Family Medicine Physicians
What the pay figures show
- Rhode Island pays family medicine physicians the most, at $467,160. Unusually, it stays on top. Tax does not overturn it. Nor do local prices — it is still first at $290,944 once levelled out. That is rarer than it sounds. For most jobs the leader changes.
- Rhode Island leads for family medicine physicians at $467,160 and retains the position through both adjustments, finishing first at $290,944 in price-deflated terms. That robustness is the minority case: across the largest occupations, state income tax reorders the leader roughly a third of the time and price level does so more often still. Where the nominal leader survives both, the wage premium is large enough to absorb the state's own tax and price levels.
Compare this career across states
Choose your filing status and local taxes, compare pay, and keep a shortlist.Compare wage and personal-pay outcomes by state, with selected resident local taxes and saved career choices.
Pay by state · May 2025 wages · tax year 2026
National median
$244,180
People doing it
107,510
Highest paid
$467,160
RI
Best off, really
$290,944
RI, after tax and prices
Lowest tenth
$76,830
Highest tenth
$428,550
Lowest, really
$108,614
AL
States with data
51
National average
$255,820
mean, not median
Prices where it goes furthest
101.41%
RI, against a national 100
Where this job actually pays best
- Where you do this job matters enormously. The best state pays roughly twice what the worst does. Prices alone cannot explain a gap that size. Level everything out and the range still runs $108,614 to $290,944.
- 107,510 people do this job across the country, and the middle one earns $244,180. Common work, though not one of the giants.
- Every state reports this one. All 51 jurisdictions publish a figure, and the middle wage is $244,180, so the comparison above leaves nobody out.
- Geographic dispersion in family medicine physicians is unusually wide: the top state's median is approximately double the bottom's, a spread that price differentials cannot account for. The real-terms range, after tax and price deflation, still runs $108,614 to $290,944 — so the variation reflects genuine differences in local labor markets rather than a nominal illusion.
- National employment in family medicine physicians is 107,510 — a substantial occupation, though an order of magnitude below the largest. Regional differentials here move real aggregate sums without dominating any single state's wage bill.
- All 51 jurisdictions publish an occupational median for family medicine physicians, so the spread described above is a complete national range rather than a range across a reported subset.
Pay band: Family Medicine Physicians
The national median for this job
50thpercentile, roughly
| Lowest tenth earn under | $76,830 |
|---|---|
| Half earn under | $244,180 |
| Top tenth earn over | $428,550 |
| This salary | $244,180 |
Positions between the published tenth, quarter, half, three-quarter and ninetieth points are estimated by straight line.
Where these numbers come from
| BLS Occupational Employment and Wage Statistics (OEWS), May 2025 estimates, time-series bulk download (oe.data.0.Current) | as of 2025-05-01 |
|---|
Steps in Family Medicine Physicians
The national median for this job
$244,180around the 50th percentile
| Lowest tenth | $76,830 |
|---|---|
| Middle | $244,180 |
| Top tenth | $428,550 |
The five points BLS publishes. Nothing between them is invented.
Family Medicine Physicians, state by state
The national median for this job
51states publish pay for this job
| Lowest | Alabama · $134,550 |
|---|---|
| Highest | Rhode Island · $467,160 |
| Spread | $332,610 |
One dot per state that publishes this job. A missing state means suppressed data, not zero pay.
Best paid, and best off
The national median for this job
| Texas pays | $235,710 |
|---|---|
| Worth, after local prices | $242,562 |
Median pay against the same pay once BEA price parities are applied.
Every state, three ways
Sorted by what the money is actually worth. "Kept" is take-home for a single filer after federal, FICA and state income tax. "Really worth" divides that by the state's own price level, so a dollar in each row buys the same thing. Tap a state to put your own salary into it. States BLS does not publish for this job are absent — that means no published figure, not no work.
