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.
City salary pages for Physician
These pages keep the profession salary benchmark fixed and swap in each city's tax context. That gives movers and job seekers a city-first way to compare the same physician salary across the 41 metro pages ExactTakeHome currently publishes.
- Physician salary in San Francisco
- Physician salary in Los Angeles
- Physician salary in Seattle
- Physician salary in Austin
- Physician salary in Dallas
- Physician salary in Chicago
- Physician salary in Boston
- Physician salary in Philadelphia
- Physician salary in Washington D.C.
- Physician salary in Denver
- Physician salary in Phoenix
- Physician salary in Miami
- Physician salary in Atlanta
- Physician salary in Nashville
- Physician salary in Portland
- Physician salary in Minneapolis
- Physician salary in San Diego
- Physician salary in Las Vegas
- Physician salary in Raleigh
- Physician salary in Charlotte
- Physician salary in Sacramento
- Physician salary in Salt Lake City
- Physician salary in Kansas City
- Physician salary in St. Louis
- Physician salary in Baltimore
- Physician salary in Indianapolis
- Physician salary in Columbus
- Physician salary in Louisville
- Physician salary in Richmond
- Physician salary in Tucson
- Physician salary in Albuquerque
- Physician salary in Oklahoma City
- Physician salary in Memphis
- Physician salary in New Orleans
- Physician salary in Hartford
- Physician salary in Omaha
- Physician salary in Buffalo
- Physician salary in Providence
- Physician salary in Boise
- Physician salary in New York City
- Physician salary in San Antonio
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}
}Physician salary after taxes questions
How much does a Physician take home after taxes?
A Physician earning the median salary of $236,000/year takes home approximately $173,991 per year on average across the best states, after federal income tax, FICA, and state income tax.
What state is best for Physician take-home pay?
Alaska. A Physician earning $236,000/year takes home $173,991/year ($14,499/month) in Alaska, compared to the national high of $173,991/year.
How much do physicians and doctors pay in taxes?
At a median salary of $236,000, a Physician pays approximately $71,371 in total taxes per year on average, including federal income tax, Social Security, and Medicare. State income tax varies significantly.
Is Physician salary taxed differently in different states?
Yes. States like Alaska and Florida have no state income tax, while states like California have higher effective tax rates. The difference in annual take-home pay between the best and worst states is $22,710 for a Physician earning $236,000.
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.