Cost of living by state
Weighing a move? Compare any two states side by side — cost of living, taxes, and demographics — then pick your specialty to see what that 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
Virginia is 13.6% more expensive overall than North Dakota.
What Family Medicine pay is really worth
Median pay → estimated after-tax take-home → adjusted for each state's cost of living.
North Dakota
- Median pay
- $266,220
- After tax
- $189,383
$212,790worth here
Virginia
- Median pay
- $220,010
- After tax
- $151,151
$149,506worth here
Pay source: BLS OEWS May 2024 — “Family Medicine Physicians”.
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 | Virginia |
|---|---|---|
| Cost of living (US avg = 100) | ||
| Overall cost of living | 89.0 | 101.1 |
| Housing (rent) | 71.4 | 106.8 |
| Utilities | 73.7 | 92.2 |
| Goods | 95.7 | 100.4 |
| Other services | 91.2 | 100.2 |
| Taxes | ||
| Top income tax rate | 2.50% | 5.75% |
| Sales tax (avg) | 7.05% | 5.77% |
| Property tax (effective) | 0.94% | 0.77% |
| About the state | ||
| Population | 779,361 | 8,657,499 |
| Median household income | $75,949 | $90,974 |
| Median age | 35.7 | 38.8 |
| Homeownership rate | 63.40% | 67.20% |
| Median home value | $241,100 | $360,700 |
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.
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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.