| State | Median pay | Kept after tax | Really worth |
|---|---|---|---|
| RI | $467,160 | $295,052 | $290,944 |
| OK | $361,350 | $237,852 | $269,411 |
| ID | $347,160 | $227,176 | $248,484 |
| MT | $330,760 | $217,121 | $240,593 |
| AK | $323,490 | $229,893 | $226,017 |
| ND | $280,100 | $198,401 | $224,000 |
| PA | $306,030 | $209,559 | $214,933 |
| WY | $264,580 | $192,754 | $212,172 |
| UT | $297,510 | $200,378 | $210,919 |
| WI | $290,640 | $194,495 | $208,917 |
| WV | $272,680 | $186,461 | $207,705 |
| IA | $265,200 | $183,695 | $206,941 |
| LA | $255,330 | $179,407 | $203,076 |
| AZ | $292,760 | $203,724 | $201,498 |
| SD | $239,970 | $176,597 | $200,462 |
| IN | $261,940 | $183,323 | $198,866 |
| WA | $292,900 | $210,729 | $194,109 |
| KY | $248,730 | $173,760 | $192,068 |
| NV | $251,550 | $184,200 | $189,936 |
| MS | $235,630 | $164,415 | $188,350 |
| NH | $268,650 | $195,426 | $185,510 |
| MN | $280,030 | $182,179 | $185,110 |
| MD | $285,730 | $191,615 | $184,307 |
| GA | $259,320 | $176,959 | $183,000 |
| TN | $226,830 | $167,971 | $181,561 |
| CO | $265,560 | $182,421 | $179,934 |
| TX | $235,710 | $173,801 | $178,853 |
| NJ | $292,170 | $193,850 | $178,035 |
| AR | $215,820 | $153,052 | $176,922 |
| SC | $239,200 | $164,595 | $176,648 |
| NE | $228,590 | $159,429 | $176,406 |
| NM | $228,040 | $158,903 | $175,805 |
| OR | $293,240 | $183,930 | $175,638 |
| OH | $223,700 | $160,481 | $174,793 |
| KS | $229,390 | $157,140 | $174,668 |
| MA | $277,490 | $187,520 | $173,248 |
| IL | $245,120 | $167,990 | $169,935 |
| VT | $239,340 | $161,378 | $166,997 |
| ME | $239,870 | $161,023 | $165,837 |
| FL | $227,700 | $168,542 | $162,918 |
| NC | $215,230 | $152,065 | $161,532 |
| MI | $214,070 | $150,442 | $159,732 |
| DE | $228,000 | $154,922 | $156,088 |
| VA | $222,630 | $153,173 | $152,034 |
| CA | $252,010 | $165,157 | $146,700 |
| DC | $233,390 | $155,408 | $140,255 |
| HI | $218,210 | $146,769 | $135,135 |
| NY | $210,920 | $144,997 | $134,723 |
| MO | $171,180 | $121,159 | $132,037 |
| CT | $163,930 | $114,726 | $110,645 |
| AL | $134,550 | $97,720 | $108,614 |
Sources and assumptions
- These are middle-of-the-range figures for family medicine physicians, not what a new starter is offered. Half the people doing this job earn under $244,180 nationally, half over. Your own experience and employer will move you well away from that midpoint in either direction.
- Take-home figures for family medicine physicians assume one person filing alone, with no dependants and nothing going into a pension before tax. Any of those lowers the tax and raises what you keep, so treat these as the plain case rather than your case. Local city income taxes are not included either, and in a few states those matter. In Rhode Island, the best state after tax, the figure works out at $295,052.
- The price adjustment for family medicine physicians uses a statewide figure, and states are not uniform. A city and a rural county in the same state can differ more from each other than two states do, so treat the real-terms comparison as a direction rather than a precise answer — Alabama anchors the bottom at $108,614. The wage data and the price data also come from different years, because that is how each is published.
- All wage figures for family medicine physicians are medians rather than entry or offer rates; the national median is $244,180. Within-state dispersion typically exceeds between-state dispersion in this data, so an individual's expected wage is determined more by experience, sector and employer than by the state comparisons presented here.
- Take-home calculations for family medicine physicians assume a single filer with no dependants, the standard deduction, and no pre-tax retirement or HSA contributions. Each omitted item reduces taxable income, so the figures function as a lower bound on retained pay for this household shape; the highest such figure is $295,052, in Rhode Island. Municipal and school-district income taxes are excluded, which understates the burden materially in Ohio, Pennsylvania, Maryland and parts of a few other states.
- Real-terms figures for family medicine physicians deflate take-home by a statewide regional price parity, which conceals substantial intra-state variation — metropolitan and non-metropolitan price levels within one state frequently differ by more than two states differ from each other. The wage and price series also carry different reference periods, as each is published on its own schedule, so the adjustment is directionally sound rather than precisely dated.