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Pike County, KY
9 cities and towns and 37 ZIP codes in Pike County, Kentucky.
Population
56,727
Land area
786sq mi
People per sq mi
72
ZIP codes
37
Cities and towns in Pike County
Pike County at a glance
- Pike County is 37% less dense than Kentucky as a whole.
- By population, it ranks 17th among 120 counties in Kentucky.
- The median household income is $44,312, 30% below the Kentucky median of $63,726.
- A typical owner-occupied home is valued at $112,000 (46% below Kentucky) and median rent is $858 a month.
- Its largest cities are Pikeville (7,490), Coal Run Village (1,724) and Elkhorn City (846).
Local data for Pike County, KY
Counts from official public data
- Hospitals2
- Emergency Rooms2
- Nursing Homes4
- Schools26
- Colleges4
- Libraries6
- Banks20
- Post Offices32
- Parks21
- Grocery Stores31
- Restaurants139
- Affordable Housing6
- Home Health Agencies2
- Hospice Care1
- Dialysis Centers2
- Rehab & Long-Term Care Hospitals2
- Community Health Centers9
- Mental Health & Addiction Treatment12
- Private Schools2
- Community Colleges & Trade Schools2
- Historic Places14
Housing and community stats
Pike County, KY, American Community Survey 2020-2024
Median household income
$44,312
Poverty rate
24.4%
Median home value
$112,000
Prices +2.0% in a year
Median rent
$858/mo
Homeownership
75.3%
Bachelor's or higher
17.8%
Median age
43.3
Average commute
25.3 min
Largest reported origins and ancestries: Irish Americans (6,877), German Americans (4,165), Italian Americans (879).
Economy and federal money
Jobs, income, federal spending and pandemic loans
Unemployment rate
6.2%
Sep 2026, +0.3 pts in a year
Average annual pay
$53,127
20,166 jobs, 2025
Income per person
$50,689
BEA, 2024
Federal spending
$442M
FY 2026, $7,531 per person
PPP loans
$70.3M
1,049 loans, 8,168 jobs reported
Campaign donations
$161K
Itemized, 2026 cycle
How people get to work
Pike County, KY, workers 16 and older. American Community Survey 5-year estimates
- Drove alone79.5%
- Carpooled12.0%
- Public transit0.2%
- Walked1.4%
- Bicycle0.0%
- Taxi, ride-hailing, motorcycle or other1.0%
- Worked from home5.8%
Average one-way commute: 25.3 minutes for people who do not work from home.
Environment and hazard risk
Pike County, KY, from FEMA, NOAA and EPA
Natural hazard risk
Relatively Moderate
Top: landslide
Storm events since 1996
962
Most often thunderstorm wind
Flood insurance policies
927
3.5% of homes, county
July high / Jan low
82° / 23°F
Hazards, floods and storm historyCheck a flood zone14 historic places
Cities, towns and ZIP codes in Pike County
Population shown
Frequently asked questions
- What is the largest city in Pike County, KY?
- Pikeville is the largest city or town in Pike County, with about 7,490 residents.
- How many ZIP codes are in Pike County?
- Pike County includes 37 ZIP Code Tabulation Areas, including 41501, 41503, 41512, 41513, 41514.
- What is the population of Pike County, KY?
- About 56,727 people live in Pike County, based on American Community Survey 5-year estimates.
- What counties border Pike County?
- Pike County borders Wise County, VA, Floyd County, Mingo County, WV, Letcher County, Buchanan County, VA, Knott County, Dickenson County, VA, Martin County.
Source: U.S. Census Bureau (TIGER/Line boundaries, American Community Survey) · Data as of 12/31/2023