GeraJobs / US Real Pay Index / Phlebotomists
Best States to Be a Phlebotomists
After 2025 state income tax and 2024 cost of living, a phlebotomists salary goes furthest in North Dakota — a $47,430 BLS median worth $53,317 in real terms (Gera US Real Pay Index 121.7).
Which US states are best for a phlebotomists after cost of living and tax?
For a phlebotomists, the Gera US Real Pay Index ranks North Dakota #1: a $47,430 BLS median becomes $53,317 in cost-of-living-and-tax-adjusted terms (index 121.7). Florida ranks last ($38,902, index 88.8). Real BLS OEWS May 2025 across 51 states; re-dated annually.
Gera US Real Pay Index
North Dakota ranks #1 of 51 states for a phlebotomists. Index 100 = the average state; 121.7 means pay goes 21.7% further after tax and cost of living.
How this is calculatedPhlebotomists — real pay by state (best first)
| # | State | BLS median | State tax | Cost (RPP) | Real pay | Index |
|---|---|---|---|---|---|---|
| 1 | North Dakota | $47,430 | — | 89.0 | $53,317 | 121.7 |
| 2 | California | $56,040 | $1,459 | 110.7 | $49,297 | 112.6 |
| 3 | Wisconsin | $46,470 | $1,311 | 94.1 | $47,993 | 109.6 |
| 4 | New Hampshire | $48,660 | — | 104.2 | $46,714 | 106.7 |
| 5 | Montana | $45,470 | $1,545 | 94.6 | $46,411 | 106.0 |
| 6 | Missouri | $43,120 | $1,146 | 90.8 | $46,219 | 105.5 |
| 7 | Delaware | $48,110 | $1,993 | 99.8 | $46,205 | 105.5 |
| 8 | Vermont | $46,000 | $1,122 | 98.0 | $45,813 | 104.6 |
| 9 | Nevada | $45,760 | — | 100.0 | $45,770 | 104.5 |
| 10 | Georgia | $45,840 | $1,824 | 96.3 | $45,711 | 104.4 |
| 11 | Washington | $48,880 | — | 107.0 | $45,677 | 104.3 |
| 12 | New Mexico | $42,910 | $925 | 92.2 | $45,531 | 104.0 |
| 13 | Maine | $45,640 | $1,478 | 97.0 | $45,504 | 103.9 |
| 14 | District of Columbia | $51,980 | $2,019 | 109.9 | $45,460 | 103.8 |
| 15 | Kentucky | $42,480 | $1,568 | 90.2 | $45,377 | 103.6 |
| 16 | Massachusetts | $50,170 | $2,289 | 105.8 | $45,275 | 103.4 |
| 17 | Arizona | $46,260 | $682 | 100.7 | $45,272 | 103.4 |
| 18 | Minnesota | $46,000 | $1,661 | 98.6 | $44,959 | 102.6 |
| 19 | Alaska | $45,900 | — | 102.4 | $44,842 | 102.4 |
| 20 | New York | $50,530 | $2,174 | 107.9 | $44,807 | 102.3 |
| 21 | South Dakota | $39,560 | — | 88.6 | $44,657 | 102.0 |
| 22 | North Carolina | $43,330 | $1,300 | 94.3 | $44,559 | 101.7 |
| 23 | Colorado | $47,180 | $1,416 | 103.1 | $44,409 | 101.4 |
| 24 | Rhode Island | $46,380 | $1,139 | 102.3 | $44,232 | 101.0 |
| 25 | Oregon | $49,160 | $3,498 | 103.4 | $44,178 | 100.9 |
| 26 | Idaho | $43,400 | $1,351 | 95.5 | $44,033 | 100.5 |
| 27 | Virginia | $46,340 | $1,865 | 101.1 | $43,990 | 100.4 |
| 28 | Illinois | $46,010 | $2,136 | 100.0 | $43,892 | 100.2 |
| 29 | New Jersey | $48,650 | $1,140 | 108.8 | $43,665 | 99.7 |
| 30 | Pennsylvania | $43,910 | $1,348 | 97.6 | $43,621 | 99.6 |
| 31 | Connecticut | $45,820 | $1,137 | 103.6 | $43,126 | 98.5 |
| 32 | Oklahoma | $39,030 | $1,316 | 87.8 | $42,933 | 98.0 |
| 33 | Nebraska | $39,540 | $975 | 90.1 | $42,801 | 97.7 |
| 34 | West Virginia | $39,250 | $1,074 | 89.5 | $42,656 | 97.4 |
| 35 | Ohio | $39,770 | $311 | 92.8 | $42,532 | 97.1 |
| 36 | Iowa | $38,240 | $1,413 | 87.8 | $41,962 | 95.8 |
| 37 | Tennessee | $38,550 | — | 91.9 | $41,961 | 95.8 |
| 38 | Kansas | $39,100 | $1,382 | 90.1 | $41,877 | 95.6 |
