As of August 01, 2026, the average annual salary for step down nurse in Lexington, KY is $79,822, equivalent to $38 per hour, $1,535 weekly, or $6,652 monthly. These figures, sourced from Salary.com’s real-time job posting scans, highlight competitive earning potential for step down nurse in cities like San Jose, Santa Clara, and San Francisco.

Annually Salaries for step down nurse in Lexington, KY vary widely, spanning from $71,823 to $92,860. Most professionals fall between the 25th percentile ($75,635) and 75th percentile ($86,646), while top earners (90th percentile) make $92,860 per year. This $11,011 pay gap underscores opportunities for salary growth through certifications, specialized skills like Accountability or Staff Development, or targeting high-paying regions like District of Columbia or California.

Location and experience significantly influence earnings. For example, Lexington step down nurse often earn 1.6% lower than national averages. However, Lexington currently ranks 664 statewide for step down nurse job salary. Professionals are advised to focus on high-growth sectors like to offset market challenges.

Based on HR-reported data: a national average with a geographic differential
step down nurse Salaries by Percentile
Percentile Salary Location Last Updated
10th Percentile step down nurse Salary $71,823 Lexington, KY August 01, 2026
25th Percentile step down nurse Salary $75,635 Lexington, KY August 01, 2026
50th Percentile step down nurse Salary $79,822 Lexington, KY August 01, 2026
75th Percentile step down nurse Salary $86,646 Lexington, KY August 01, 2026
90th Percentile step down nurse Salary $92,860 Lexington, KY August 01, 2026
25% $75,635 10% $71,823 90% $92,860 75% $86,646 $79,822 50%(Median) Didn’t find job title? Click
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Check out step down nurse jobs in Lexington, Kentucky

Nurse Manager Cardiac ICU Step Down

Common Spirit Health - Lexington, KY

Charge RN Cardiac ICU Step Down

Common Spirit Health - Lexington, KY

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What is a step down nurse ?

A step-down nurse, also known as a progressive care nurse, provides specialized care for patients who require closer monitoring than those in a general medical-surgical unit but do not need intensive care. Responsibilities include assessing patient conditions, administering medications, managing intravenous lines, and collaborating with healthcare teams to develop and implement care plans. Step-down nurses often monitor vital signs, perform diagnostic tests, and educate patients and families about health management. The salary for step-down nurses varies based on factors such as experience, lo...

Source: (as of 06/04/2025). Read more from

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Job Openings for step down nurse in Lexington, KY

Understand the total compensation opportunity for a step down nurse, base salary plus other pay elements

Average Base Salary

Core compensation

 
 
 
75635
86646
79822

Average Total Cash Compensation

Includes base and annual incentives

 
 
 
81556
97726
88754
These charts show the average base salary (core compensation), as well as the average total cash compensation for the job of step down nurse in Lexington, KY. The base salary for step down nurse ranges from $75,635 to $86,646 with the average base salary of $79,822. The total cash compensation, which includes base, and annual incentives, can vary anywhere from $81,556 to $97,726 with the average total cash compensation of $88,754.

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75635
86646

 

About Lexington, Kentucky    Lexington, consolidated with Fayette County and often denoted as Lexington-Fayette, is the second-largest city in Kentucky and the 60th-largest city i....More

Lexington, Kentucky  area prices were up 1.2% from a year ago

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