GeraJobs / US Real Pay Index / Pediatricians, General
Best States to Be a Pediatricians, General
After 2025 state income tax and 2024 cost of living, a pediatricians, general salary goes furthest in Louisiana — a $502,720 BLS median worth $553,259 in real terms (Gera US Real Pay Index 257.7).
Which US states are best for a pediatricians, general after cost of living and tax?
For a pediatricians, general, the Gera US Real Pay Index ranks Louisiana #1: a $502,720 BLS median becomes $553,259 in cost-of-living-and-tax-adjusted terms (index 257.7). District of Columbia ranks last ($68,589, index 32.0). Real BLS OEWS May 2025 across 49 states; re-dated annually.
Gera US Real Pay Index
Louisiana ranks #1 of 49 states for a pediatricians, general. Index 100 = the average state; 257.7 means pay goes 157.7% further after tax and cost of living.
How this is calculatedPediatricians, General — real pay by state (best first)
| # | State | BLS median | State tax | Cost (RPP) | Real pay | Index |
|---|---|---|---|---|---|---|
| 1 | Louisiana | $502,720 | $14,707 | 88.2 | $553,259 | 257.7 |
| 2 | Idaho | $297,680 | $15,832 | 95.5 | $295,147 | 137.5 |
| 3 | South Dakota | $257,610 | — | 88.6 | $290,802 | 135.5 |
| 4 | Iowa | $262,440 | $9,933 | 87.8 | $287,718 | 134.0 |
| 5 | Montana | $273,260 | $14,984 | 94.6 | $272,889 | 127.1 |
| 6 | Wisconsin | $269,790 | $13,147 | 94.1 | $272,749 | 127.1 |
| 7 | New Hampshire | $273,410 | — | 104.2 | $262,478 | 122.3 |
| 8 | Alaska | $267,390 | — | 102.4 | $261,228 | 121.7 |
| 9 | North Dakota | $234,950 | $3,344 | 89.0 | $260,352 | 121.3 |
| 10 | Oklahoma | $236,780 | $10,709 | 87.8 | $257,358 | 119.9 |
| 11 | Maine | $245,920 | $15,634 | 97.0 | $237,286 | 110.5 |
| 12 | Missouri | $223,910 | $9,643 | 90.8 | $235,933 | 109.9 |
| 13 | Ohio | $217,970 | $6,079 | 92.8 | $228,395 | 106.4 |
| 14 | Arizona | $233,950 | $5,374 | 100.7 | $227,039 | 105.8 |
| 15 | Pennsylvania | $226,440 | $6,952 | 97.6 | $224,950 | 104.8 |
| 16 | Alabama | $209,490 | $10,210 | 88.8 | $224,357 | 104.5 |
| 17 | Kansas | $209,840 | $10,909 | 90.1 | $220,867 | 102.9 |
| 18 | South Carolina | $217,120 | $11,854 | 93.7 | $218,953 | 102.0 |
| 19 | Minnesota | $226,660 | $15,285 | 98.6 | $214,330 | 99.8 |
| 20 | New Mexico | $202,390 | $8,640 | 92.2 | $210,114 | 97.9 |
| 21 | Vermont | $215,350 | $12,700 | 98.0 | $206,875 | 96.4 |
| 22 | Delaware | $219,190 | $13,126 | 99.8 | $206,461 | 96.2 |
| 23 | Rhode Island | $218,080 | $9,053 | 102.3 | $204,367 | 95.2 |
| 24 | Michigan | $204,690 | $8,453 | 96.2 | $203,953 | 95.0 |
| 25 | Utah | $210,360 | $9,571 | 98.9 | $203,096 | 94.6 |
| 26 | Mississippi | $183,650 | $7,275 | 87.0 | $202,839 | 94.5 |
| 27 | Massachusetts | $221,170 | $10,839 | 105.8 | $198,882 | 92.6 |
| 28 | Connecticut | $216,830 | $10,869 | 103.6 | $198,785 | 92.6 |
| 29 | Oregon | $224,690 | $19,971 | 103.4 | $198,063 | 92.3 |
| 30 | Tennessee | $176,210 | — | 91.9 | $191,804 | 89.4 |
| 31 | Illinois | $196,760 | $9,599 | 100.0 | $187,240 | 87.2 |
| 32 | Kentucky | $175,690 | $6,897 | 90.2 | $187,217 | 87.2 |
| 33 | North Carolina | $183,550 | $7,259 | 94.3 | $186,895 | 87.1 |
| 34 | Nebraska | $175,990 | $8,055 | 90.1 | $186,381 | 86.8 |
| 35 | New York | $212,150 | $11,681 | 107.9 | $185,756 | 86.5 |
| 36 | Indiana | $177,300 | $5,289 | 93.3 | $184,306 | 85.9 |
| 37 | Virginia | $195,940 | $10,467 | 101.1 | $183,448 | 85.5 |
| 38 | Colorado | $196,440 | $7,983 | 103.1 | $182,875 | 85.2 |
| 39 | California | $214,140 | $15,793 | 110.7 | $179,143 | 83.5 |
| 40 | Texas | $173,360 | — | 97.1 | $178,617 | 83.2 |
| 41 | Arkansas | $160,440 | $6,049 | 86.9 | $177,590 | 82.7 |
| 42 | Florida | $182,010 | — | 103.4 | $176,001 | 82.0 |
| 43 | New Jersey | $201,560 | $10,649 | 108.8 | $175,461 | 81.7 |
| 44 | West Virginia | $158,470 | $6,703 | 89.5 | $169,577 | 79.0 |
| 45 | Hawaii | $197,090 | $13,706 | 110.0 | $166,787 | 77.7 |
| 46 | Maryland | $181,640 | $8,676 | 105.0 | $164,792 | 76.8 |
| 47 | Washington | $169,540 | — | 107.0 | $158,429 | 73.8 |
| 48 | Georgia | $149,990 | $7,438 | 96.3 | $148,040 | 69.0 |
| 49 | District of Columbia | $79,240 | $3,860 | 109.9 | $68,589 | 32.0 |
"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.
Pediatricians, General — real pay FAQ
- What is the best state to be a pediatricians, general?
- By the Gera US Real Pay Index, Louisiana is the best state for a pediatricians, general: a BLS median of $502,720 is worth $553,259 after the 2025 state income tax ($14,707) and the 2024 BEA cost-of-living adjustment (RPP 88.2), an index of 257.7 where the average state is 100.
- Does the highest-paying state also leave you best off?
- Not necessarily. Louisiana has the highest headline BLS median for a pediatricians, general at $502,720, but after state tax and cost of living it ranks #1 of 49 on real pay (index 257.7). That gap is exactly what the Gera US Real Pay Index reveals.
- Where does a pediatricians, general salary go least far?
- District of Columbia ranks last of 49 states for a pediatricians, general: a $79,240 BLS median is worth only $68,589 after tax and cost of living (index 32.0). Higher local prices and/or income tax less far than the national average erode the headline pay.
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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 pediatricians, general is computed by GeraJobs from these figures; no figure is modelled or interpolated.