2025 Compare Cities Cost of Living:
Lexington, KY vs Pikeville, KY

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Highlights
Is it cheaper to live in Pikeville or is it cheaper to live in Lexington?
- Pikeville is 21.9% less expensive than Lexington.

Which city has more affordable housing, Pikeville or Lexington?
- Pikeville housing costs are 15.8% less expensive than Lexington housing costs.

Is Health Care more affordable in Lexington or is Health Care more affordable in Pikeville.
- Health related expenses are 5.6% less in Pikeville.
 Lexington, KYPikeville, KYUnited States
 Overall  Unlock70.9100
 Food & Groceries98.0  Unlock100
 Health  Unlock94.8100
 Housing81.9  Unlock100
 Median Home Cost  Unlock$236,500$338,100
 Utilities91  Unlock100
 Transportation  Unlock75.5100
 Miscellaneous90.7  Unlock100
100 = National Average (Below 100 means cheaper than the US average. Above 100 means more expensive.)
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Reviews for Lexington    62 Reviews

Lexington is a beautiful city. There are tons of tree lined streets and even trees in both sides of the city's only freeway. It's relatively small, which can be both  More

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Over 4 years ago

Very beautiful/underrated city!!  More

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I have lived here now for over five years, originally from the west coast and here is my top 10 for why you should NOT move here. #1 The Culture: They have none, it  More

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Reviews for Pikeville    5 Reviews

Over 13 years ago

I've lived in the wonderful county of Pike for the past seven years. Originally I am from Morgan County, but when I met my husband I made the move to Pikeville. Seven  More

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Over 17 years ago

Not much to do in the area, there has been alot of prescription drug abuse, but not alot of major crimes as one user said, I do enjoy the area, people are friendly, the  More

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I have lived in Pikeville, Kentucky for 28 years and I have lived in 3 other cities. I think that Pikeville is a wonderful place to live. I have a strong religious  More

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