Speech-Language Pathologist Salary in Lexington, MA: $98,054 (2026)
Quick Answer:A full-time speech-language pathologist in Lexington, MA earns a median $98,054/year (≈ $47.14/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1127). Once you factor in Lexington's price level (9% above national, BEA RPP 108.5), that paycheck buys what $90,372 would nationally. Nominal pay sits 4.3% below the Massachusetts state average.
Based on BLS state-level estimates · View source

In 2026, the projected median annual salary for speech-language pathologists in Lexington, Massachusetts, stands at $98,054. When examining the income range for this profession, salaries stretch from $66,837 at the 10th percentile to $130,418 at the 90th percentile, reflecting a significant diversity in compensation potential. These figures are based on estimates derived from 2025 BLS data, adjusted for regional economic factors. Given the competitive nature of the field, particularly with the rise of telepractice income opportunities, Lexinton's market offers promising prospects for SLPs looking to expand their earnings. Effective hourly compensation reflects this opportunity, with many professionals benefiting from flexibility in their work arrangements.
About the Lexington Market
Salary estimated from Massachusetts average ($92,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $66,837 | $32.13 |
| Lower Range (P25) | $80,013 | $38.47 |
| Median (P50)(typical) | $98,054 | $47.14 |
| Upper Range (P75) | $113,501 | $54.56 |
| Top Earners (P90) | $130,418 | $62.71 |
Median Salary Position
3.66% below the national average
2026 Salary Percentile Distribution in Lexington
In Lexington, MA, the speech-language pathologist salary spread from the 10th to 90th percentile is $63,581 (2026 est.). At $98,054, the local median is 3.66% below the national median of $101,775.
Salary Calculator
At 40 hours/week in Lexington: You'd be in the lower-middle range
How Lexington Speech-Language Pathologist Pay Compares
Lexington median: $98,054/year (2026)
| Compared To | Median Salary | Lexington Pays |
|---|---|---|
| Massachusetts Average | $102,460 | -4.30% less |
| National Average | $101,775 | -3.66% less |
Speech-Language Pathologists in Lexington, MA earn a median of $98,054 per year (2026 est.), which is 3.66% lower than the national median of $101,775 and 4.30% below the Massachusetts state average of $102,460.
Cost-of-Living Adjusted Salary
Lexington has a cost of living 8.50% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Lexington, MA has a cost-of-living index of 108.5 (above the national average of 100). While the nominal salary of $98,054 is competitive, the higher cost of living reduces purchasing power to an effective $90,372 — a 7.83% reduction.
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2019 BLS Actual
$76,227
2025 BLS Actual
$94,292
2026 Current Est.
$98,054
2019–2027 Growth
+33.8%
Salary Trajectory for Speech-Language Pathologists in Lexington (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.99% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $76,227 | Actual |
| 2020 | $77,538 | Actual |
| 2021 | $76,170 | Actual |
| 2022 | $81,064 | Actual |
| 2023 | $86,026 | Actual |
| 2024 | $95,551 | Actual |
| 2025 | $94,292 | Actual |
| 2026(current) | $98,054 | Estimated |
| 2027 | $101,967 | Projected |
Based on 7 years of BLS OEWS data for the Lexington metropolitan area, the median speech-language pathologist salary grew 23.7% from $76,227 (2019) to $94,292 (2025). At a 3.99% compound annual growth rate, salaries are projected to reach $101,967 by 2027 — a total increase of $25,740 (33.77%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Lexington 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) | $66,837 – $80,013 |
| 3-5 years (Mid Career) | $80,013 – $98,054 |
| 5+ years (Experienced) | $98,054 – $113,501 |
| 10+ years (Top Earner) | $113,501 – $130,418 |
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 Lexington
While only six speech-language pathologists are currently employed in Lexington, the cost-of-living index of 108.5 signifies that living expenses are higher than the national average, impacting overall take-home pay. Schools remain the predominant employers, often offering solid pay structures, yet it is hospitals and skilled nursing facilities where salaries tend to be more competitive. Factors that influence salary variation include work settings—medical roles typically provide higher pay than school positions—contract types, and the potential for bonuses based on board specialty certifications. Pursuing contracts with telepractice agencies or engaging in bilingual services also presents avenues for maximizing earnings. For those navigating salaries in Lexington, it's essential to consider how contract options and settings can impact overall income, especially as the demand for bilingual services continues to rise in many markets.
More salary data for Lexington, MA:
Frequently Asked Questions
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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 $94,292 for speech-language pathologistsin the Lexington 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 Lexington 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