Physician pay vs. cost of living in highest-, lowest-paying cities

Physicians are some of the highest-paid workers in the U.S., but as inflation continues to rise and the cost of living climbs, how far does that go?

Earning enough to live comfortably is a significant source of stress for workers in all industries. 

Here is how the average annual salaries in 20 metropolitan areas where physicians are paid the most — and least — compares to the cost of living in each area, using salary data from Doximity's "Physician Compensation Report" for 2023 and the required annual income needed to provide for one adult using the Massachusetts Institute of Technology's Living Wage Calculator.

Ten highest-paying metropolitan areas for physicians: 

Metro area

 Average physician salary 

 Cost of living 

Charlotte, N.C.

$430,980

$36,446

St. Louis

$426,370

$33,244

Oklahoma City

$425,096

$32,981

San Jose, Calif.

$418,600

$54,498

Minneapolis

$411,677

$36,798

 Sacramento, Calif. 

$411,257

$39,641

Phoenix

$409,185

$38,043

Indianapolis

$408,199

$33,258

Salt Lake City

$408,044

$37,038

Atlanta

$407,863

$39,375

 Ten lowest-paying metropolitan areas:

Metro area

 Average physician salary 

 Cost of living 

 Washington, D.C. 

$342,139

$45,082

Baltimore

$346,260

$37,044

Boston

$347,553

$46,993

San Antonio

$347,692

$33,699

Raleigh, N.C.

$351,732

$38,084

Providence, R.I. 

$354,342

$36,158

  Virginia Beach, Va.  

$354,587

$37,477

Denver

$357,010

$41,626

Philadelphia

$358,443

$36,087

Birmingham, Ala.

$361,483

$34,420

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