Best states for family medicine
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 family medicine, adjusted take-home is highest in Nebraska at $230,587 — about 132% further than Arkansas, the lowest of the 49 states BLS publishes.
| # | State | Annual mean | Est. take-home | Adjusted take-home |
|---|---|---|---|---|
| 1 | Nebraska | $313,750 | $207,759 | $230,587 |
| 2 | Iowa | $292,030 | $198,444 | $226,018 |
| 3 | Idaho | $322,630 | $211,193 | $221,145 |
| 4 | Indiana | $295,310 | $202,737 | $217,296 |
| 5 | North Dakota | $266,220 | $189,383 | $212,790 |
| 6 | New Mexico | $291,980 | $195,810 | $212,375 |
| 7 | Wyoming | $271,290 | $196,548 | $212,026 |
| 8 | Kentucky | $277,570 | $189,510 | $210,100 |
| 9 | Arizona | $306,890 | $211,554 | $210,083 |
| 10 | Wisconsin | $293,630 | $196,096 | $208,391 |
| 11 | Mississippi | $261,520 | $179,341 | $206,139 |
| 12 | Tennessee | $256,650 | $187,110 | $203,602 |
| 13 | Texas | $270,420 | $196,003 | $201,857 |
| 14 | Alaska | $286,990 | $206,384 | $201,547 |
| 15 | Pennsylvania | $283,590 | $195,547 | $200,356 |
| 16 | Georgia | $286,050 | $191,024 | $198,363 |
| 17 | Oklahoma | $253,090 | $173,241 | $197,313 |
| 18 | Montana | $275,990 | $184,347 | $194,870 |
| 19 | West Virginia | $249,170 | $171,027 | $191,092 |
| 20 | Louisiana | $238,000 | $168,101 | $190,591 |
| 21 | Massachusetts | $301,270 | $200,267 | $189,288 |
| 22 | South Dakota | $223,520 | $165,360 | $186,637 |
| 23 | Utah | $269,090 | $182,926 | $184,961 |
| 24 | Kansas | $244,390 | $165,712 | $183,920 |
| 25 | Minnesota | $277,170 | $179,971 | $182,526 |
| 26 | South Carolina | $253,640 | $171,015 | $182,513 |
| 27 | Ohio | $230,400 | $163,279 | $175,947 |
| 28 | Missouri | $228,690 | $158,886 | $174,985 |
| 29 | New Hampshire | $248,550 | $181,792 | $174,464 |
| 30 | Florida | $243,800 | $178,674 | $172,799 |
| 31 | Maryland | $269,020 | $181,427 | $172,788 |
| 32 | North Carolina | $226,820 | $158,428 | $168,004 |
| 33 | Alabama | $212,590 | $147,745 | $166,380 |
| 34 | Rhode Island | $244,270 | $168,055 | $164,277 |
| 35 | Vermont | $238,710 | $160,469 | $163,744 |
| 36 | Michigan | $222,500 | $155,234 | $161,366 |
| 37 | Delaware | $238,210 | $160,513 | $160,835 |
| 38 | New Jersey | $258,880 | $174,209 | $160,119 |
| 39 | Oregon | $254,080 | $162,292 | $156,956 |
| 40 | Washington | $226,040 | $167,014 | $156,088 |
| 41 | Maine | $221,190 | $149,596 | $154,064 |
| 42 | California | $257,060 | $167,445 | $151,260 |
| 43 | Virginia | $220,010 | $151,151 | $149,506 |
| 44 | Illinois | $206,010 | $143,164 | $143,164 |
| 45 | District of Columbia | $236,820 | $156,836 | $142,708 |
| 46 | Connecticut | $213,400 | $147,095 | $141,984 |
| 47 | New York | $213,480 | $147,008 | $136,245 |
| 48 | Hawaii | $209,870 | $141,349 | $128,499 |
| 49 | Arkansas | $117,030 | $86,332 | $99,346 |
Method: annual mean wage from U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 (“Family Medicine Physicians”, 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 49 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.