Physician · Salary Comparison · 2026
Physician Salary: San Diego, CA vs Seattle, WA
Side-by-side comparison of salary, taxes, cost of living, and take-home pay for Physicians in San Diego, CA and Seattle, WA, based on BLS OEWS 2026 data.
1Which City Pays More After Tax?
Higher Gross Salary
✓ Seattle, WA
$245,000 vs $248,000
Better Purchasing Power
✓ San Diego, CA
$161,184 vs $153,086
Best Take-Home (COL-Adj)
✓ Seattle, WA
$135,084 vs $141,452
2
Detailed Comparison
| Metric | San Diego, CA | Seattle, WA | Diff |
|---|---|---|---|
| Median Annual Salary | $245,000 | $248,000▲ | -$3,000 |
| 25th Percentile | $184,000 | $186,000▲ | -$2,000 |
| 75th Percentile | $320,000 | $325,000▲ | -$5,000 |
| 90th Percentile | $398,000 | $402,000▲ | -$4,000 |
| Cost of Living Index | 152 | 162 | -10 |
| State Income Tax | 9.3% | 0%▲ | +9.3% |
| COL-Adjusted Median | $161,184▲ | $153,086 | +$8,098 |
| Est. Annual Take-Home | $205,327 | $229,152▲ | -$23,825 |
| COL-Adj. Take-Home | $135,084 | $141,452▲ | -$6,368 |
| Total Employment | 8,000 | 9,000 | -1,000 |
▲ = Higher value wins for this metric. Diff = San Diego, CA minus Seattle, WA.
3Summary Analysis
On paper, Seattle, WA pays $3,000 more (median: $245,000 vs $248,000). However, after adjusting for cost of living (index 152 vs 162), San Diego, CA provides better purchasing power ($161,184 vs $153,086 equivalent). Seattle, WA has no state income tax, which is a significant advantage.
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Data: U.S. Bureau of Labor Statistics OEWS · 2026 · Cost-of-living indices from composite metro area data. Take-home estimates approximate only — consult a tax professional for accurate figures.