Real-pay ranking

Best states for neurology

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 neurology, adjusted take-home is highest in South Carolina at $243,507 — about 129% further than West Virginia, the lowest of the 24 states BLS publishes.

#StateAnnual meanEst. take-homeAdjusted take-home
1South Carolina$354,250$228,166$243,507
2Arizona$358,190$242,411$240,726
3Texas$325,270$230,366$237,246
4Arkansas$296,780$201,122$231,441
5Alaska$335,530$236,794$231,244
6Tennessee$292,700$209,961$228,467
7Kentucky$301,190$203,363$225,458
8Vermont$344,860$218,611$223,072
9Indiana$303,170$207,425$222,320
10Colorado$336,450$223,227$216,515
11Wisconsin$305,290$202,783$215,497
12Minnesota$330,010$207,871$210,823
13North Carolina$284,770$193,432$205,124
14Nebraska$266,560$180,648$200,497
15Washington$274,740$198,709$185,709
16Maryland$281,640$188,608$179,627
17Connecticut$274,340$182,779$176,428
18California$306,860$194,267$175,490
19Illinois$258,020$175,237$175,237
20Florida$241,970$177,472$171,636
21District of Columbia$276,260$178,970$162,848
22New Jersey$243,370$165,015$151,668
23New York$204,900$141,298$130,953
24West Virginia$131,410$95,076$106,230

Method: annual mean wage from U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 (“Neurologists”, May 2025); 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 24 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.