| 39 | Texas | $40,450 | — | 97.1 | $41,677 | 95.2 |
| 40 | Arkansas | $37,450 | $1,252 | 86.9 | $41,637 | 95.1 |
| 41 | Hawaii | $47,750 | $2,122 | 110.0 | $41,498 | 94.7 |
| 42 | Wyoming | $38,180 | — | 92.7 | $41,191 | 94.0 |
| 43 | Indiana | $39,250 | $1,148 | 93.3 | $40,826 | 93.2 |
| 44 | Mississippi | $36,290 | $792 | 87.0 | $40,825 | 93.2 |
| 45 | South Carolina | $39,010 | $811 | 93.7 | $40,746 | 93.0 |
| 46 | Louisiana | $36,120 | $709 | 88.2 | $40,146 | 91.7 |
| 47 | Alabama | $37,220 | $1,596 | 88.8 | $40,107 | 91.6 |
| 48 | Michigan | $39,860 | $1,448 | 96.2 | $39,923 | 91.2 |
| 49 | Maryland | $43,480 | $1,733 | 105.0 | $39,775 | 90.8 |
| 50 | Utah | $40,630 | $1,849 | 98.9 | $39,227 | 89.6 |
| 51 | Florida | $40,230 | — | 103.4 | $38,902 | 88.8 |
"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 North Dakota, a $47,430 salary is worth about $51,984 in cost-of-living-and-tax-adjusted terms.
State income tax $1,186 (≈ top marginal 2.50% (upper bound)) · take-home $46,244 · BEA cost of living 89.0 (US = 100).
The same salary goes furthest in South Dakota — worth $53,541, a $1,557 gain over North Dakota.
| # | State | Real value | Cost (RPP) |
|---|---|---|---|
| 1 | South Dakota | $53,541 | 88.6 |
| 2 | Arkansas | $52,429 | 86.9 |
| 3 | Louisiana | $52,158 | 88.2 |
| 4 | Mississippi | $52,147 | 87.0 |
| 5 | Iowa | $51,990 | 87.8 |
| 6 | North Dakota | $51,984 | 89.0 |
| 7 | Tennessee | $51,627 | 91.9 |
| 8 | Oklahoma | $51,429 | 87.8 |
| 9 | Wyoming | $51,170 | 92.7 |
| 10 | Alabama | $50,728 | 88.8 |
| 11 | Kentucky | $50,503 | 90.2 |
| 12 | West Virginia | $50,442 | 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).
Phlebotomists — real pay FAQ
- What is the best state to be a phlebotomists?
- By the Gera US Real Pay Index, North Dakota is the best state for a phlebotomists: a BLS median of $47,430 is worth $53,317 after the 2025 state income tax ($0) and the 2024 BEA cost-of-living adjustment (RPP 89.0), an index of 121.7 where the average state is 100.
- Does the highest-paying state also leave you best off?
- Not necessarily. California has the highest headline BLS median for a phlebotomists at $56,040, but after state tax and cost of living it ranks #2 of 51 on real pay (index 112.6). That gap is exactly what the Gera US Real Pay Index reveals.
- Where does a phlebotomists salary go least far?
- Florida ranks last of 51 states for a phlebotomists: a $40,230 BLS median is worth only $38,902 after tax and cost of living (index 88.8). Higher local prices and/or income tax less far than the national average erode the headline pay.
Compare other occupations
- Home Health and Personal Care AidesWashington
- Retail SalespersonsNorth Dakota
- Fast Food and Counter WorkersCalifornia
- General and Operations ManagersSouth Dakota
- Registered NursesCalifornia
- CashiersWashington
- Laborers and Freight, Stock, and Material Movers, HandNorth Dakota
- Stockers and Order FillersWyoming
- Customer Service RepresentativesIowa
- Office Clerks, GeneralNorth Dakota
- Waiters and WaitressesVermont
- Janitors and Cleaners, Except Maids and Housekeeping CleanersWashington
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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 phlebotomists is computed by GeraJobs from these figures; no figure is modelled or interpolated.