Real-pay ranking

Best states for other physician specialties

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 other physician specialties, adjusted take-home is highest in North Dakota at $307,684 — about 220% further than District of Columbia, the lowest of the 50 states BLS publishes.

#StateAnnual meanEst. take-homeAdjusted take-home
1North Dakota$406,630$273,839$307,684
2Montana$385,010$246,216$260,271
3Wisconsin$364,840$236,278$251,092
4Wyoming$321,630$228,086$246,047
5Kentucky$331,860$221,351$245,400
6Alaska$353,510$248,059$242,245
7Louisiana$312,630$213,443$241,999
8Tennessee$312,220$222,190$241,774
9Maine$367,590$232,178$239,112
10Indiana$323,600$219,612$235,383
11New Mexico$318,330$210,764$228,594
12Nebraska$291,430$194,936$216,355
13Vermont$331,300$211,303$215,615
14Iowa$273,160$187,339$213,370
15Ohio$286,080$197,267$212,572
16New Hampshire$307,550$219,265$210,427
17Minnesota$325,680$205,584$208,503
18Arizona$303,730$209,653$208,196
19South Carolina$286,140$189,718$202,474
20Alabama$264,580$179,277$201,889
21Washington$293,760$210,625$196,846
22Colorado$298,570$201,162$195,113
23Oklahoma$248,930$170,707$194,427
24Texas$257,240$187,497$193,097
25Oregon$316,640$195,636$189,203
26Georgia$269,550$181,576$188,552
27Florida$267,380$194,098$187,716
28Mississippi$234,660$162,889$187,229
29Hawaii$326,890$205,666$186,969
30Kansas$248,050$167,911$186,361
31Idaho$262,710$176,981$185,320
32Nevada$251,310$183,604$183,604
33North Carolina$247,750$171,279$181,632
34Missouri$237,330$164,152$180,784
35West Virginia$228,870$158,679$177,295
36Virginia$266,010$178,690$176,746
37Pennsylvania$237,190$167,052$171,160
38Utah$240,190$165,375$167,214
39Delaware$243,890$163,867$164,195
40New Jersey$260,100$174,932$160,783
41New York$256,500$172,388$159,766
42Rhode Island$236,360$163,336$159,664
43Connecticut$243,750$165,047$159,312
44Massachusetts$247,150$168,515$159,277
45Arkansas$194,980$137,768$158,536
46Illinois$220,020$152,171$152,171
47Michigan$206,170$144,717$150,433
48Maryland$228,860$157,417$149,921
49California$249,620$163,253$147,473
50District of Columbia$154,040$105,821$96,288

Method: annual mean wage from U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 (“Physicians, All Other”, 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 50 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.