GeraJobs / US Real Pay Index / Family Medicine Physicians
Best States to Be a Family Medicine Physicians
After 2025 state income tax and 2024 cost of living, a family medicine physicians salary goes furthest in Rhode Island — a $467,160 BLS median worth $433,308 in real terms (Gera US Real Pay Index 169.7).
Which US states are best for a family medicine physicians after cost of living and tax?
For a family medicine physicians, the Gera US Real Pay Index ranks Rhode Island #1: a $467,160 BLS median becomes $433,308 in cost-of-living-and-tax-adjusted terms (index 169.7). Alabama ranks last ($144,205, index 56.5). Real BLS OEWS May 2025 across 51 states; re-dated annually.
Gera US Real Pay Index
Rhode Island ranks #1 of 51 states for a family medicine physicians. Index 100 = the average state; 169.7 means pay goes 69.7% further after tax and cost of living.
How this is calculatedFamily Medicine Physicians — real pay by state (best first)
| # | State | BLS median | State tax | Cost (RPP) | Real pay | Index |
|---|---|---|---|---|---|---|
| 1 | Rhode Island | $467,160 | $23,973 | 102.3 | $433,308 | 169.7 |
| 2 | Oklahoma | $361,350 | $16,627 | 87.8 | $392,431 | 153.7 |
| 3 | Idaho | $347,160 | $18,650 | 95.5 | $344,011 | 134.7 |
| 4 | Montana | $330,760 | $18,377 | 94.6 | $330,058 | 129.2 |
| 5 | Alaska | $323,490 | — | 102.4 | $316,035 | 123.7 |
| 6 | North Dakota | $280,100 | $4,336 | 89.0 | $309,990 | 121.4 |
| 7 | Pennsylvania | $306,030 | $9,395 | 97.6 | $304,016 | 119.0 |
| 8 | Wisconsin | $290,640 | $14,252 | 94.1 | $293,733 | 115.0 |
| 9 | West Virginia | $272,680 | $12,208 | 89.5 | $291,040 | 114.0 |
| 10 | Iowa | $265,200 | $10,038 | 87.8 | $290,744 | 113.8 |
| 11 | Utah | $297,510 | $13,537 | 98.9 | $287,236 | 112.5 |
| 12 | Wyoming | $264,580 | — | 92.7 | $285,443 | 111.8 |
| 13 | Arizona | $292,760 | $6,844 | 100.7 | $283,993 | 111.2 |
| 14 | Louisiana | $255,330 | $7,285 | 88.2 | $281,208 | 110.1 |
| 15 | Washington | $292,900 | — | 107.0 | $273,705 | 107.2 |
| 16 | Indiana | $261,940 | $7,828 | 93.3 | $272,275 | 106.6 |
| 17 | South Dakota | $239,970 | — | 88.6 | $270,889 | 106.1 |
| 18 | Kentucky | $248,730 | $9,818 | 90.2 | $264,989 | 103.8 |
| 19 | Minnesota | $280,030 | $20,542 | 98.6 | $263,116 | 103.0 |
| 20 | Mississippi | $235,630 | $9,563 | 87.0 | $259,988 | 101.8 |
| 21 | Maryland | $285,730 | $14,475 | 105.0 | $258,439 | 101.2 |
| 22 | New Hampshire | $268,650 | — | 104.2 | $257,908 | 101.0 |
| 23 | Oregon | $293,240 | $26,757 | 103.4 | $257,818 | 101.0 |
| 24 | Georgia | $259,320 | $13,331 | 96.3 | $255,459 | 100.0 |
| 25 | New Jersey | $292,170 | $16,421 | 108.8 | $253,434 | 99.2 |
| 26 | Nevada | $251,550 | — | 100.0 | $251,603 | 98.5 |
| 27 | Massachusetts | $277,490 | $13,655 | 105.8 | $249,473 | 97.7 |
| 28 | Colorado | $265,560 | $11,025 | 103.1 | $246,997 | 96.7 |
| 29 | Tennessee | $226,830 | — | 91.9 | $246,903 | 96.7 |
| 30 | Texas | $235,710 | — | 97.1 | $242,857 | 95.1 |
| 31 | Nebraska | $228,590 | $10,791 | 90.1 | $241,723 | 94.7 |
| 32 | Kansas | $229,390 | $12,000 | 90.1 | $241,362 | 94.5 |
| 33 | South Carolina | $239,200 | $13,223 | 93.7 | $241,045 | 94.4 |
| 34 | Arkansas | $215,820 | $8,208 | 86.9 | $238,807 | 93.5 |
| 35 | New Mexico | $228,040 | $9,927 | 92.2 | $236,534 | 92.6 |
| 36 | Ohio | $223,700 | $6,279 | 92.8 | $234,355 | 91.8 |
| 37 | Illinois | $245,120 | $11,992 | 100.0 | $233,226 | 91.3 |
| 38 | Maine | $239,870 | $15,202 | 97.0 | $231,498 | 90.6 |
| 39 | Vermont | $239,340 | $14,523 | 98.0 | $229,503 | 89.9 |
| 40 | Florida | $227,700 | — | 103.4 | $220,183 | 86.2 |
| 41 | North Carolina | $215,230 | $8,605 | 94.3 | $219,054 | 85.8 |
| 42 | Delaware | $228,000 | $13,707 | 99.8 | $214,705 | 84.1 |
| 43 | Michigan | $214,070 | $8,851 | 96.2 | $213,287 | 83.5 |
| 44 | California | $252,010 | $19,315 | 110.7 | $210,165 | 82.3 |
