Anesthesiologists
Median $391,490
Occupation · SOC 29-1216
What general internal medicine physicians earn in the U.S., how pay varies across workers and states, and tools to plan around it.
$256,560 median annual wage
Source: U.S. Bureau of Labor Statistics, OEWS May 2025 (released 2026-05-15), SOC 29-1216.
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The median annual wage for general internal medicine physicians was $256,560 in May 2025, so half of workers earned more and half earned less. The lowest-paid 10% earned less than $73,570 and the highest-paid 10% more than $475,430. As an hourly rate, the median is $123.35. About 67,150 people work in this occupation nationwide. The highest state medians are in Georgia ($425,460), Rhode Island ($379,490) and Minnesota ($373,700). Georgia also comes out on top after taxes and local prices.
What each step of the pay range for general internal medicine physicians looks like per month. Take-home here includes federal tax, Social Security and Medicare for a single filer; add your state in the paycheck calculator.
| Step | Annual | Hourly | Monthly gross | Monthly after federal tax & FICA |
|---|---|---|---|---|
| 10th percentile | $73,570 | $35.37 | $6,131 | $5,049 |
| 25th percentile | $124,470 | $59.84 | $10,373 | $8,028 |
| Median | $256,560 | $123.35 | $21,380 | $15,294 |
| 75th percentile | $374,850 | $180.22 | $31,238 | $20,987 |
| 90th percentile | $475,430 | $228.57 | $39,619 | $25,794 |
47 states and territories have a published median, sorted from highest to lowest. The last two columns are our estimates: the median after 2026 federal and state taxes, and that take-home restated in national-average prices.
$270,409 take-home in national prices
$253,119 take-home in national prices
$243,017 take-home in national prices
Where a median general internal medicine physician paycheck goes furthest after 2026 taxes and BEA price levels.
| State | Employment | Median | 10th pct. | 90th pct. | Median after tax* | In national prices† |
|---|---|---|---|---|---|---|
| Georgia | 5,440 | $425,460 | $103,490 | $581,750 | $260,385 | $270,409 |
| Rhode Island | 300 | $379,490 | $69,590 | $425,340 | $233,804 | $228,592 |
| Minnesota | 2,270 | $373,700 | $197,440 | $481,170 | $220,761 | $223,848 |
| Wisconsin | 1,450 | $367,160 | $74,160 | $451,640 | $227,820 | $242,117 |
| Alaska | 110 | $366,080 | $163,230 | $556,190 | $246,542 | $240,860 |
| South Carolina | 1,260 | $359,500 | $102,500 | $441,010 | $225,275 | $240,296 |
| Idaho | 130 | $355,390 | $133,880 | $385,590 | $222,955 | $233,475 |
| Washington | 1,100 | $340,010 | $222,990 | $406,010 | $228,400 | $213,432 |
| North Dakota | 200 | $338,400 | $190,430 | $379,100 | $225,172 | $253,119 |
| Utah | 210 | $331,720 | $161,890 | $448,650 | $212,346 | $214,786 |
| Mississippi | 390 | $325,610 | $67,440 | $429,660 | $211,311 | $243,017 |
| Guam | 40 | $324,920 | $183,110 | $357,400 | — | — |
| Maine | 270 | $316,880 | $185,760 | $539,420 | $195,916 | $201,871 |
| Indiana | 2,380 | $314,390 | $177,830 | $504,870 | $207,923 | $222,785 |
| California | 6,370 | $313,890 | $74,180 | $441,710 | $187,854 | $169,666 |
| Alabama | 310 | $311,180 | $156,060 | $369,200 | $203,611 | $229,232 |
| Colorado | 450 | $299,990 | $176,330 | $371,600 | $195,607 | $189,814 |
| North Carolina | 1,700 | $289,780 | $123,810 | $462,680 | $192,001 | $203,551 |
| Massachusetts | 1,590 | $285,250 | $84,750 | $369,930 | $185,565 | $175,464 |
| South Dakota | 160 | $280,520 | $222,550 | $564,280 | $197,744 | $223,223 |
| Texas | 3,850 | $269,110 | $69,460 | $387,660 | $191,104 | $196,899 |
| Oregon | 230 | $268,570 | $228,850 | $350,220 | $165,127 | $159,758 |
| Maryland | 3,250 | $260,410 | $135,630 | $393,430 | $172,690 | $164,531 |
| Arizona | 2,570 | $259,320 | $65,610 | $391,480 | $179,106 | $177,902 |
| Ohio | 1,540 | $249,990 | $84,180 | $453,010 | $173,127 | $186,611 |
| Kentucky | 1,060 | $241,530 | $73,510 | $456,710 | $166,123 | $184,256 |
| Arkansas | 290 | $233,130 | $59,180 | $316,760 | $160,964 | $185,151 |
| Tennessee | 1,370 | $232,220 | $64,870 | $412,460 | $168,841 | $183,782 |
| New Hampshire | 450 | $229,210 | $69,840 | $414,380 | $167,024 | $160,346 |
| Vermont | 180 | $228,670 | $181,710 | $452,190 | $153,182 | $156,375 |
| District of Columbia | 490 | $223,250 | $48,710 | $513,990 | $147,420 | $134,139 |
| Florida | 2,390 | $222,600 | $85,220 | $575,210 | $163,035 | $157,653 |
| Nebraska | 900 | $221,360 | $70,920 | $378,450 | $153,094 | $169,910 |
| Missouri | 160 | $216,570 | $173,630 | $438,090 | $150,050 | $165,223 |
| Oklahoma | 490 | $216,570 | $67,270 | $468,320 | $150,091 | $170,863 |
| Pennsylvania | 990 | $213,310 | $67,360 | $415,810 | $150,365 | $154,107 |
| Louisiana | Not published | $210,390 | $184,700 | $324,900 | $149,142 | $169,082 |
| Connecticut | 980 | $208,000 | $66,740 | $413,750 | $141,242 | $136,320 |
| New York | 10,000 | $183,460 | $78,160 | $416,640 | $126,434 | $117,154 |
| Michigan | 2,060 | $149,990 | $59,440 | $378,470 | $107,660 | $111,893 |
| Illinois | 1,130 | $140,680 | $63,940 | $349,420 | $100,602 | $100,644 |
| Puerto Rico | 40 | $133,120 | $86,660 | $168,370 | — | — |
| Iowa | 380 | $122,920 | $71,420 | $391,510 | $91,263 | $103,989 |
| Nevada | 390 | $114,090 | $82,970 | $291,170 | $89,092 | $89,111 |
| New Jersey | 2,920 | $89,990 | $82,320 | $431,460 | $68,027 | $62,522 |
| West Virginia | 630 | $72,680 | $63,150 | $430,020 | $57,521 | $64,271 |
| Hawaii | 220 | At or above BLS top range | At or above BLS top range | At or above BLS top range | — | — |
Source: U.S. Bureau of Labor Statistics, OEWS May 2025 (released 2026-05-15), SOC 29-1216. *Our estimate for a single filer paid biweekly with no pre-tax deductions or local tax, 2026 federal and state rules. †Take-home ÷ BEA Regional Price Parity × 100 (2024 price levels).