $96,014 | $127,694 |
| RN STAFF - CRITICAL CARE NP96 · Lexington, KY | $75,339 | $93,418 | $110,233 | $146,599 |
| RN/Nurse Executive NU45 · | – | – | – | $228,000 |
| RN,Mgr/Head Nurse NU46 · Berea, KY, Georgetown, KY, Hazard, KY +2 | $79,574 | $99,467 | $116,473 | $154,907 |
| RN Staff - Operating Room NU48 · Lexington, KY | $72,360 | $91,898 | $108,238 | $143,955 |
| RN STAFF - WOUND CARE SPEC NU50 · Lexington, KY | $71,090 | $90,283 | $106,338 | $141,428 |
| RN Nurse Informatician NU51 · Lexington, KY | $77,816 | $91,817 | $108,344 | $144,094 |
| RN STAFF - SHIFT SUPERVISOR NU63 · Lexington, KY | $75,239 | $94,208 | $111,165 | $147,839 |
| RN STAFF - EMERGENCY DEPT/URGE NU85 · Lexington, KY | $75,419 | $91,257 | $107,678 | $143,208 |
| RN,Mgr/Head Nurse NV24 · Morehead, KY | $84,580 | $99,798 | $117,760 | $156,612 |
Questions people ask
How much does the VA pay registered nurses in Lexington, KY?
On station 596's base RN schedules, from $71,176 (Nurse I, step 1) to $137,765 at the top of the highest grade, effective August 9, 2026. The grade and step are set at hiring from education and experience under the VA's nurse qualification standard.
How much does the VA pay nurse practitioners in Lexington, KY?
$121,354 to $240,738 on the station's advanced practice RN schedules.
Other VA stations in Kentucky
All stations: VA nurse pay by location. Federal General Schedule and locality tables: federal pay.