Physician Salary in Raleigh, NC
Physicians in Raleigh, NC earn a median of $215,000/year, ranging from $161,000 (25th percentile) to $350,000 (90th percentile). After North Carolina state taxes (4.5%) and cost-of-living adjustments (COL index 103), this is equivalent to $208,738 in purchasing power vs the US average.
On the ground in Raleigh, NC
Duke University Health System and UNC Health are major draws here, along with private practices and urgent care networks that keep expanding across the Triangle. The physician job market stays steady because there's genuine population growth, not just churn. A two-bedroom in downtown Raleigh or near NC State runs around $1,400 to $1,600 per month, so housing is reasonable on a physician salary. The commute depends heavily on where you land - Duke's Durham campus means I-85 traffic if you're coming from Raleigh proper, but the sprawl is manageable compared to coastal metros. North Carolina's flat 4.5% state income tax helps your take-home; there's no local tax nonsense either. The climate is mild enough that you're not battling brutal winters, and the research ecosystem here - with UNC and Duke nearby - keeps clinical practice tied to academic work if that matters to you.
1Salary Distribution in Raleigh, NC
2Estimated Take-Home & Purchasing Power
* Estimates only. Does not include federal income tax, 401k, health insurance, or local taxes. Use the Salary Calculator for a detailed breakdown.
How Does Raleigh, NC Compare?
| City | Median | COL Index | COL-Adjusted |
|---|---|---|---|
| Raleigh, NC (current) | $215,000 | 103 | $208,738 |
| Charlotte, NC | $208,000 | 102 | $203,922 |
| San Francisco, CA | $260,000 | 186 | $139,785 |
| New York, NY | $250,000 | 187 | $133,690 |
| Seattle, WA | $248,000 | 162 | $153,086 |
| Boston, MA | $252,000 | 162 | $155,556 |
4Frequently Asked Questions
What is the average Physician salary in Raleigh, NC?
The median Physician salary in Raleigh, NC is $215,000 per year as of 2026 BLS OEWS data. The 25th percentile is $161,000 and the 90th percentile is $350,000.
Is Raleigh, NC a good place to work as a Physician?
Raleigh, NC has a cost of living index of 103 (US average = 100). After adjusting for cost of living, a $215,000 Physician salary in Raleigh, NC is equivalent to $208,738 in purchasing power compared to the US average.
What is the cost of living adjustment for Raleigh, NC?
Raleigh, NC has a cost of living index of 103, meaning it is 3% more expensive than the US average. The state income tax rate in North Carolina is approximately 4.5%.
What is the Physician salary range in Raleigh, NC?
In Raleigh, NC, Physicians earn between $161,000 (25th percentile) and $350,000 (90th percentile), with a median of $215,000 per year.
How many Physician jobs are there in Raleigh, NC?
According to BLS OEWS data, there are approximately 6,000 Physician positions in the Raleigh, NC metropolitan area.
What do Physicians earn in Raleigh, NC?
Based on BLS OEWS 2026 data, Physicians in Raleigh, NC earn a median annual wage of $215,000. The middle 50% earn between $161,000 and $282,000. The top 10% earn more than $350,000. There are approximately 6,000 Physicians employed in the Raleigh, NC metro area, with annual job growth estimated at 3.2%.
Is Raleigh, NC a good place for a Physician?
Raleigh, NC has a cost of living index of 103 (US average = 100), making it 3% more expensive than the national average. After adjusting for cost of living, a Physician in Raleigh, NC earning $215,000has the equivalent purchasing power of $208,738 relative to the US median. North Carolina has a state income tax rate of approximately 4.5%.
What is the cost of living adjustment for Raleigh, NC?
Raleigh, NC's cost of living index is 103, based on composite data including housing, food, transportation, healthcare, and utilities. This means that $215,000 in Raleigh, NChas the same purchasing power as $208,738 in a city at exactly the US average cost of living. Housing is typically the largest driver of cost of living differences between metros.
Compare Raleigh, NC with Another City
See a detailed side-by-side comparison of salary, taxes, and purchasing power.
5Should You Work as a Physician in Raleigh, NC?
The headline median of $215,000 is only part of the picture. Raleigh, NC's cost of living index is 103 (US average = 100), meaning a dollar here buys roughly 97¢ of what it buys in an average US city. The $215,000 salary effectively purchases $208,738 worth of goods and services at national-average prices.
Housing is the single biggest driver of cost-of-living differences between metros. In Raleigh, NC, housing costs fall closer to the national average of 25–30% of gross income, leaving more room in the budget for savings, transportation, and discretionary spending. For a $215,000 salary, that translates to roughly $60,200/year on housing alone.
State tax plays a meaningful but smaller role. North Carolina levies a state income tax of approximately 4.5%, which reduces take-home by roughly $9,675 per year on this salary. States with zero income tax (Texas, Florida, Washington, Tennessee, Nevada) offer a structural advantage, but often offset it with higher sales tax or property tax. After state tax and approximate federal FICA (~7.6%), the estimated take-home is $189,720. This excludes federal income tax, which varies by filing status and deductions.
For comparison, here are nearby alternatives: Charlotte, NC ($208,000 median, COL 102); San Francisco, CA ($260,000 median, COL 186); New York, NY ($250,000 median, COL 187). If you're optimizing for purchasing power, compare the COL-adjusted column in the table above and pick the highest number. If you're optimizing for career progression, weight total employment and yearly growth in the role — larger markets offer more lateral moves and promotion velocity, even when nominal pay is lower.
The 3.2% year-over-year growth rate for Physicians in Raleigh, NC is a leading indicator of market health. Healthy growth at a steady pace — enough to support mobility but not so fast that compensation is racing ahead of credentials. For side-by-side comparisons, try the full city ranking for Physicians or the North Carolina state overview.
Data source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS) Program. All figures are approximate annual estimates based on the most recent available BLS data. Actual salaries may vary based on experience, education, employer size, and specific role. Cost-of-living data represents composite indices from publicly available metropolitan area data.