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
Alaska is 13.7% more expensive overall than Nebraska.
What Internal Medicine pay is really worth
Median pay → estimated after-tax take-home → adjusted for each state's cost of living.
Nebraska
- Median pay
- $226,440
- After tax
- $156,427
$173,615worth here
Alaska
- Median pay
- $317,260
- After tax
- $225,348
$220,066worth here
Pay source: BLS OEWS May 2025 — “General Internal 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 | Nebraska | Alaska |
|---|---|---|
| Cost of living (US avg = 100) | ||
| Overall cost of living | 90.1 | 102.4 |
| Housing (rent) | 75.2 | 93.8 |
| Utilities | 75.6 | 119.0 |
| Goods | 94.1 | 106.3 |
| Other services | 93.0 | 102.2 |
| Taxes | ||
| Top income tax rate | 5.20% | 0% |
| Sales tax (avg) | 6.97% | 1.82% |
| Property tax (effective) | 1.43% | 0.91% |
| About the state | ||
| Population | 1,965,926 | 733,971 |
| Median household income | $74,985 | $89,336 |
| Median age | 37.1 | 35.6 |
| Homeownership rate | 66.50% | 66.60% |
| Median home value | $223,800 | $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.
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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.