Real-pay ranking

Best states for obstetrics & gynecology

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 obstetrics & gynecology, adjusted take-home is highest in Louisiana at $299,729 — about 114% further than New Jersey, the lowest of the 41 states BLS publishes.

#StateAnnual meanEst. take-homeAdjusted take-home
1Louisiana$397,990$264,361$299,729
2Oklahoma$364,140$237,912$270,970
3North Dakota$327,910$226,489$254,482
4Utah$385,660$250,653$253,441
5Alaska$365,560$255,608$249,617
6South Dakota$307,380$219,158$247,357
7Maine$370,520$233,804$240,787
8Vermont$376,670$235,757$240,568
9Iowa$311,940$210,161$239,363
10Washington$352,950$247,708$231,503
11Tennessee$296,570$212,386$231,106
12Arizona$336,640$229,449$227,854
13Nebraska$300,500$200,147$222,139
14Wisconsin$313,520$207,503$220,513
15Georgia$319,300$210,063$218,134
16Oregon$366,460$221,916$214,619
17Minnesota$329,280$207,485$210,431
18Indiana$279,910$193,551$207,450
19Maryland$330,570$216,449$206,142
20New Mexico$278,630$188,234$204,158
21Kentucky$268,360$184,108$204,111
22West Virginia$265,520$180,973$202,204
23New Hampshire$279,730$201,835$193,700
24Delaware$294,730$193,012$193,399
25South Carolina$268,740$179,896$191,991
26Texas$248,730$181,910$187,343
27New York$306,240$200,414$185,741
28North Carolina$249,890$172,593$183,025
29Massachusetts$289,280$193,354$182,754
30Virginia$273,790$183,117$181,125
31Michigan$250,650$172,518$179,333
32Ohio$227,230$161,309$173,824
33Rhode Island$255,560$174,790$170,860
34Kansas$222,220$152,395$169,140
35Illinois$244,730$167,170$167,170
36Idaho$230,470$157,651$165,080
37Alabama$208,080$144,672$162,919
38Connecticut$250,000$168,744$162,880
39California$272,520$175,947$158,940
40Hawaii$245,990$162,152$147,411
41New Jersey$222,080$152,394$140,068

Method: annual mean wage from U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 (“Obstetricians and Gynecologists”, 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 41 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.