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
Alaska is 15.1% more expensive overall than North Dakota.
What a physician's take-home is really worth
Median pay → estimated after-tax take-home → adjusted for each state's cost of living.
North Dakota
- Median pay
- $406,630
- After tax
- $273,839
$307,684worth here
Alaska
- Median pay
- $353,510
- After tax
- $248,059
$242,245worth 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 | North Dakota | Alaska |
|---|---|---|
| Cost of living (US avg = 100) | ||
| Overall cost of living | 89.0 | 102.4 |
| Housing (rent) | 71.4 | 93.8 |
| Utilities | 73.7 | 119.0 |
| Goods | 95.7 | 106.3 |
| Other services | 91.2 | 102.2 |
| Taxes | ||
| Top income tax rate | 2.50% | 0% |
| Sales tax (avg) | 7.05% | 1.82% |
| Property tax (effective) | 0.94% | 0.91% |
| About the state | ||
| Population | 779,361 | 733,971 |
| Median household income | $75,949 | $89,336 |
| Median age | 35.7 | 35.6 |
| Homeownership rate | 63.40% | 66.60% |
| Median home value | $241,100 | $333,300 |
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.