Family Medicine Physicians in South Dakota
May 2025 wages · tax year 2026
You keep
$176,597
after federal, FICA and South Dakota tax
Tax takes
$63,373
26.4% of the whole
Worth, in national money
$200,462
South Dakota costs less than average
On that salary you would be around the 25th percentile for this work in South Dakota — roughly, since only five points along the band are published.
One filer, standard deduction, no dependants and nothing paid in before tax — the same household the rest of this page uses, so the comparison holds. City and school-district income taxes are not included.
Median here
$239,970
Kept after tax
$176,597
Worth in national money
$200,462
State rank
29
of 51 states
What this pays, and what it is worth
- South Dakota sits in the middle of the pack for family medicine physicians. The median is $239,970, ranking 29 of 51 states with figures. Close enough to the national middle that where you live matters more than the headline suggests.
- Within South Dakota this is well-paid work. Of 457 occupations with published figures in the state, family medicine physicians ranks 3 — in the top quarter of everything people do there.
- South Dakota is cheaper than average, and that shows up here. From $239,970 the take-home is $176,597; adjusted for what things actually cost, it goes as far as $200,462 would nationally. The average comes to $258,390, above the middle, thanks to the top of the range.
- South Dakota occupies the middle band for family medicine physicians: a median of $239,970, ranking 29 of 51. Where nominal pay is close to the national figure, the tax and price adjustments below carry proportionally more weight in determining the real outcome.
- Ranked against every occupation South Dakota publishes a median for, family medicine physicians sits 3 of 457 — the upper quartile of the state's wage distribution. National standing and within-state standing are separate questions, and a job can occupy very different positions on each.
- Post-tax income for family medicine physicians in South Dakota, on $239,970, is $176,597 — equivalent to $200,462 once regional price parity is applied. ⚠️ The adjustment uses a statewide index that describes no particular address; within-state price variation, concentrated in housing, routinely exceeds the difference between two states. At $258,390 the mean overshoots the median — the usual right-skewed shape.
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 band: Family Medicine Physicians
The state median for this job
| Lowest tenth earn under | $175,200 |
|---|---|
| Half earn under | $239,970 |
| Top tenth earn over | $356,720 |
| This salary | $239,970 |
Positions between the published tenth, quarter, half, three-quarter and ninetieth points are estimated by straight line.
The same pay, somewhere else
The state median for this job
| Take-home in South Dakota | $176,597 |
|---|---|
| Take-home in Texas | $176,597 |
| Once local prices are leveledBEA price parity | −$18,731 |
The raise and the real gain point in opposite directions here.
State income tax and state price levels only. No city income tax, and no housing market.
What you would need there
The state median for this job
| To match take-home only | $239,970 |
|---|---|
| Raise you would need | +$27,726 |
| Prices in Texas | 97 vs 88 |
State taxes and state price levels only. No city tax, and no housing market.
Sources and assumptions
- Half the people doing this work in South Dakota earn less than $239,970. The published range is $175,200 up to $356,720, so an individual figure can sit a long way from the middle in either direction.
- In South Dakota the take-home figure of $176,597, from $239,970, assumes one filer, no dependants, and nothing paid into a pension before tax. Each of those lowers the bill, so treat it as the plain case. City and school-district income taxes are not included either, and in a few states those are real money. It ranks 3 of 457 occupations here.
- The wage data and the price data come from different years. That is how each is published. The price adjustment behind $200,462 uses one figure for the whole of South Dakota. A city and a rural county there can differ by more than two states do. Out of 457 occupations the state publishes, this one sits at 3.
- Reported values are medians; for family medicine physicians in South Dakota the tenth-to-ninetieth percentile band is $175,200 to $356,720. Neither the median nor the band is an offer rate, and neither accounts for hours, shift differentials or overtime.
- Take-home for South Dakota is computed for a single filer taking the standard deduction with no dependants and no pre-tax contributions, giving $176,597 from $239,970. Each omitted item reduces taxable income, so the figure is a lower bound on retained pay for this household shape. Municipal and school-district income taxes are excluded, which understates the burden materially in Ohio, Pennsylvania and Maryland. The occupation ranks 3 of 457 locally.
- Wage and price series carry different reference periods, each published on its own schedule. The real-terms figure of $200,462, worked from $239,970, deflates by a statewide parity that conceals substantial intra-state variation, concentrated in housing — so it supports comparison between states rather than the pricing of a move to a particular South Dakota address, on work sitting at 3 of 457 locally.
Questions people ask
Is this the average pay for the job?
Half earn more than this and half earn less. The average sits at $258,390 because a long tail of high pay lifts it, so the two answer different questions.
Why is the pay range for this job so wide?
Because one job title covers very different work. The bottom tenth here earn $175,200 and the top tenth $356,720 — experience, employer and specialism separate them, and a single figure hides all three.
What does this pay actually buy where I live?
Further than the number implies. South Dakota is cheaper than the national average, so this take-home behaves like $200,462 in national terms.
Is most of this wage taxed away?
Less than people assume. $176,597 of this wage reaches your account, because South Dakota takes no income tax from wages — but federal tax, Social Security and Medicare still apply exactly as they do everywhere else.
Can I compare this job across every state?
All 51 jurisdictions report this work, which makes the ranking a like-for-like one.
How does the published median differ from the mean for this occupation?
The median is the midpoint of the distribution; the mean for this occupation in South Dakota is $258,390. Wage distributions are right-skewed, so the mean exceeds the median wherever a minority earn substantially more. BLS publishes both because substituting one for the other misstates a typical worker's pay.
What drives the percentile dispersion in this occupation?
Dispersion between the tenth percentile ($175,200) and the ninetieth ($356,720) exceeds the family median dispersion. SOC codes aggregate roles differing in seniority, industry and specialisation, and BLS does not disaggregate below the detailed occupation level, so within-title variance is not separable from the published series.
What is this occupation's price-adjusted compensation in this state?
South Dakota's regional price parity is at or below the national average, so nominal wages understate purchasing power. Take-home deflated by the state price level is $200,462 in national-average terms. The adjustment uses an all-items index and does not isolate housing.
Why is the take-home ratio comparatively high in this state?
South Dakota levies no personal income tax on wages, so take-home of $176,597 reflects the federal layer and FICA alone. Federal income tax and FICA are unchanged; states without a wage income tax generally recover revenue through consumption and property bases instead.
Is this occupation's state coverage complete?
State-level estimates are published for all 51 jurisdictions for this occupation, so cross-state comparison is not confounded by suppression. ⚠️ Estimates remain survey-based and carry sampling error; small differences between adjacent states should not be over-read.