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Best States to Be a Healthcare Practitioners and Technical Workers, All Other

After 2025 state income tax and 2024 cost of living, a healthcare practitioners and technical workers, all other salary goes furthest in Kentucky — a $91,560 BLS median worth $97,637 in real terms (Gera US Real Pay Index 146.3).

Which US states are best for a healthcare practitioners and technical workers, all other after cost of living and tax?

For a healthcare practitioners and technical workers, all other, the Gera US Real Pay Index ranks Kentucky #1: a $91,560 BLS median becomes $97,637 in cost-of-living-and-tax-adjusted terms (index 146.3). New Mexico ranks last ($37,602, index 56.3). Real BLS OEWS May 2025 across 49 states; re-dated annually.

Source:U.S. Bureau of Labor Statistics — Occupational Employment and Wage Statistics (OEWS)·As of May 2025 state estimates · updated annually · last refreshed

Gera US Real Pay Index

Kentucky ranks #1 of 49 states for a healthcare practitioners and technical workers, all other. Index 100 = the average state; 146.3 means pay goes 46.3% further after tax and cost of living.

How this is calculated
146.3

Healthcare Practitioners and Technical Workers, All Other — real pay by state (best first)

#StateBLS medianState taxCost (RPP)Real payIndex
1Kentucky$91,560$3,53290.2$97,637146.3
2District of Columbia$113,640$6,784109.9$97,229145.7
3Missouri$86,110$3,16690.8$91,331136.9
4New York$102,990$5,131107.9$90,676135.9
5Indiana$81,290$2,40993.3$84,520126.7
6Wisconsin$81,580$3,17294.1$83,329124.9
7Oklahoma$73,320$2,94587.8$80,114120.1
8Montana$79,070$3,52794.6$79,817119.6
9Minnesota$79,990$3,95098.6$77,103115.5
10Michigan$77,130$3,03296.2$77,012115.4
11New Hampshire$79,860104.2$76,667114.9
12Washington$80,730107.0$75,439113.0
13Alabama$69,520$3,21188.8$74,653111.9
14Connecticut$78,980$2,769103.6$73,556110.2
15Florida$75,900103.4$73,394110.0
16Massachusetts$80,240$3,792105.8$72,286108.3
17West Virginia$66,080$2,25089.5$71,321106.9
18Louisiana$63,240$1,52288.2$69,969104.8
19Colorado$74,480$2,617103.1$69,735104.5
20South Carolina$67,940$2,60593.7$69,691104.4
21Illinois$72,610$3,453100.0$69,186103.7
22Tennessee$63,40091.9$69,011103.4
23Maryland$75,000$3,230105.0$68,379102.5
24New Jersey$76,570$2,688108.8$67,904101.8
25Alaska$68,610102.4$67,029100.4
26California$75,800$2,932110.7$65,81398.6
27Wyoming$60,41092.7$65,17497.7
28Utah$67,320$3,06398.9$64,99597.4
29Ohio$60,670$88692.8$64,44096.6
30Texas$62,42097.1$64,31396.4
31Nevada$64,170100.0$64,18396.2
32Idaho$62,490$2,43895.5$62,88594.2
33Georgia$63,230$2,76196.3$62,79794.1
34Arizona$62,860$1,097100.7$61,34891.9
35Oregon$67,270$5,082103.4$60,16690.2
36Rhode Island$63,060$1,765102.3$59,92989.8
37Virginia$63,410$2,846101.1$59,90289.8
38Vermont$59,300$1,56898.0$58,93688.3
39North Carolina$57,390$1,89794.3$58,83188.2
40North Dakota$52,24089.0$58,72488.0
41Nebraska$49,400$1,47390.1$53,19279.7
42Hawaii$57,330$2,827110.0$49,57074.3
43Delaware$49,990$2,09899.8$47,98571.9
44Kansas$43,430$1,62490.1$46,41669.6
45Iowa$42,070$1,55987.8$46,16069.2
46Pennsylvania$45,360$1,39397.6$45,06267.5
47Mississippi$37,920$86387.0$42,61763.9
48Arkansas$37,660$1,26086.9$41,86962.7
49New Mexico$35,270$59792.2$37,60256.3

"Real pay" = BLS median − 2025 state income tax, divided by the state's 2024 BEA cost of living (US = 100). Only the 49 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 Kentucky, a $91,560 salary is worth about $97,492 in cost-of-living-and-tax-adjusted terms.

State income tax $3,662 (flat 4.00%) · take-home $87,898 · BEA cost of living 90.2 (US = 100).

The same salary goes furthest in South Dakota — worth $103,357, a $5,865 gain over Kentucky.

#StateReal valueCost (RPP)
1South Dakota$103,35788.6
2Arkansas$101,21086.9
3Louisiana$100,68788.2
4Mississippi$100,66587.0
5Iowa$100,36387.8
6North Dakota$100,35189.0
7Tennessee$99,66391.9
8Oklahoma$99,28087.8
9Wyoming$98,78092.7
10Alabama$97,92788.8
11Kentucky$97,49290.2
12West Virginia$97,37489.5

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).

Healthcare Practitioners and Technical Workers, All Other — real pay FAQ

What is the best state to be a healthcare practitioners and technical workers, all other?
By the Gera US Real Pay Index, Kentucky is the best state for a healthcare practitioners and technical workers, all other: a BLS median of $91,560 is worth $97,637 after the 2025 state income tax ($3,532) and the 2024 BEA cost-of-living adjustment (RPP 90.2), an index of 146.3 where the average state is 100.
Does the highest-paying state also leave you best off?
Not necessarily. District of Columbia has the highest headline BLS median for a healthcare practitioners and technical workers, all other at $113,640, but after state tax and cost of living it ranks #2 of 49 on real pay (index 145.7). That gap is exactly what the Gera US Real Pay Index reveals.
Where does a healthcare practitioners and technical workers, all other salary go least far?
New Mexico ranks last of 49 states for a healthcare practitioners and technical workers, all other: a $35,270 BLS median is worth only $37,602 after tax and cost of living (index 56.3). Higher local prices and/or income tax less far than the national average erode the headline pay.

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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 healthcare practitioners and technical workers, all other is computed by GeraJobs from these figures; no figure is modelled or interpolated.

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