SalariesByCity
BLS SOC 29-1228 · Virginia · Updated 2026

Physician Salary in Richmond, VA

Physicians in Richmond, VA earn a median of $218,000/year, ranging from $164,000 (25th percentile) to $356,000 (90th percentile). After Virginia state taxes (5.75%) and cost-of-living adjustments (COL index 101), this is equivalent to $215,842 in purchasing power vs the US average.

Median Annual
$218,000
BLS median
Entry Level (P25)
$164,000
25th percentile
Senior (P75)
$286,000
75th percentile
Top Earners (P90)
$356,000
90th percentile

1Salary Distribution in Richmond, VA

P25
P75
P25
$164,000
Median
$218,000
P75
$286,000
P90
$356,000

2Estimated Take-Home & Purchasing Power

Gross Median Salary
$218,000
Before taxes
Est. Take-Home (After Tax)
$189,850
After 5.75% state + ~7.6% FICA
COL-Adjusted Purchasing Power
$187,970
vs US average (COL index: 101)

* Estimates only. Does not include federal income tax, 401k, health insurance, or local taxes. Use the Salary Calculator for a detailed breakdown.

3

How Does Richmond, VA Compare?

Nearby and similar metro areas
CityMedianCOL IndexCOL-Adjusted
Richmond, VA (current)$218,000101$215,842
San Francisco, CA$260,000186$139,785
New York, NY$250,000187$133,690
Seattle, WA$248,000162$153,086
Boston, MA$252,000162$155,556
Austin, TX$225,000124$181,452

4Frequently Asked Questions

What is the average Physician salary in Richmond, VA?

The median Physician salary in Richmond, VA is $218,000 per year as of 2026 BLS OEWS data. The 25th percentile is $164,000 and the 90th percentile is $356,000.

Is Richmond, VA a good place to work as a Physician?

Richmond, VA has a cost of living index of 101 (US average = 100). After adjusting for cost of living, a $218,000 Physician salary in Richmond, VA is equivalent to $215,842 in purchasing power compared to the US average.

What is the cost of living adjustment for Richmond, VA?

Richmond, VA has a cost of living index of 101, meaning it is 1% more expensive than the US average. The state income tax rate in Virginia is approximately 5.75%.

What is the Physician salary range in Richmond, VA?

In Richmond, VA, Physicians earn between $164,000 (25th percentile) and $356,000 (90th percentile), with a median of $218,000 per year.

How many Physician jobs are there in Richmond, VA?

According to BLS OEWS data, there are approximately 6,000 Physician positions in the Richmond, VA metropolitan area.

What do Physicians earn in Richmond, VA?

Based on BLS OEWS 2026 data, Physicians in Richmond, VA earn a median annual wage of $218,000. The middle 50% earn between $164,000 and $286,000. The top 10% earn more than $356,000. There are approximately 6,000 Physicians employed in the Richmond, VA metro area, with annual job growth estimated at 2.2%.

Is Richmond, VA a good place for a Physician?

Richmond, VA has a cost of living index of 101 (US average = 100), making it 1% more expensive than the national average. After adjusting for cost of living, a Physician in Richmond, VA earning $218,000has the equivalent purchasing power of $215,842 relative to the US median. Virginia has a state income tax rate of approximately 5.75%.

What is the cost of living adjustment for Richmond, VA?

Richmond, VA's cost of living index is 101, based on composite data including housing, food, transportation, healthcare, and utilities. This means that $218,000 in Richmond, VAhas the same purchasing power as $215,842 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 Richmond, VA with Another City

See a detailed side-by-side comparison of salary, taxes, and purchasing power.

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.