Pay, location & work-life context
Internal Medicine Salary Map by State (2026)
Median internal medicine pay across 47 states from real job listings — switch views to adjust for cost of living or overlay burnout scores. Medians blend permanent salaries with annualized locums/contract rates. National median: $274,495.
Highest median
Minnesota
$322,504
Best real purchasing power
Mississippi
$358,815 adjusted
Best lifestyle score
Montana
7.2/10 avg burnout score
Compare state markets
Choose a metric, then select a state to see its figures and available breakdown.
Tile positions are approximate, not geographic boundaries. Selection adds an outline without changing the metric color. Work-life scores describe listings, not surveyed clinician burnout.
Internal Medicine pay by state
Sorted by median advertised pay. On smaller screens, scroll the table sideways to compare all metrics.
| State | Median | COL-adjusted | Take-home, COL-adj. | Work-life score | Listings |
|---|---|---|---|---|---|
| Minnesota | $322,504 | $327,014 | $294,803 | 6.1/10 | 50 |
| Mississippi | $312,000 | $358,815 | $343,027 | 6.4/10 | 6 |
| Louisiana | $310,750 | $352,296 | $341,727 | 6.2/10 | 12 |
| Missouri | $306,000 | $336,941 | $321,105 | 6.6/10 | 40 |
| California | $303,750 | $274,341 | $248,827 | 5.8/10 | 279 |
| Washington | $301,800 | $282,022 | $282,022 | 5.8/10 | 54 |
| New Mexico | $301,600 | $327,072 | $307,775 | 5.6/10 | 12 |
| West Virginia | $301,600 | $336,995 | $320,751 | 5.3/10 | 7 |
| Connecticut | $296,000 | $285,687 | $265,717 | 6.2/10 | 22 |
| Wisconsin | $293,000 | $311,387 | $294,884 | 6.0/10 | 15 |
| Kansas | $292,500 | $324,755 | $306,633 | 5.1/10 | 15 |
| Iowa | $290,000 | $330,439 | $317,882 | 5.7/10 | 23 |
| Oregon | $289,500 | $280,086 | $252,358 | 5.9/10 | 37 |
| South Carolina | $280,000 | $298,670 | $280,152 | 6.1/10 | 16 |
| Alaska | $279,899 | $273,448 | $273,448 | 6.3/10 | 9 |
| Texas | $276,750 | $285,142 | $285,142 | 6.1/10 | 124 |
| Nevada | $276,750 | $276,808 | $276,808 | 6.0/10 | 28 |
| Kentucky | $276,750 | $306,958 | $294,679 | 6.5/10 | 6 |
| Delaware | $275,724 | $276,254 | $258,022 | 6.0/10 | 11 |
| Tennessee | $275,000 | $299,336 | $299,336 | 5.7/10 | 16 |
| Virginia | $275,000 | $271,997 | $256,357 | 5.7/10 | 81 |
| Alabama | $275,000 | $309,604 | $294,124 | 6.8/10 | 6 |
| Vermont | $275,000 | $280,733 | $256,168 | 5.5/10 | 12 |
| Oklahoma | $275,000 | $313,059 | $298,188 | 5.0/10 | 10 |
| Indiana | $274,500 | $294,121 | $285,297 | 5.7/10 | 20 |
| New Hampshire | $274,495 | $263,519 | $263,519 | 5.9/10 | 10 |
| Massachusetts | $270,000 | $255,302 | $242,537 | 5.6/10 | 95 |
| Montana | $270,000 | $285,277 | $268,445 | 7.2/10 | 5 |
| Florida | $268,528 | $259,663 | $259,663 | 5.9/10 | 110 |
| Georgia | $265,000 | $275,202 | $260,368 | 5.8/10 | 41 |
| Colorado | $264,500 | $256,667 | $245,373 | 5.5/10 | 79 |
| New York | $262,500 | $243,233 | $226,572 | 5.6/10 | 118 |
| Arizona | $262,500 | $260,735 | $254,216 | 5.9/10 | 42 |
| Rhode Island | $262,500 | $256,648 | $241,275 | 5.7/10 | 7 |
| Illinois | $260,000 | $260,109 | $247,234 | 5.8/10 | 99 |
| Ohio | $260,000 | $280,251 | $270,442 | 5.5/10 | 34 |
| New Jersey | $260,000 | $238,960 | $223,738 | 5.7/10 | 44 |
| Nebraska | $260,000 | $288,559 | $273,554 | 5.2/10 | 5 |
| North Carolina | $255,000 | $270,339 | $258,850 | 6.5/10 | 28 |
| Pennsylvania | $250,000 | $256,221 | $248,355 | 6.0/10 | 32 |
| Hawaii | $250,000 | $227,374 | $202,363 | 6.8/10 | 8 |
| Maine | $245,000 | $252,447 | $234,397 | 6.0/10 | 11 |
| Maryland | $244,000 | $232,472 | $219,105 | 5.7/10 | 41 |
| Michigan | $240,000 | $249,436 | $238,835 | 6.3/10 | 31 |
| Utah | $218,400 | $220,910 | $210,858 | 5.9/10 | 9 |
| South Dakota | $215,966 | $243,792 | $243,792 | 6.3/10 | 8 |
| Idaho | $208,000 | $217,815 | $205,410 | 6.0/10 | 6 |
Common questions
Which state pays internal medicine physicians the most?
Minnesota currently has the highest median internal medicine salary at $322,504, based on 50 real job listings. Adjusted for cost of living, Mississippi offers the highest real purchasing power at $358,815.
Which state offers the best after-tax internal medicine pay?
Mississippi currently leads the take-home view at $343,027 — the state median after its state income tax (Tax Foundation state income tax rates (2025)), divided by the local cost-of-living index. No-income-tax states like Texas, Florida and Tennessee often outrank nominally higher-paying states here.
Why adjust internal medicine salaries for cost of living?
Prices differ across states. The adjusted view divides each state's pay benchmark by its regional price index (U.S. average = 100). Source: BEA Regional Price Parities (2024). This is a state-level comparison, not a personal budget or a city-level cost estimate. Missing price data is shown as unavailable.
Which state has the best internal medicine lifestyle scores?
Montana currently has the highest average WeekdayDoc burnout score (7.2/10, higher is better) for internal medicine listings — a measure of call burden, weekend requirements, and schedule flexibility across postings.
More salary maps
See the full percentile breakdown on the Internal Medicine salary page.