Best states for anesthesiology
Ranked by what's actually left: each state's wage, minus estimated federal, FICA and state income tax, then adjusted for local prices. The biggest headline salary is often not the best deal.
For anesthesiology, adjusted take-home is highest in Montana at $304,873 — about 101% further than West Virginia, the lowest of the 25 states BLS publishes.
| # | State | Annual mean | Est. take-home | Adjusted take-home |
|---|---|---|---|---|
| 1 | Montana | $459,360 | $288,410 | $304,873 |
| 2 | Iowa | $385,010 | $253,163 | $288,341 |
| 3 | Minnesota | $465,340 | $279,325 | $283,291 |
| 4 | Nebraska | $389,480 | $251,266 | $278,875 |
| 5 | Tennessee | $364,200 | $254,756 | $277,210 |
| 6 | Ohio | $386,200 | $256,488 | $276,388 |
| 7 | North Carolina | $397,850 | $259,471 | $275,155 |
| 8 | Indiana | $378,850 | $252,569 | $270,706 |
| 9 | Florida | $404,100 | $279,753 | $270,554 |
| 10 | New Hampshire | $402,950 | $279,033 | $267,786 |
| 11 | Maine | $415,540 | $258,790 | $266,519 |
| 12 | Alabama | $323,940 | $213,526 | $240,457 |
| 13 | Michigan | $337,220 | $223,521 | $232,350 |
| 14 | Kansas | $315,890 | $207,152 | $229,913 |
| 15 | New Mexico | $318,450 | $210,832 | $228,668 |
| 16 | Maryland | $349,580 | $227,266 | $216,444 |
| 17 | South Carolina | $306,440 | $201,177 | $214,703 |
| 18 | Kentucky | $280,130 | $191,012 | $211,765 |
| 19 | Virginia | $326,130 | $212,899 | $210,583 |
| 20 | Illinois | $301,580 | $200,596 | $200,596 |
| 21 | Texas | $254,010 | $185,376 | $190,912 |
| 22 | Georgia | $244,430 | $166,559 | $172,958 |
| 23 | District of Columbia | $295,970 | $189,495 | $172,425 |
| 24 | New York | $262,530 | $175,934 | $163,053 |
| 25 | West Virginia | $193,830 | $135,831 | $151,766 |
Method: annual mean wage from U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 (“Anesthesiologists”, May 2024); take-home estimated for a single filer taking the standard deduction (federal + FICA + state income tax, wages only — Tax Foundation for state brackets); adjusted using U.S. Bureau of Economic Analysis, Regional Price Parities (2024) price levels where US average = 100. Only states with both a published wage and a published price level can be ranked honestly, so 25 states appear. This is an estimate for comparison, not tax advice, and wages exclude many self-employed/partnership physicians. VitalPost shows sourced public data for context only.