Cost of living by state
Weighing a move? Compare any two states side by side — cost of living, taxes, and demographics — and see what a physician, NP, or PA salary is really worth once it's adjusted for local prices. Green means cheaper or better; red means pricier or worse.
Overall cost of living
North Carolina is 10.9% cheaper overall than Massachusetts.
What a physician's take-home is really worth
Median pay → estimated after-tax take-home → adjusted for each state's cost of living.
Massachusetts
- Median pay
- $247,150
- After tax
- $168,515
$159,277worth here
North Carolina
- Median pay
- $247,750
- After tax
- $171,279
$181,632worth here
Take-home is an estimate for a single filer taking the standard deduction (federal + FICA + state income tax, wages only) — not tax advice.
| Metric | Massachusetts | North Carolina |
|---|---|---|
| Cost of living (US avg = 100) | ||
| Overall cost of living | 105.8 | 94.3 |
| Housing (rent) | 128.1 | 81.4 |
| Utilities | 152.1 | 88.6 |
| Goods | 98.8 | 96.6 |
| Other services | 102.9 | 98.2 |
| Taxes | ||
| Top income tax rate | 9% | 4.25% |
| Sales tax (avg) | 6.25% | 7% |
| Property tax (effective) | 0.97% | 0.62% |
| About the state | ||
| Population | 6,992,395 | 10,584,340 |
| Median household income | $101,341 | $69,904 |
| Median age | 40.0 | 39.1 |
| Homeownership rate | 62.60% | 66.40% |
| Median home value | $525,800 | $259,400 |
Sources: U.S. Bureau of Economic Analysis, Regional Price Parities (2024) · U.S. Census Bureau QuickFacts · Tax Foundation. Figures are the latest published; cost-of-living is a price-level index, not tax-adjusted take-home pay.
Browse all state profiles
VitalPost shows sourced, public data for context only — it isn't financial or tax advice. Cost-of-living is a price-level index (US average = 100); taxes shown are statewide/averaged and don't capture local income or the specifics of your situation.