Orthopedic Surgeon Salary by State (2025 BLS Data)
Orthopedic surgery routinely tops physician pay surveys. The May 2025 BLS state table shows where — and the ancillary-revenue story explains why.
VitalPost Editorial
By VitalPost Editorial · September 10, 2026
Psychiatrist pay state by state from the May 2025 BLS survey — in a specialty where demand outruns supply in nearly every market in the country.
Psychiatry may have the most favorable supply-demand imbalance in medicine: a majority of U.S. counties lack a single practicing psychiatrist, while demand for mental-health care keeps setting records. That scarcity gives psychiatrists unusual leverage over where and how they work — inpatient, outpatient, telepsychiatry, or a blend — and it shows in the state wage data.
According to the U.S. Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) program (May 2025), psychiatrists in the United States earn an annual mean wage of $269,940 and an annual median wage of $281,870. The median is the midpoint — half earn more, half earn less — and it is usually the safer "typical" reference because the mean gets pulled around by the highest earners.
The table below breaks the same May 2025 BLS OEWS dataset down by state.
| Rank | State | Annual mean wage |
|---|---|---|
| 1 | Missouri | $345,860 |
| 2 | Minnesota | $333,320 |
| 3 | Florida | $328,060 |
| 4 | Louisiana | $321,300 |
| 5 | California | $315,380 |
| 6 | Maryland | $306,100 |
| 7 | Vermont | $298,070 |
| 8 | Indiana | $297,220 |
| 9 | Connecticut | $292,660 |
| 10 | Utah | $288,370 |
| 11 | Wisconsin | $282,980 |
| 12 | Pennsylvania | $282,370 |
| 13 | Oregon | $282,210 |
| 14 | Alaska | $278,800 |
| 15 | Maine | $275,050 |
| 16 | Iowa | $273,190 |
| 17 | Virginia | $272,960 |
| 18 | Oklahoma | $272,510 |
| 19 | Michigan | $272,010 |
| 20 | Hawaii | $271,330 |
| 21 | South Dakota | $270,220 |
| 22 | Illinois | $269,000 |
| 23 | Washington | $265,600 |
| 24 | Kansas | $265,280 |
| 25 | Arizona | $264,260 |
| 26 | Colorado | $258,210 |
| 27 | Rhode Island | $257,290 |
| 28 | New York | $252,840 |
| 29 | Ohio | $250,210 |
| 30 | New Jersey | $244,560 |
| 31 | Delaware | $243,740 |
| 32 | New Mexico | $238,260 |
| 33 | Georgia | $227,430 |
| 34 | South Carolina | $226,360 |
| 35 | Kentucky | $221,190 |
| 36 | Texas | $221,100 |
| 37 | Mississippi | $218,620 |
| 38 | Tennessee | $210,520 |
| 39 | Nevada | $203,980 |
| 40 | North Carolina | $201,840 |
| 41 | New Hampshire | $199,220 |
| 42 | Nebraska | $196,590 |
| 43 | Arkansas | $182,100 |
| 44 | District of Columbia | $181,090 |
| 45 | West Virginia | $173,570 |
| 46 | Idaho | $159,470 |
Figures are U.S. Bureau of Labor Statistics OEWS annual mean wages, May 2025 (46 states/territories with published data; BLS suppresses states with samples too small to publish, and those are omitted rather than estimated).
Telepsychiatry has rewired the geography of psychiatric pay. More than almost any specialty, psychiatrists can now live in one state and serve patients in several, which lets clinicians in lower-cost states capture demand from higher-paying markets. Inpatient and correctional roles, along with medical-director add-ons, also carry premiums the state averages only hint at.
Local demand beats national averages. A state's figure reflects how hard its employers are competing for a limited pool. Shortage markets — often rural or rapidly growing — pay above trend and sweeten offers with bonuses and loan repayment the survey can't see.
Cost of living reshapes the ranking. Several states near the top of nominal-wage tables fall in real terms once housing and taxes are counted, and vice versa. Run any two states through our cost-of-living comparison before you conclude one offer is bigger.
Who employs you matters. Health-system employment, independent or democratic groups, academic medicine, and staffing arrangements each price the same specialty differently — in cash, in upside, and in risk.
See who's hiring. Browse open Psychiatry roles on VitalPost — free for clinicians, and pay is shown on a listing whenever the employer posts it.
A few caveats keep this table useful instead of misleading.
Median first, mean second. The mean is sensitive to a small number of very high earners; the median is the midpoint and usually the better proxy for a typical offer. Read both to understand the spread in your market.
One number, many jobs. Each state figure blends employers, settings, and experience levels — a first-year attending and a 25-year veteran, a rural solo practice and a flagship academic center — into a single average. Expect your own market position to move you off the line.
The survey measures wages, not packages. Bonuses, productivity incentives, call stipends, benefits, retirement match, paid time off, and loan repayment sit outside OEWS. Evaluate offers on total value.
Self-employment is invisible here. Partnership income and 1099 arrangements are not fully captured, which is one reason real-world compensation in some markets runs above what a wage survey suggests. When you negotiate, pair this federal baseline with specialty compensation surveys and real numbers from colleagues — the BLS data tells you the neighborhood; your diligence prices the house.
Browse open roles or create a free, anonymous profile and let employers come to you.
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