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Best States to Be a Optometrists

After 2025 state income tax and 2024 cost of living, a optometrists salary goes furthest in Alaska — a $170,310 BLS median worth $166,385 in real terms (Gera US Real Pay Index 123.4).

Which US states are best for a optometrists after cost of living and tax?

For a optometrists, the Gera US Real Pay Index ranks Alaska #1: a $170,310 BLS median becomes $166,385 in cost-of-living-and-tax-adjusted terms (index 123.4). Idaho ranks last ($103,276, index 76.6). Real BLS OEWS May 2025 across 51 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

Alaska ranks #1 of 51 states for a optometrists. Index 100 = the average state; 123.4 means pay goes 23.4% further after tax and cost of living.

How this is calculated
123.4

Optometrists — real pay by state (best first)

#StateBLS medianState taxCost (RPP)Real payIndex
1Alaska$170,310102.4$166,385123.4
2North Carolina$161,560$6,32494.3$164,573122.1
3Alabama$145,090$6,99088.8$155,478115.4
4Delaware$161,270$9,30399.8$152,260113.0
5Minnesota$158,700$9,68998.6$151,095112.1
6New Mexico$144,660$5,81192.2$150,575111.7
7Maryland$165,840$7,807105.0$150,567111.7
8Maine$154,110$9,07097.0$149,449110.9
9South Carolina$145,950$7,44293.7$147,744109.6
10Washington$157,560107.0$147,234109.2
11North Dakota$132,110$1,33889.0$147,002109.1
12Florida$151,670103.4$146,663108.8
13Kansas$138,580$6,93390.1$146,164108.4
14Tennessee$134,17091.9$146,043108.4
15Ohio$134,850$3,16992.8$141,937105.3
16Wisconsin$139,720$6,25394.1$141,843105.2
17Colorado$152,000$6,028103.1$141,649105.1
18Missouri$133,810$5,40890.8$141,385104.9
19New York$161,140$8,620107.9$141,325104.9
20Indiana$135,500$4,03593.3$140,862104.5
21New Jersey$159,040$7,941108.8$138,871103.0
22Illinois$145,620$7,067100.0$138,611102.8
23Connecticut$150,340$6,870103.6$138,471102.7
24Arkansas$124,470$4,64686.9$137,829102.3
25Iowa$125,380$4,72487.8$137,480102.0
26Kentucky$128,860$5,02490.2$137,353101.9
27Massachusetts$151,730$7,367105.8$136,505101.3
28Nevada$135,650100.0$135,678100.7
29Michigan$135,650$5,51996.2$135,248100.3
30Pennsylvania$135,400$4,15797.6$134,50999.8
31Vermont$137,290$6,76798.0$133,24498.9
32Nebraska$125,040$5,40690.1$132,77598.5
33Hawaii$154,620$10,293110.0$131,26597.4
34Louisiana$118,060$3,16788.2$130,25496.6
35Texas$126,00097.1$129,82196.3
36Georgia$128,830$6,29796.3$127,25094.4
37Rhode Island$134,520$4,831102.3$126,79894.1
38West Virginia$118,010$4,75389.5$126,54893.9
39Virginia$131,570$6,766101.1$123,44291.6
40New Hampshire$125,560104.2$120,54089.4
41Wyoming$111,40092.7$120,18489.2
42Mississippi$108,070$3,95087.0$119,74388.8
43Arizona$122,250$2,581100.7$118,86488.2
44Oregon$132,020$10,796103.4$117,28287.0
45South Dakota$102,32088.6$115,50485.7
46California$136,300$8,554110.7$115,37785.6
47Utah$119,070$5,41898.9$114,95885.3
48District of Columbia$134,840$8,586109.9$114,87985.2
49Oklahoma$97,350$4,08787.8$106,17178.8
50Montana$104,280$5,01494.6$104,88277.8
51Idaho$103,390$4,76895.5$103,27676.6

"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 Alaska, a $170,310 salary is worth about $166,385 in cost-of-living-and-tax-adjusted terms.

State income tax $0 (no state income tax) · take-home $170,310 · BEA cost of living 102.4 (US = 100).

The same salary goes furthest in South Dakota — worth $192,254, a $25,869 gain over Alaska.

#StateReal valueCost (RPP)
1South Dakota$192,25488.6
2Arkansas$188,26086.9
3Louisiana$187,28888.2
4Mississippi$187,24687.0
5Iowa$186,68587.8
6North Dakota$186,66289.0
7Tennessee$185,38291.9
8Oklahoma$184,67187.8
9Wyoming$183,74092.7
10Alabama$182,15488.8
11Kentucky$181,34490.2
12West Virginia$181,12589.5

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).

Optometrists — real pay FAQ

What is the best state to be a optometrists?
By the Gera US Real Pay Index, Alaska is the best state for a optometrists: a BLS median of $170,310 is worth $166,385 after the 2025 state income tax ($0) and the 2024 BEA cost-of-living adjustment (RPP 102.4), an index of 123.4 where the average state is 100.
Does the highest-paying state also leave you best off?
Not necessarily. Alaska has the highest headline BLS median for a optometrists at $170,310, but after state tax and cost of living it ranks #1 of 51 on real pay (index 123.4). That gap is exactly what the Gera US Real Pay Index reveals.
Where does a optometrists salary go least far?
Idaho ranks last of 51 states for a optometrists: a $103,390 BLS median is worth only $103,276 after tax and cost of living (index 76.6). Higher local prices and/or income tax less far than the national average erode the headline pay.

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Related on GeraJobs

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 optometrists is computed by GeraJobs from these figures; no figure is modelled or interpolated.

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