2026 Profession Salary Research

Physician Salary After Taxes - All 50 States (2026)

The median salary for physicians and doctors in the US is approximately $236,000/year. After federal income tax, FICA (Social Security and Medicare), and state income tax, your actual take-home pay varies significantly by state. Here is the full breakdown for 2026.

Best stateAlaska$173,991/year take-home
Worst stateCalifornia$151,281/year take-home
Difference$22,710/year between best and worst state

Top 10 states for medical professionals

Alaska
$173,991
Florida
$173,991
Nevada
$173,991
South Dakota
$173,991
Tennessee
$173,991
Texas
$173,991
Wyoming
$173,991
Washington
$172,502
North Dakota
$170,507

Physician take-home pay by state

RankStateAnnual grossAnnual netMonthly netEffective rate
1=Alaska$236,000$173,991$14,49926.3%
1=Florida$236,000$173,991$14,49926.3%
1=Nevada$236,000$173,991$14,49926.3%
1=New Hampshire$236,000$173,991$14,49926.3%
1=South Dakota$236,000$173,991$14,49926.3%
1=Tennessee$236,000$173,991$14,49926.3%
1=Texas$236,000$173,991$14,49926.3%
1=Wyoming$236,000$173,991$14,49926.3%
9Washington$236,000$172,502$14,37526.9%
10North Dakota$236,000$170,507$14,20927.8%
11Arizona$236,000$169,271$14,10628.3%
12Ohio$236,000$168,217$14,01828.7%
13Louisiana$236,000$167,096$13,92529.2%
14Indiana$236,000$167,059$13,92229.2%
15Pennsylvania$236,000$166,746$13,89529.3%
16Arkansas$236,000$165,960$13,83029.7%
17Kentucky$236,000$165,849$13,82129.7%
18Iowa$236,000$165,517$13,79329.9%
19Mississippi$236,000$165,281$13,77330.0%
20North Carolina$236,000$164,865$13,73930.1%
21West Virginia$236,000$164,071$13,67330.5%
22Vermont$236,000$164,013$13,66830.5%
23Michigan$236,000$163,961$13,66330.5%
24Oklahoma$236,000$163,877$13,65630.6%
25Colorado$236,000$163,849$13,65430.6%
26Missouri$236,000$163,825$13,65230.6%
27Nebraska$236,000$163,680$13,64030.6%
28Utah$236,000$163,489$13,62430.7%
29New Mexico$236,000$163,308$13,60930.8%
30Wisconsin$236,000$163,232$13,60330.8%
31Georgia$236,000$162,963$13,58030.9%
32Alabama$236,000$162,431$13,53631.2%
33Illinois$236,000$162,309$13,52631.2%
34Maryland$236,000$162,309$13,52631.2%
35=Idaho$236,000$162,291$13,52431.2%
35=Massachusetts$236,000$162,291$13,52431.2%
37Virginia$236,000$162,069$13,50631.3%
38Montana$236,000$162,005$13,50031.4%
39Rhode Island$236,000$161,887$13,49131.4%
40Connecticut$236,000$161,876$13,49031.4%
41Kansas$236,000$161,615$13,46831.5%
42South Carolina$236,000$160,487$13,37432.0%
43New Jersey$236,000$159,947$13,32932.2%
44New York$236,000$159,753$13,31332.3%
45Delaware$236,000$159,646$13,30432.4%
46Maine$236,000$159,012$13,25132.6%
47Hawaii$236,000$157,175$13,09833.4%
48Minnesota$236,000$156,909$13,07633.5%
49District of Columbia$236,000$156,900$13,07533.5%
50Oregon$236,000$152,835$12,73635.2%
51California$236,000$151,281$12,60735.9%

Calculate your exact Physician take-home pay ->

Start with the highest take-home states for this median salary.

Median salary based on BLS Occupational Employment Statistics approximations. Calculations use IRS Publication 15-T 2026 tables, FICA rates (SS 6.20% on wages up to $184,500, Medicare 1.45%), and each state's official withholding methodology. Single filing status, biweekly pay, no pre-tax deductions.

Cite This Study
APA:
ExactTakeHome Team. (2026). Physician Salary After Taxes - All 50 States (2026). ExactTakeHome.
https://exacttakehome.com/research/salary-by-profession/physician/

BibTeX:
@misc{exacttakehome2026physiciansalary,
  title = {Physician Salary After Taxes - All 50 States (2026)},
  author = {{ExactTakeHome Team}},
  year = {2026},
  url = {https://exacttakehome.com/research/salary-by-profession/physician/},
  note = {Accessed June 2026}
}

Take-Home Pay for Physician by State (2026)

Click any state to see the exact after-tax take-home pay for a Physician in that state, calculated using 2026 IRS Publication 15-T withholding rates.

AlabamaView salary take-home →Alaska(no state tax)View salary take-home →ArizonaView salary take-home →ArkansasView salary take-home →CaliforniaView salary take-home →ColoradoView salary take-home →ConnecticutView salary take-home →DelawareView salary take-home →Florida(no state tax)View salary take-home →GeorgiaView salary take-home →HawaiiView salary take-home →IdahoView salary take-home →IllinoisView salary take-home →IndianaView salary take-home →IowaView salary take-home →KansasView salary take-home →KentuckyView salary take-home →LouisianaView salary take-home →MaineView salary take-home →MarylandView salary take-home →MassachusettsView salary take-home →MichiganView salary take-home →MinnesotaView salary take-home →MississippiView salary take-home →MissouriView salary take-home →MontanaView salary take-home →NebraskaView salary take-home →Nevada(no state tax)View salary take-home →New Hampshire(no state tax)View salary take-home →New JerseyView salary take-home →New MexicoView salary take-home →New YorkView salary take-home →North CarolinaView salary take-home →North DakotaView salary take-home →OhioView salary take-home →OklahomaView salary take-home →OregonView salary take-home →PennsylvaniaView salary take-home →Rhode IslandView salary take-home →South CarolinaView salary take-home →South Dakota(no state tax)View salary take-home →Tennessee(no state tax)View salary take-home →Texas(no state tax)View salary take-home →UtahView salary take-home →VermontView salary take-home →VirginiaView salary take-home →Washington(no state tax)View salary take-home →Washington D.C.View salary take-home →West VirginiaView salary take-home →WisconsinView salary take-home →Wyoming(no state tax)View salary take-home →