Real-pay ranking

Best states for ophthalmology

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 ophthalmology, adjusted take-home is highest in Iowa at $266,469 — about 88% further than Kentucky, the lowest of the 34 states BLS publishes.

#StateAnnual meanEst. take-homeAdjusted take-home
1Iowa$352,380$233,960$266,469
2Florida$391,060$271,584$262,654
3Ohio$339,480$228,853$246,609
4Minnesota$373,600$230,886$234,164
5New Hampshire$346,190$243,473$233,659
6Georgia$342,700$223,461$232,047
7Texas$316,220$224,696$231,407
8Missouri$295,990$198,992$219,154
9Alabama$289,830$193,862$218,313
10Washington$330,130$233,411$218,141
11Rhode Island$336,620$221,018$216,049
12Maine$320,460$206,021$212,174
13Tennessee$268,340$194,700$211,861
14Oregon$357,880$217,390$210,242
15Pennsylvania$299,730$205,164$210,209
16New York$353,390$226,723$210,123
17Nevada$291,710$209,341$209,341
18Arkansas$255,110$176,329$202,910
19Colorado$312,170$209,084$202,797
20Indiana$271,760$188,689$202,239
21Virginia$301,640$198,964$196,799
22South Carolina$275,240$183,565$195,907
23California$347,690$216,050$195,167
24Wisconsin$267,540$181,134$192,491
25South Dakota$225,800$166,857$188,326
26Massachusetts$297,280$197,966$187,113
27Michigan$258,160$177,129$184,126
28Illinois$260,500$176,742$176,742
29Utah$250,050$171,399$173,305
30Vermont$254,130$169,366$172,822
31Oklahoma$207,100$144,817$164,940
32Maryland$227,450$156,568$149,112
33Louisiana$175,570$125,863$142,702
34Kentucky$181,520$128,028$141,938

Method: annual mean wage from U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 (“Ophthalmologists, Except Pediatric”, 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 34 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.