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Physician Salary 2026 and Take Home Pay in Every State

The latest official figure used here is the May 2025 BLS median of $271,090 a year, about $130.33 an hour over a full-time year. The published history does not meet this site's minimum continuity and employment criteria, so no 2026 trend figure is shown for this occupation. BLS estimates employment at 754,760. The take home figures are separate estimates produced by this site’s tax model.

Latest official BLS median physician pay

$271,090

Under the listed assumptions, the model estimates $197,025 after federal tax, Social Security and Medicare, an estimated effective rate of 27.3%. State scenarios are in the table below.

The spread, not just the middle

BLS publishes selected percentile estimates in addition to the median. These are wage estimates, not stages of a career, and they do not guarantee what an individual earns.

PercentileA yearEstimated take home
Lowest tenth$75,760$62,123
Lower quarter$137,900$105,523
Median$271,090$197,025
Upper quarter$387,420$269,946
Highest tenth$477,980$326,684

Take home is a single filer with no state income tax, so the column compares the percentiles rather than places.

Pay history

Each numeric bar is the published national median estimate for physician in that year’s release. A BLS # lower bound or a year without an exact result is labelled instead of silently dropped. Bars run from zero. The 2021 method break is marked, and the earlier published bars remain visible as historical context without being joined to the post-change calculations.

Published endpoint change
19.3%
From $227,180 in 2022 to $271,090 in 2025. The compound rate between those exact post-change endpoints is 6.1% a year; it is descriptive arithmetic, not a BLS time-series measure.
After inflation
8.5%
Adjusting the two published endpoints with the selected inflation series gives a descriptive increase from 2022 to 2025.
  1. 2021BLS # lower bound
  2. 2022$227,180
  3. 2023BLS # lower bound
  4. 2024BLS # lower bound
  5. 2025$271,090

BLS changed the OEWS estimation method beginning with the May 2021 estimates. Pre-2021 bars remain as raw published reference points; the wage, inflation, and employment calculations use post-change endpoints only. BLS also explains that the survey’s pooled design and changes in methods or classifications limit comparisons over time. The chart itself contains no future data point.

BLS estimated employment at 641,380 in 2021 and 754,760 in 2025, a modeled change of 17.7% between the two published estimates.

The figures start at 2021 because the Bureau of Labor Statistics reported this work inside a wider category until then, and only began publishing it on its own from that release.

The paycheck, cycle by cycle

Median wage, single filer, no state income tax. Take home per paycheck.

Physician pay by state

Two columns, because they answer two different questions and mixing them is how these comparisons mislead. Take home on the national median holds the wage still and shows what each state’s modeled deductions do to it. What the job pays there is the state’s own BLS median, which is a labor-market figure and nothing to do with tax. The May 2025 BLS release provides a state median result, an exact estimate or a # lower bound, for 0 of the 51 jurisdictions shown. In the other cells, BLS did not release a state median result. Its national employment estimate for this occupation is 754,760. BLS explains that estimates may be withheld for quality or confidentiality reasons and that it does not disclose the reason for a particular missing estimate. This site leaves the cell unfilled rather than substituting another source or a neighboring state.

StateTake home on $271,090What it pays there
Florida$197,025No statewide BLS median published
Nevada$197,025No statewide BLS median published
New Hampshire$197,025No statewide BLS median published
South Dakota$197,025No statewide BLS median published
Tennessee$197,025No statewide BLS median published
Texas$197,025No statewide BLS median published
Wyoming$197,025No statewide BLS median published
Alaska$196,754No statewide BLS median published
Washington$193,964No statewide BLS median published
North Dakota$192,793No statewide BLS median published
Arizona$191,603No statewide BLS median published
Indiana$189,058No statewide BLS median published
Louisiana$189,046No statewide BLS median published
Ohio$188,580No statewide BLS median published
Pennsylvania$188,513No statewide BLS median published
Kentucky$187,655No statewide BLS median published
Iowa$187,258No statewide BLS median published
Arkansas$187,195No statewide BLS median published
Mississippi$186,914No statewide BLS median published
Alabama$186,613No statewide BLS median published
North Carolina$186,469No statewide BLS median published
Michigan$185,755No statewide BLS median published
West Virginia$185,499No statewide BLS median published
Oklahoma$185,325No statewide BLS median published
Missouri$185,221No statewide BLS median published
Nebraska$185,100No statewide BLS median published
Utah$184,962No statewide BLS median published
Colorado$184,528No statewide BLS median published
Georgia$184,247No statewide BLS median published
New Mexico$184,148No statewide BLS median published
Illinois$183,751No statewide BLS median published
Idaho$183,511No statewide BLS median published
Maryland$183,380No statewide BLS median published
Montana$183,063No statewide BLS median published
Wisconsin$182,986No statewide BLS median published
Rhode Island$182,880No statewide BLS median published
Massachusetts$182,842No statewide BLS median published
Kansas$182,698No statewide BLS median published
Virginia$182,252No statewide BLS median published
South Carolina$182,166No statewide BLS median published
Vermont$179,946No statewide BLS median published
Delaware$179,737No statewide BLS median published
New Jersey$179,530No statewide BLS median published
Connecticut$178,798No statewide BLS median published
New York$177,720No statewide BLS median published
Maine$177,617No statewide BLS median published
District of Columbia$176,914No statewide BLS median published
Hawaii$176,906No statewide BLS median published
Minnesota$175,667No statewide BLS median published
Oregon$170,855No statewide BLS median published
California$170,438No statewide BLS median published

