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.
Top 10 states for medical professionals
Physician take-home pay by state
| Rank | State | Annual gross | Annual net | Monthly net | Effective rate |
|---|---|---|---|---|---|
| 1= | Alaska | $236,000 | $173,991 | $14,499 | 26.3% |
| 1= | Florida | $236,000 | $173,991 | $14,499 | 26.3% |
| 1= | Nevada | $236,000 | $173,991 | $14,499 | 26.3% |
| 1= | New Hampshire | $236,000 | $173,991 | $14,499 | 26.3% |
| 1= | South Dakota | $236,000 | $173,991 | $14,499 | 26.3% |
| 1= | Tennessee | $236,000 | $173,991 | $14,499 | 26.3% |
| 1= | Texas | $236,000 | $173,991 | $14,499 | 26.3% |
| 1= | Wyoming | $236,000 | $173,991 | $14,499 | 26.3% |
| 9 | Washington | $236,000 | $172,502 | $14,375 | 26.9% |
| 10 | North Dakota | $236,000 | $170,507 | $14,209 | 27.8% |
| 11 | Arizona | $236,000 | $169,271 | $14,106 | 28.3% |
| 12 | Ohio | $236,000 | $168,217 | $14,018 | 28.7% |
| 13 | Louisiana | $236,000 | $167,096 | $13,925 | 29.2% |
| 14 | Indiana | $236,000 | $167,059 | $13,922 | 29.2% |
| 15 | Pennsylvania | $236,000 | $166,746 | $13,895 | 29.3% |
| 16 | Arkansas | $236,000 | $165,960 | $13,830 | 29.7% |
| 17 | Kentucky | $236,000 | $165,849 | $13,821 | 29.7% |
| 18 | Iowa | $236,000 | $165,517 | $13,793 | 29.9% |
| 19 | Mississippi | $236,000 | $165,281 | $13,773 | 30.0% |
| 20 | North Carolina | $236,000 | $164,865 | $13,739 | 30.1% |
| 21 | West Virginia | $236,000 | $164,071 | $13,673 | 30.5% |
| 22 | Vermont | $236,000 | $164,013 | $13,668 | 30.5% |
| 23 | Michigan | $236,000 | $163,961 | $13,663 | 30.5% |
| 24 | Oklahoma | $236,000 | $163,877 | $13,656 | 30.6% |
| 25 | Colorado | $236,000 | $163,849 | $13,654 | 30.6% |
| 26 | Missouri | $236,000 | $163,825 | $13,652 | 30.6% |
| 27 | Nebraska | $236,000 | $163,680 | $13,640 | 30.6% |
| 28 | Utah | $236,000 | $163,489 | $13,624 | 30.7% |
| 29 | New Mexico | $236,000 | $163,308 | $13,609 | 30.8% |
| 30 | Wisconsin | $236,000 | $163,232 | $13,603 | 30.8% |
| 31 | Georgia | $236,000 | $162,963 | $13,580 | 30.9% |
| 32 | Alabama | $236,000 | $162,431 | $13,536 | 31.2% |
| 33 | Illinois | $236,000 | $162,309 | $13,526 | 31.2% |
| 34 | Maryland | $236,000 | $162,309 | $13,526 | 31.2% |
| 35= | Idaho | $236,000 | $162,291 | $13,524 | 31.2% |
| 35= | Massachusetts | $236,000 | $162,291 | $13,524 | 31.2% |
| 37 | Virginia | $236,000 | $162,069 | $13,506 | 31.3% |
| 38 | Montana | $236,000 | $162,005 | $13,500 | 31.4% |
| 39 | Rhode Island | $236,000 | $161,887 | $13,491 | 31.4% |
| 40 | Connecticut | $236,000 | $161,876 | $13,490 | 31.4% |
| 41 | Kansas | $236,000 | $161,615 | $13,468 | 31.5% |
| 42 | South Carolina | $236,000 | $160,487 | $13,374 | 32.0% |
| 43 | New Jersey | $236,000 | $159,947 | $13,329 | 32.2% |
| 44 | New York | $236,000 | $159,753 | $13,313 | 32.3% |
| 45 | Delaware | $236,000 | $159,646 | $13,304 | 32.4% |
| 46 | Maine | $236,000 | $159,012 | $13,251 | 32.6% |
| 47 | Hawaii | $236,000 | $157,175 | $13,098 | 33.4% |
| 48 | Minnesota | $236,000 | $156,909 | $13,076 | 33.5% |
| 49 | District of Columbia | $236,000 | $156,900 | $13,075 | 33.5% |
| 50 | Oregon | $236,000 | $152,835 | $12,736 | 35.2% |
| 51 | California | $236,000 | $151,281 | $12,607 | 35.9% |
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.