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Best States to Be a Physical Therapist Aides

After 2025 state income tax and 2024 cost of living, a physical therapist aides salary goes furthest in Alaska — a $55,760 BLS median worth $54,475 in real terms (Gera US Real Pay Index 159.3).

Which US states are best for a physical therapist aides after cost of living and tax?

For a physical therapist aides, the Gera US Real Pay Index ranks Alaska #1: a $55,760 BLS median becomes $54,475 in cost-of-living-and-tax-adjusted terms (index 159.3). Louisiana ranks last ($25,124, index 73.5). Real BLS OEWS May 2025 across 50 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 50 states for a physical therapist aides. Index 100 = the average state; 159.3 means pay goes 59.3% further after tax and cost of living.

How this is calculated
159.3

Physical Therapist Aides — real pay by state (best first)

#StateBLS medianState taxCost (RPP)Real payIndex
1Alaska$55,760102.4$54,475159.3
2North Dakota$37,68089.0$42,357123.9
3Minnesota$42,330$1,46598.6$41,437121.2
4Montana$38,950$1,16094.6$39,928116.8
5Ohio$37,220$24192.8$39,859116.6
6Maine$39,660$1,13297.0$39,700116.1
7Colorado$41,970$1,187103.1$39,575115.7
8New Hampshire$40,460104.2$38,842113.6
9Wisconsin$36,820$86194.1$38,216111.8
10Kentucky$35,490$1,28990.2$37,934110.9
11West Virginia$34,840$92789.5$37,893110.8
12Washington$39,500107.0$36,911108.0
13Indiana$35,100$1,02393.3$36,513106.8
14North Carolina$34,760$93594.3$35,859104.9
15South Dakota$31,33088.6$35,367103.4
16Pennsylvania$35,520$1,09097.6$35,286103.2
17South Carolina$33,280$45693.7$35,013102.4
18Illinois$36,650$1,673100.0$34,992102.3
19Arizona$35,260$407100.7$34,619101.3
20District of Columbia$38,950$1,237109.9$34,315100.4
21New Mexico$31,990$45692.2$34,198100.0
22California$38,330$545110.7$34,12799.8
23Florida$35,140103.4$33,98099.4
24Connecticut$35,770$685103.6$33,86399.0
25Massachusetts$37,440$1,652105.8$33,84099.0
26Tennessee$30,32091.9$33,00396.5
27Delaware$34,060$1,21399.8$32,91096.3
28Wyoming$30,47092.7$32,87396.1
29Arkansas$29,450$94086.9$32,79495.9
30Oregon$36,060$2,351103.4$32,61395.4
31Texas$31,59097.1$32,54895.2
32Nevada$31,970100.0$31,97793.5
33Iowa$29,120$1,06787.8$31,96593.5
34Virginia$33,390$1,120101.1$31,91793.3
35Maryland$34,780$1,319105.0$31,88093.2
36Missouri$29,250$49490.8$31,66492.6
37New York$35,380$1,341107.9$31,54192.2
38New Jersey$34,430$515108.8$31,17091.2
39Mississippi$27,370$39987.0$31,01890.7
40Georgia$30,550$1,00096.3$30,68889.8
41Nebraska$28,080$47090.1$30,64289.6
42Oklahoma$27,630$77587.8$30,57289.4
43Rhode Island$31,200$570102.3$29,94787.6
44Hawaii$33,810$1,149110.0$29,70586.9
45Alabama$27,290$1,10088.8$29,48686.2
46Idaho$28,660$51295.5$29,47686.2
47Michigan$29,350$1,00196.2$29,46486.2
48Utah$29,150$1,32698.9$28,14382.3
49Kansas$25,280$65190.1$27,34580.0
50Louisiana$22,460$29988.2$25,12473.5

"Real pay" = BLS median − 2025 state income tax, divided by the state's 2024 BEA cost of living (US = 100). Only the 50 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 $55,760 salary is worth about $54,475 in cost-of-living-and-tax-adjusted terms.

State income tax $0 (no state income tax) · take-home $55,760 · BEA cost of living 102.4 (US = 100).

The same salary goes furthest in South Dakota — worth $62,944, a $8,470 gain over Alaska.

#StateReal valueCost (RPP)
1South Dakota$62,94488.6
2Arkansas$61,63786.9
3Louisiana$61,31888.2
4Mississippi$61,30587.0
5Iowa$61,12187.8
6North Dakota$61,11489.0
7Tennessee$60,69491.9
8Oklahoma$60,46287.8
9Wyoming$60,15792.7
10Alabama$59,63888.8
11Kentucky$59,37290.2
12West Virginia$59,30189.5

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).

Physical Therapist Aides — real pay FAQ

What is the best state to be a physical therapist aides?
By the Gera US Real Pay Index, Alaska is the best state for a physical therapist aides: a BLS median of $55,760 is worth $54,475 after the 2025 state income tax ($0) and the 2024 BEA cost-of-living adjustment (RPP 102.4), an index of 159.3 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 physical therapist aides at $55,760, but after state tax and cost of living it ranks #1 of 50 on real pay (index 159.3). That gap is exactly what the Gera US Real Pay Index reveals.
Where does a physical therapist aides salary go least far?
Louisiana ranks last of 50 states for a physical therapist aides: a $22,460 BLS median is worth only $25,124 after tax and cost of living (index 73.5). 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 physical therapist aides is computed by GeraJobs from these figures; no figure is modelled or interpolated.

GeraJobs is a job-search and recruitment platform that connects candidates with independent employers and recruiters. Gera is not the employer, recruiter, or hiring agent of record and is not party to any employment relationship — hiring decisions, job offers, and employment terms are solely between candidates and employers.