Internal Medicine salary by state
Federal wage data for internal medicine — the national figure plus every state BLS publishes (46 of 51). “Real pay” adjusts each state's wage for local prices, so you can compare offers on equal footing.
National annual mean
$267,200
National annual median
$256,560
Where internal medicine pay goes furthest
Ranked by take-home adjusted for local prices — not the biggest headline number.
- 1.South Dakota$264,639adjusted
- 2.Georgia$259,019adjusted
- 3.North Dakota$248,994adjusted
Internal Medicine salary in every state
| State | Annual mean | Price level | Real pay |
|---|---|---|---|
| Georgia | $388,060 | 96.3 | $402,970 |
| Minnesota | $387,730 | 98.6 | $393,235 |
| Maine | $349,150 | 97.1 | $359,578 |
| Indiana | $339,500 | 93.3 | $363,880 |
| Wisconsin | $334,100 | 94.1 | $355,048 |
| South Dakota | $331,820 | 88.6 | $374,515 |
| Washington | $327,250 | 107.0 | $305,841 |
| North Dakota | $319,790 | 89.0 | $359,315 |
| Idaho | $317,600 | 95.5 | $332,565 |
| Alaska | $317,260 | 102.4 | $309,824 |
| South Carolina | $315,380 | 93.7 | $336,585 |
| Guam | $305,830 | — | — |
| Utah | $303,040 | 98.9 | $306,411 |
| Rhode Island | $298,550 | 102.3 | $291,838 |
| Alabama | $294,500 | 88.8 | $331,644 |
| Oregon | $294,070 | 103.4 | $284,400 |
| Colorado | $291,400 | 103.1 | $282,638 |
| Vermont | $287,550 | 98.0 | $293,418 |
| Ohio | $286,650 | 92.8 | $308,890 |
| North Carolina | $283,840 | 94.3 | $300,997 |
| Maryland | $276,280 | 105.0 | $263,124 |
| Mississippi | $275,760 | 87.0 | $316,966 |
| California | $273,270 | 110.7 | $246,856 |
| Oklahoma | $270,930 | 87.8 | $308,576 |
| Florida | $266,790 | 103.4 | $258,017 |
| Missouri | $259,950 | 90.8 | $286,289 |
| Texas | $254,300 | 97.1 | $261,895 |
| Massachusetts | $253,080 | 105.8 | $239,206 |
| Kentucky | $250,140 | 90.2 | $277,317 |
| Louisiana | $238,520 | 88.2 | $270,431 |
| Tennessee | $238,020 | 91.9 | $258,999 |
| Arizona | $230,970 | 100.7 | $229,364 |
| New Hampshire | $229,630 | 104.2 | $220,374 |
| Pennsylvania | $226,950 | 97.6 | $232,531 |
| Nebraska | $226,440 | 90.1 | $251,321 |
| Connecticut | $216,230 | 103.6 | $208,716 |
| New York | $213,360 | 107.9 | $197,739 |
| Arkansas | $210,540 | 86.9 | $242,278 |
| District of Columbia | $207,560 | 109.9 | $188,863 |
| Michigan | $194,040 | 96.2 | $201,705 |
| Illinois | $192,450 | 100.0 | $192,450 |
| Iowa | $191,200 | 87.8 | $217,768 |
| West Virginia | $189,160 | 89.5 | $211,352 |
| New Jersey | $165,650 | 108.8 | $152,252 |
| Nevada | $162,050 | 100.0 | $162,050 |
| Puerto Rico | $131,450 | — | — |
BLS publishes internal medicine wages for 46 of the 50 states + DC. States it doesn't publish are omitted rather than estimated.
Other specialties
Wages: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 — “General Internal Medicine Physicians” (May 2025). Price levels: U.S. Bureau of Economic Analysis, Regional Price Parities (2024), US average = 100. Real pay divides the wage by the state's price level; the ranked page additionally estimates take-home. Wages cover all employment settings and exclude many self-employed/partnership physicians — individual offers vary widely. VitalPost shows sourced public data for context only, not financial advice.