Put in your own hours

The median is a full-time year. Change the hours, the state or your Form W-4 answers.

$an hour

Estimated average take home pay, biweekly

$7,577.89

$271,086.40 a year gross; the model estimates $197,025.22 after the deductions shown. That is 72.7% of gross under these assumptions.

Gross pay$10,426.40
Federal income tax- $2,232.76
Social Security- $439.96
Medicare (annual-average estimate)- $175.79
Take home$7,577.89

Worked out from: single filer · a blank Form W-4 · 40 hours a week.

  • Social Security withholding generally stops after wages from one employer reach $184,500 for the year, so later take home pay may be higher than this annual average.
  • Additional Medicare withholding starts in the pay period when wages from one employer exceed $200,000 for the year. No pay date or year-to-date wages were entered, so the biweekly Medicare and take home figures are annual-average estimates that spread the year's Additional Medicare across 26 paychecks; actual earlier take home pay may be higher and later take home pay lower.

About this calculator. It is general guidance, not a payslip. The figures are estimates based on selected 2026 federal and state publications and modeled assumptions. Sources, interpretations and code may be incomplete or wrong, and the result should not be relied on as an exact calculation of tax, payroll or anything else. Your employer knows things this page cannot: a mid-year rate change, a benefit deduction, a garnishment, a local tax, or what it has already withheld this year. Nothing here is tax, legal or financial advice, and using it creates no professional relationship. For anything that turns on the exact number, ask an accountant or a qualified adviser. Methodology and sources.

Where this sits on the pay scale

$130.33 an hour puts this job closest to $100 an hour, where the same arithmetic is worked out for every pay cycle and every state. The published mean estimate is $277,260, above the median estimate by $6,170. That difference alone does not describe the full wage distribution.

Questions people ask

How much does a physician make?+

BLS estimates the national median annual wage for a physician at $271,090, or about $130.33 under its 2,080-hour conversion. It is a published statistical estimate, not a promise of individual pay. The source is the BLS Occupational Employment and Wage Statistics, May 2025.

What is a physician salary after taxes?+

Using the BLS median estimate, a single filer's standard deduction and no state income tax, this model estimates about $197,025 a year after federal tax, Social Security and Medicare. The state table applies the deductions currently represented for each jurisdiction; an actual payslip may differ.

Is physician pay going up?+

Between the exact post-2020 BLS endpoints shown here, the national median estimate moved from $227,180 in 2022 to $271,090 in 2025, a nominal change of 19%. The corresponding compound rate is about 6.1% a year, and the approximate inflation-adjusted change is up 9%. These are descriptive calculations between published estimates, not a BLS time-series measure; BLS warns that method and classification changes limit comparisons over time.

Which state is best for a physician?+

Two different comparisons are shown. Holding the wage and assumptions constant, the current deduction model estimates the highest take home in Florida and the lowest in California, a spread of $26,587 a year.

Wages: BLS Occupational Employment and Wage Statistics, May 2025. That is the most recent release: OEWS surveys wages in May and publishes about a year later, so this one appeared in May 2026 and stands until the next. Read August 27, 2026 from bls.gov/oes. Annual figures are converted at 2,080 hours a year, which is how BLS states them. Tax is worked out here from the 2026 federal and state tables.