| 45 | Virginia | $222,630 | $12,002 | 101.1 | $208,329 | 81.6 |
| 46 | District of Columbia | $233,390 | $16,963 | 109.9 | $196,929 | 77.1 |
| 47 | New York | $210,920 | $11,607 | 107.9 | $184,684 | 72.3 |
| 48 | Hawaii | $218,210 | $15,449 | 110.0 | $184,411 | 72.2 |
| 49 | Missouri | $171,180 | $7,165 | 90.8 | $180,600 | 70.7 |
| 50 | Connecticut | $163,930 | $7,686 | 103.6 | $150,800 | 59.0 |
| 51 | Alabama | $134,550 | $6,463 | 88.8 | $144,205 | 56.5 |
"Real pay" = BLS median − 2025 state income tax, divided by the state's 2024 BEA cost of living (US = 100). Only the 51 states for which BLS publishes a median for this occupation are ranked; suppressed cells are excluded, never set to zero.
Where does your salary go furthest?
Enter a salary and a state. We adjust for 2025 state income tax and the 2024 BEA cost of living to show your real, purchasing-power-equivalent pay — then rank every state.
In Rhode Island, a $467,160 salary is worth about $429,387 in cost-of-living-and-tax-adjusted terms.
State income tax $27,983 (≈ top marginal 5.99% (upper bound)) · take-home $439,177 · BEA cost of living 102.3 (US = 100).
The same salary goes furthest in South Dakota — worth $527,352, a $97,965 gain over Rhode Island.
| # | State | Real value | Cost (RPP) |
|---|---|---|---|
| 1 | South Dakota | $527,352 | 88.6 |
| 2 | Arkansas | $516,398 | 86.9 |
| 3 | Louisiana | $513,729 | 88.2 |
| 4 | Mississippi | $513,617 | 87.0 |
| 5 | Iowa | $512,076 | 87.8 |
| 6 | North Dakota | $512,012 | 89.0 |
| 7 | Tennessee | $508,501 | 91.9 |
| 8 | Oklahoma | $506,551 | 87.8 |
| 9 | Wyoming | $503,997 | 92.7 |
| 10 | Alabama | $499,648 | 88.8 |
| 11 | Kentucky | $497,425 | 90.2 |
| 12 | West Virginia | $496,824 | 89.5 |
Estimate only. State income tax is approximated from each state's 2025 flat rate (or top marginal rate as an upper bound for graduated states) and ignores federal tax, deductions and credits. The pre-published occupation and state pages use exact 2025 bracket math. Cost of living is the 2024 BEA Regional Price Parity (All Items).
Family Medicine Physicians — real pay FAQ
- What is the best state to be a family medicine physicians?
- By the Gera US Real Pay Index, Rhode Island is the best state for a family medicine physicians: a BLS median of $467,160 is worth $433,308 after the 2025 state income tax ($23,973) and the 2024 BEA cost-of-living adjustment (RPP 102.3), an index of 169.7 where the average state is 100.
- Does the highest-paying state also leave you best off?
- Not necessarily. Rhode Island has the highest headline BLS median for a family medicine physicians at $467,160, but after state tax and cost of living it ranks #1 of 51 on real pay (index 169.7). That gap is exactly what the Gera US Real Pay Index reveals.
- Where does a family medicine physicians salary go least far?
- Alabama ranks last of 51 states for a family medicine physicians: a $134,550 BLS median is worth only $144,205 after tax and cost of living (index 56.5). Higher local prices and/or income tax less far than the national average erode the headline pay.
Compare other occupations
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Related on GeraJobs
- Gera US Real Pay Index — all states ranked — and how the index is calculated.
- Methodology — the exact BLS + BEA + tax computation.
- Browse US jobs with salary ranges — roles hiring now.
Sources: U.S. Bureau of Labor Statistics — Occupational Employment and Wage Statistics (OEWS) (May 2025 state estimates, US federal public domain); U.S. Bureau of Economic Analysis — Regional Price Parities (All Items), by state (2024 (US = 100)); Tax Foundation — 2025 State Individual Income Tax Rates and Brackets. The Gera US Real Pay Index for a family medicine physicians is computed by GeraJobs from these figures; no figure is modelled or interpolated.