Values shown as $239,200+ exceed the BLS publication ceiling; exact figures are not published.
Pay by state · 47 states
General Internal Medicine Physician Salary by State (2026)
General Internal Medicine Physicians earn the most in Georgia at $425,460 a year and the least in West Virginia at $72,680 (BLS OEWS, May 2025). The national median is $256,560. All 47 states and territories with reported data are ranked below, with a cost-of-living adjusted column.
- Highest median
- $425,460Georgia
- National median
- $256,560BLS OEWS, May 2025
- Lowest median
- $72,680West Virginia
- States reporting
- 47of 54 OEWS areas
All states
General Internal Medicine Physician salary in every state
Sort by any column. Employment is the number of general internal medicine physicians OEWS estimates in that state; blank cells are estimates BLS suppressed because the sample was too small.
| # | ||||||
|---|---|---|---|---|---|---|
| 1 | GAGeorgia | $425,460 | $182,620 | $581,750 | 5,440 | $441,839 |
| 2 | RIRhode Island | $379,490 | $231,670 | $379,490 | 300 | $371,031 |
| 3 | MNMinnesota | $373,700 | $310,320 | $481,170 | 2,270 | $378,925 |
| 4 | WIWisconsin | $367,160 | $326,040 | $404,720 | 1,450 | $390,201 |
| 5 | AKAlaska | $366,080 | $201,970 | $366,650 | 110 | $357,643 |
| 6 | SCSouth Carolina | $359,500 | $219,460 | $414,270 | 1,260 | $383,471 |
| 7 | IDIdaho | $355,390 | $287,940 | $379,970 | 130 | $372,160 |
| 8 | WAWashington | $340,010 | $321,320 | $371,980 | 1,100 | $317,728 |
| 9 | NDNorth Dakota | $338,400 | $333,130 | $351,580 | 200 | $380,400 |
| 10 | UTUtah | $331,720 | $214,840 | $381,810 | 210 | $335,532 |
| 11 | MSMississippi | $325,610 | $185,980 | $334,330 | 390 | $374,467 |
| 12 | GUGuam | $324,920 | $300,830 | $357,400 | 40 | N/A |
| 13 | MEMaine | $316,880 | $231,590 | $453,840 | 270 | $326,512 |
| 14 | INIndiana | $314,390 | $219,850 | $478,410 | 2,380 | $336,862 |
| 15 | CACalifornia | $313,890 | $129,110 | $388,150 | 6,370 | $283,499 |
| 16 | ALAlabama | $311,180 | $258,760 | $346,210 | 310 | $350,337 |
| 17 | COColorado | $299,990 | $254,550 | $339,290 | 450 | $291,105 |
| 18 | NCNorth Carolina | $289,780 | $181,250 | $396,740 | 1,700 | $307,211 |
| 19 | MAMassachusetts | $285,250 | $176,710 | $309,560 | 1,590 | $269,722 |
| 20 | SDSouth Dakota | $280,520 | $251,730 | $390,220 | 160 | $316,664 |
| 21 | TXTexas | $269,110 | $198,330 | $315,850 | 3,850 | $277,270 |
| 22 | OROregon | $268,570 | $248,540 | $312,620 | 230 | $259,837 |
| 23 | MDMaryland | $260,410 | $193,950 | $390,540 | 3,250 | $248,106 |
| 24 | AZArizona | $259,320 | $72,970 | $351,790 | 2,570 | $257,576 |
| 25 | OHOhio | $249,990 | $201,280 | $342,440 | 1,540 | $269,461 |
| 26 | KYKentucky | $241,530 | $148,900 | $345,690 | 1,060 | $267,893 |
| 27 | HIHawaii | $239,200+ | $239,200+ | $239,200+ | 220 | N/A |
| 28 | ARArkansas | $233,130 | $69,350 | $308,140 | 290 | $268,160 |
| 29 | TNTennessee | $232,220 | $106,590 | $322,260 | 1,370 | $252,770 |
| 30 | NHNew Hampshire | $229,210 | $86,390 | $363,750 | 450 | $220,045 |
| 31 | VTVermont | $228,670 | $216,300 | $391,710 | 180 | $233,437 |
| 32 | DCDistrict of Columbia | $223,250 | $48,760 | $223,610 | 490 | $203,137 |
| 33 | FLFlorida | $222,600 | $121,000 | $356,540 | 2,390 | $215,251 |
| 34 | NENebraska | $221,360 | $79,420 | $327,710 | 900 | $245,674 |
| 35 | MOMissouri | $216,570 | $196,460 | $252,240 | 160 | $238,469 |
| 36 | OKOklahoma | $216,570 | $134,630 | $377,580 | 490 | $246,542 |
| 37 | PAPennsylvania | $213,310 | $67,360 | $310,840 | 990 | $218,618 |
| 38 | LALouisiana | $210,390 | $201,140 | $278,100 | N/A | $238,518 |
| 39 | CTConnecticut | $208,000 | $73,400 | $311,300 | 980 | $200,753 |
| 40 | NYNew York | $183,460 | $88,690 | $339,040 | 10,000 | $169,995 |
| 41 | MIMichigan | $149,990 | $91,740 | $311,190 | 2,060 | $155,887 |
| 42 | ILIllinois | $140,680 | $69,310 | $220,170 | 1,130 | $140,739 |
| 43 | PRPuerto Rico | $133,120 | $112,020 | $166,930 | 40 | N/A |
| 44 | IAIowa | $122,920 | $82,590 | $288,130 | 380 | $140,061 |
| 45 | NVNevada | $114,090 | $82,970 | $228,200 | 390 | $114,114 |
| 46 | NJNew Jersey | $89,990 | $89,990 | $197,990 | 2,920 | $82,708 |
| 47 | WVWest Virginia | $72,680 | $63,540 | $327,230 | 630 | $81,209 |
Values shown as $239,200+ exceed the BLS publication ceiling; exact figures are not published. Those states are ranked at that floor, so their true position may be higher.
Method
How the cost-of-living adjustment works
The adjusted column divides each state median by that state's BEA Regional Price Parity (RPP) and multiplies by 100. RPPs measure how much a fixed basket of goods, services and rents costs in one state relative to the national average, so the result restates local pay in national-average dollars.
For General Internal Medicine Physicians, that changes the ranking: Georgia leads on raw pay at $425,460, while Georgia leads once prices are taken into account at $441,839.
States whose median is shown as $239,200+ have no adjusted figure at all: the published value is a ceiling rather than a measured wage, and dividing a ceiling by a price parity would produce a number that looks exact but is not.
Source: BEA Regional Price Parities by State, 2024 (public domain). The adjustment is NueCareer's calculation, not a BLS or BEA published statistic.
Questions
General Internal Medicine Physician pay by state: FAQ
Which state pays General Internal Medicine Physicians the most?
Georgia reports the highest median wage for General Internal Medicine Physicians at $425,460 a year (BLS OEWS, May 2025), followed by Rhode Island ($379,490) and Minnesota ($373,700).
Which state pays General Internal Medicine Physicians the least?
West Virginia reports the lowest median for General Internal Medicine Physicians at $72,680 a year, $352,780 below the highest-paying state (BLS OEWS, May 2025).
Where do General Internal Medicine Physicians earn the most after cost of living?
Dividing each state median by that state's BEA Regional Price Parity puts Georgia first at $441,839 in national-average dollars, from a raw median of $425,460. BEA Regional Price Parities, 2024.
