Physician Salary: Los Angeles, CA vs Boston, MA
Side-by-side comparison of salary, taxes, cost of living, and take-home pay for Physicians in Los Angeles, CA and Boston, MA, based on BLS OEWS 2026 data.
1Which City Pays More After Tax?
Detailed Comparison
| Metric | Los Angeles, CA | Boston, MA | Diff |
|---|---|---|---|
| Median Annual Salary | $255,000▲ | $252,000 | +$3,000 |
| 25th Percentile | $191,000▲ | $190,000 | +$1,000 |
| 75th Percentile | $334,000▲ | $330,000 | +$4,000 |
| 90th Percentile | $415,000▲ | $410,000 | +$5,000 |
| Cost of Living Index | 173 | 162 | +11 |
| State Income Tax | 9.3% | 5%▲ | +4.300000000000001% |
| COL-Adjusted Median | $147,399 | $155,556▲ | -$8,157 |
| Est. Annual Take-Home | $213,707 | $221,206▲ | -$7,499 |
| COL-Adj. Take-Home | $123,530 | $136,547▲ | -$13,017 |
| Total Employment | 20,000 | 14,000 | +6,000 |
3Summary Analysis
On paper, Los Angeles, CA pays $3,000 more (median: $255,000 vs $252,000). However, after adjusting for cost of living (index 173 vs 162), Boston, MA provides better purchasing power ($147,399 vs $155,556 equivalent). Boston, MA has the lower state tax rate (5% vs 9.3%).
4More Physician City Comparisons
5How to Weigh This Comparison
The $3,000 nominal pay gap between Los Angeles, CA and Boston, MA is the wrong number to focus on in isolation. Cost-of-living indices of 173 and 162 mean the same paycheck stretches very differently in each market. The COL-adjusted figures above — $147,399 in Los Angeles vs $155,556 in Boston— are the closest proxy for "how much will your money actually buy." A meaningful gap of $8,157 on that axis usually beats any nominal salary difference.
Housing is the single biggest driver of cost-of-living differences. In Los Angeles, CA, expect housing to consume a larger share of gross income than in Boston, MA. If you're planning to rent, the COL index is a reasonable proxy for rent differences. If you're buying, expect purchase price differences to be sharper than the composite index suggests — housing tends to be the most inelastic component of cost of living.
Tax treatment matters but is usually smaller than COL impact. The 4.3% state tax rate difference (9.3% in California vs 5% in Massachusetts) translates to roughly $10,965 per year at these salary levels. States with no income tax (Texas, Florida, Washington, Nevada, Tennessee) often offset with higher property tax or sales tax, so factor in your housing and consumption patterns.
Career factors that don't show up in these numbers: total employment (with 20,000 positions in Los Angeles vs 14,000 in Boston, the larger market offers more lateral moves and promotion paths), industry concentration (tech-heavy cities like San Francisco, Seattle, Austin pay premiums for engineering roles but may underpay other occupations), and 3–5 year career trajectory (year-over-year employment growth of 1.8% in Los Angeles vs 1.8% in Boston reveals whether each market is expanding or contracting). For a broader context, see our California overview and the full Physician city ranking.