What is the cost of living in Pikeville, KY?
According to the most recent data on the cost of living, Pikeville has an overall cost of living index of 97, which is 1.0x lower than the national index of 100.
Compared to Kentucky, Pikeville has a cost of living index that's 1.1x higher than Kentucky's index of 89.
The standard of living in Pikeville ranks as #63 most affordable out of the 85 places we measured in Kentucky. By definition, that implies Pikeville ranks as the #22 most expensive place in the Bluegrass State.
For more reading on life in Pikeville, check out:
Pikeville Cost Of Living Vs. Kentucky
Six factors go into calculating the cost of living index in Pikeville. Here is how it fares on each of the criteria:
The Services index in Pikeville is 97.
The Groceries index in Pikeville is 93.
The Health index in Pikeville is 110.
The Housing index in Pikeville is 99.
The Transportation index in Pikeville is 96.
The Utilities index in Pikeville is 97.
| Living Expense | Pikeville | Kentucky | National Average |
|---|---|---|---|
| Overall | 97 | 89 | 100 |
| Services | 97 | 100 | 100 |
| Groceries | 93 | 98 | 100 |
| Health | 110 | 68 | 100 |
| Housing | 99 | 98 | 100 |
| Transportation | 96 | 95 | 100 |
| Utilities | 97 | 96 | 100 |
Pikeville Cost Of Living Compared To Kentucky Averages
Index where 100 = national average. Source: cost-of-living index 2026.
For more reading on cost of living around Kentucky, check out:
Protect your home budget Compare home warranties in Pikeville Get matched →Source: Cost-of-living index 2026, normalized to US average = 100
Pikeville, KY Housing Cost Breakdown
Housing swings affordability the most between places in Kentucky, so we broke down housing costs into more detail. Home and income data comes from the most recent US Census ACS 2020-2024. The key points are:
The Median Home Value in Pikeville is $123,118.
The Median Rent in Pikeville is $862.
The Median Income in Pikeville is $39,955.
The Home Value To Income in Pikeville is 3.1x.
The Rent To Monthly Income in Pikeville is 0.26x.
Pikeville, KY Costs By Category
Detailed Pikeville Services costs vs. Kentucky
Detailed Pikeville Groceries costs vs. Kentucky
Detailed Pikeville Health costs vs. Kentucky
Detailed Pikeville Transportation costs vs. Kentucky
Pikeville SnackAbility
Cost Of Living In Cities Around Pikeville
The cost of living varies in the cities and towns around Pikeville. Here's a quick look at the cost of living in the most populous nearby places:
Richlands, VA has a cost of living index of 86, 0.9x Pikeville.
Big Stone Gap, VA has a cost of living index of 90, 0.9x Pikeville.
| City | Population | Cost Of Living | Vs. Pikeville |
|---|---|---|---|
| Richlands, VA | 5,171 | 86 | 0.9x |
| Big Stone Gap, VA | 5,162 | 90 | 0.9x |
