Psychiatrists
What the pay figures show
- Where are psychiatrists paid best? California, at $353,500. That answer does not survive a pay stub. Take income tax out and Alaska is ahead. Then count what things cost locally, and Louisiana wins — the money there behaves like $264,225. Three questions. Three different states.
- The nominal leader for psychiatrists is California at $353,500, but the ordering does not hold through either adjustment. Applying federal, FICA and state income tax moves the top position to Alaska; deflating by regional price parity moves it again, to Louisiana at $264,225 in national-average terms. ⚠️ Federal tax is not what does this — it is uniform across states and cannot change a ranking. State income tax reorders first, price level second, and the two act independently.
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
$281,870
People doing it
27,980
Highest paid
$353,500
CA
Best off, really
$264,225
LA, after tax and prices
Lowest tenth
$84,060
Highest tenth
$446,520
Lowest, really
$56,863
WV
States with data
46
National average
$269,940
mean, not median
Prices where it goes furthest
88.34%
LA, 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 $56,863 to $264,225.
- This is a small job: about 27,980 people nationally. Fewer workers means each state figure is built on less data.
- Not every state reports this one. The figures here cover 46 jurisdictions, and the middle wage across them is $281,870. A state you do not see is one with no published number, not one paying nothing. Of those published, California pays most.
- Geographic dispersion in psychiatrists 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 $56,863 to $264,225 — so the variation reflects genuine differences in local labor markets rather than a nominal illusion.
- With 27,980 workers, psychiatrists is among the smaller occupations BLS publishes. Treat single-state figures as indicative rather than precise; suppression and sampling error both bite harder at this scale.
- BLS publishes an occupational median for psychiatrists in 46 jurisdictions, short of the full set. ⚠️ Absence reflects estimate suppression — small samples or disclosure rules — rather than absence of employment, so the state comparison above is over the published subset.
Pay band: Psychiatrists
The national median for this job
50thpercentile, roughly
| Lowest tenth earn under | $84,060 |
|---|---|
| Half earn under | $281,870 |
| Top tenth earn over | $446,520 |
| This salary | $281,870 |
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 Psychiatrists
The national median for this job
$281,870around the 50th percentile
| Lowest tenth | $84,060 |
|---|---|
| Middle | $281,870 |
| Top tenth | $446,520 |
The five points BLS publishes. Nothing between them is invented.
Psychiatrists, state by state
The national median for this job
46states publish pay for this job
| Lowest | West Virginia · $63,320 |
|---|---|
| Highest | California · $353,500 |
| Spread | $290,180 |
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 | $228,460 |
|---|---|
| Worth, after local prices | $235,102 |
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 |
|---|---|---|---|
| LA | $345,040 | $233,429 | $264,225 |
| AK | $342,170 | $241,596 | $237,523 |
| WI | $331,070 | $217,499 | $233,626 |
| MO | $312,680 | $209,362 | $228,158 |
| IA | $295,270 | $201,605 | $227,117 |
| FL | $316,200 | $225,326 | $217,807 |
| MN | $336,410 | $211,781 | $215,188 |
| IN | $284,110 | $196,870 | $213,562 |
| UT | $299,670 | $201,635 | $212,243 |
| OK | $271,640 | $185,665 | $210,300 |
| MI | $291,850 | $197,918 | $210,140 |
| KS | $278,100 | $186,227 | $206,999 |
| CT | $326,670 | $212,595 | $205,032 |
| VT | $302,770 | $196,763 | $203,615 |
| ME | $300,180 | $195,469 | $201,313 |
| WA | $304,920 | $218,259 | $201,046 |
| PA | $278,970 | $193,437 | $198,397 |
| CA | $353,500 | $219,911 | $195,336 |
| MD | $305,320 | $202,761 | $195,029 |
| VA | $295,010 | $195,848 | $194,392 |
| RI | $287,610 | $193,453 | $190,760 |
| SD | $226,180 | $167,544 | $190,186 |
| OH | $244,990 | $173,872 | $189,378 |
| OR | $314,880 | $195,345 | $186,539 |
| DE | $279,410 | $185,067 | $186,460 |
| KY | $237,770 | $166,949 | $184,539 |
| CO | $266,370 | $182,917 | $180,424 |
| IL | $258,740 | $176,112 | $178,152 |
| NM | $227,730 | $158,718 | $175,600 |
| SC | $237,250 | $163,417 | $175,383 |
| AZ | $249,720 | $177,158 | $175,221 |
| TX | $228,460 | $169,041 | $173,955 |
| TN | $214,880 | $159,886 | $172,822 |
| MS | $213,680 | $150,547 | $172,464 |
| HI | $289,990 | $186,880 | $172,067 |
| NH | $246,140 | $180,648 | $171,482 |
| GA | $237,480 | $163,711 | $169,300 |
| NY | $265,890 | $175,948 | $163,481 |
| NV | $210,030 | $156,314 | $161,182 |
| NC | $168,880 | $120,466 | $127,966 |
| NJ | $194,070 | $134,334 | $123,375 |
| DC | $183,080 | $123,808 | $111,736 |
| NE | $135,180 | $98,214 | $108,673 |
| AR | $124,750 | $92,375 | $106,783 |
| ID | $75,470 | $58,777 | $64,289 |
| WV | $63,320 | $51,047 | $56,863 |
Sources and assumptions
- A median is the middle of the range, not a starting salary and not an offer. Half of psychiatrists earn less than the figures here and half earn more, and experience, employer and city move an individual a long way from the middle. Nationally the middle earns $281,870.
- One filer, no dependants, nothing paid into a pension before tax — that is the household behind every take-home figure for psychiatrists. It is the simplest case on purpose, so the states can be compared against each other rather than against each other's family circumstances. City income taxes are not counted. On that household, Alaska keeps the most at $241,596.
- The price adjustment for psychiatrists 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 — West Virginia anchors the bottom at $56,863. The wage data and the price data also come from different years, because that is how each is published.
- Figures are medians of the published wage distribution for psychiatrists, not entry-level or offer wages. The national median is $281,870, with half of workers below it; dispersion within a state routinely exceeds the dispersion between states, driven by tenure, employer size, sector and metropolitan area. An individual's position in the distribution is not predictable from geography alone.
- The household modeled for psychiatrists is a single filer, standard deduction, no dependants, no pre-tax contributions. Holding the household constant is what makes the interstate comparison meaningful; it also means the absolute figures overstate liability for most real filers. On that basis Alaska retains the most, $241,596. Municipal and school-district income taxes are not included in any state.
- Real-terms figures for psychiatrists 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.