There are
325 mi
from Lexington, KY to Cape Girardeau, MO
That's the driving distance. It would take 6 hours 20 mins to go from Lexington, Kentucky to Cape Girardeau, Missouri.
The flight distance (direct flight from Lexington, KY to Cape Girardeau, MO) is 278.85 mi.
325 mi = 523.07 kms