Highest Paying Cities for Obstetrician/Gynecologist (2025)
The median Obstetrician/Gynecologist salary is $375,400 in Riverside-San Bernardino, CA, the highest-paying city for this role. After adjusting for cost of living, Louisville, KY offers the best purchasing power at $414,723 adjusted.
The 39 cities below are ranked by median wage for Obstetrician/Gynecologist, drawn from BLS OEWS. Top-of-list cities typically combine high local labor demand with above-baseline cost-of-living, so the gross-wage ranking partly reflects COL adjustment. Reading the ranking carefully: gross median wage is the headline number, but the cost-adjusted figure (which divides by the city's cost-of-living index) tells a different story for high-COL cities. The ranking sorts on gross wage; the per-city pages surface the adjusted figure.
For workers evaluating Obstetrician/Gynecologist relocation, the top of the ranking is the obvious starting point — but the bottom of the list (low gross wage, low COL) is often where cost-adjusted real income is highest. The role-specific pages link to per-city detail.
Ranked by Median Salary
| Rank | City | Median | Range (10th-90th) | COL Index | COL-Adjusted | Jobs |
|---|---|---|---|---|---|---|
| 1 | Riverside-San Bernardino, CA | $375,400 | $79,390, $377,370 | 122.4 | $306,699 | 280 |
| 2 | Louisville, KY | $374,080 | $77,600, $571,430 | 90.2 | $414,723 | 40 |
| 3 | Phoenix, AZ | $369,720 | $118,600, $455,520 | 100.7 | $367,150 | 0 |
| 4 | Des Moines, IA | $369,390 | $208,740, $438,830 | 93.3 | $395,916 | 40 |
| 5 | Knoxville, TN | $365,260 | $56,380, $370,590 | 90.3 | $404,496 | 30 |
| 6 | Nashville, TN | $358,070 | $65,350, $390,740 | 100.3 | $356,999 | 190 |
| 7 | Atlanta, GA | $354,000 | $230,070, $419,740 | 99.2 | $356,855 | 270 |
| 8 | Charlotte, NC | $353,740 | $116,840, $637,800 | 96.7 | $365,812 | 160 |
| 9 | Indianapolis, IN | $346,920 | $66,430, $366,350 | 90.1 | $385,039 | 0 |
| 10 | Seattle, WA | $343,140 | $95,430, $637,670 | 149.4 | $229,679 | 150 |
| 11 | Omaha, NE | $342,570 | $94,140, $459,300 | 91.8 | $373,170 | 140 |
| 12 | Bridgeport, CT | $338,950 | $82,230, $430,380 | 137.5 | $246,509 | 90 |
| 13 | Orlando, FL | $337,410 | $70,190, $337,410 | 103.1 | $327,265 | 30 |
| 14 | New York, NY | $329,750 | $85,170, $444,380 | 187.2 | $176,149 | 2,470 |
| 15 | Dallas, TX | $321,260 | $99,990, $359,320 | 104.1 | $308,607 | 770 |
| 16 | Philadelphia, PA | $320,040 | $176,790, $344,790 | 118.4 | $270,304 | 250 |
| 17 | Minneapolis, MN | $306,770 | $172,650, $503,170 | 106.2 | $288,861 | 490 |
| 18 | Baltimore, MD | $304,220 | $231,840, $469,430 | 114.2 | $266,392 | 90 |
| 19 | Los Angeles, CA | $301,240 | $99,060, $401,440 | 166 | $181,470 | 0 |
| 20 | Milwaukee, WI | $300,470 | $210,390, $406,710 | 97.4 | $308,491 | 170 |
| 21 | San Diego, CA | $293,400 | $87,260, $405,070 | 160.2 | $183,146 | 100 |
| 22 | Fresno, CA | $287,490 | $205,860, $436,930 | 105.5 | $272,502 | 0 |
| 23 | San Antonio, TX | $271,960 | $104,250, $341,010 | 91.5 | $297,224 | 90 |
| 24 | San Jose, CA | $263,990 | $125,630, $382,600 | 195.8 | $134,826 | 0 |
| 25 | Buffalo, NY | $258,760 | $227,180, $364,600 | 92.5 | $279,741 | 0 |
| 26 | Albany, NY | $253,580 | $75,710, $431,620 | 100.7 | $251,817 | 90 |
| 27 | Boston, MA | $235,460 | $96,960, $435,010 | 152.1 | $154,806 | 500 |
| 28 | Madison, WI | $227,650 | $77,570, $419,420 | 103.8 | $219,316 | 80 |
| 29 | Providence, RI | $227,120 | $76,930, $615,380 | 119.4 | $190,218 | 160 |
| 30 | Richmond, VA | $224,240 | $172,490, $321,940 | 102.1 | $219,628 | 250 |
| 31 | Cincinnati, OH | $217,510 | $66,890, $492,140 | 91.2 | $238,498 | 140 |
| 32 | Rochester, NY | $210,250 | $74,030, $375,680 | 92.9 | $226,319 | 170 |
| 33 | Detroit, MI | $209,550 | $140,230, $595,210 | 95.1 | $220,347 | 550 |
| 34 | Chicago, IL | $208,000 | $208,000, $369,800 | 107.3 | $193,849 | 1,120 |
| 35 | San Francisco, CA | $198,720 | $103,510, $442,830 | 179.6 | $110,646 | 0 |
| 36 | Columbus, OH | $179,810 | $102,160, $181,520 | 93.1 | $193,136 | 490 |
| 37 | Hartford, CT | $135,360 | $66,800, $407,790 | 112.6 | $120,213 | 120 |
| 38 | Lexington, KY | $109,070 | $65,140, $389,320 | 91.3 | $119,463 | 130 |
| 39 | Houston, TX | $83,050 | $72,000, $374,400 | 96.5 | $86,062 | 300 |
Ranked by Purchasing Power (COL-Adjusted)
Cost-of-living adjusted salaries show where your Obstetrician/Gynecologist paycheck goes furthest. A lower COL index means your dollars stretch further.
| Rank | City | COL-Adjusted | Raw Median | COL Index |
|---|---|---|---|---|
| 1 | Louisville, KY | $414,723 | $374,080 | 90.2 |
| 2 | Knoxville, TN | $404,496 | $365,260 | 90.3 |
| 3 | Des Moines, IA | $395,916 | $369,390 | 93.3 |
| 4 | Indianapolis, IN | $385,039 | $346,920 | 90.1 |
| 5 | Omaha, NE | $373,170 | $342,570 | 91.8 |
| 6 | Phoenix, AZ | $367,150 | $369,720 | 100.7 |
| 7 | Charlotte, NC | $365,812 | $353,740 | 96.7 |
| 8 | Nashville, TN | $356,999 | $358,070 | 100.3 |
| 9 | Atlanta, GA | $356,855 | $354,000 | 99.2 |
| 10 | Orlando, FL | $327,265 | $337,410 | 103.1 |
| 11 | Dallas, TX | $308,607 | $321,260 | 104.1 |
| 12 | Milwaukee, WI | $308,491 | $300,470 | 97.4 |
| 13 | Riverside-San Bernardino, CA | $306,699 | $375,400 | 122.4 |
| 14 | San Antonio, TX | $297,224 | $271,960 | 91.5 |
| 15 | Minneapolis, MN | $288,861 | $306,770 | 106.2 |
| 16 | Buffalo, NY | $279,741 | $258,760 | 92.5 |
| 17 | Fresno, CA | $272,502 | $287,490 | 105.5 |
| 18 | Philadelphia, PA | $270,304 | $320,040 | 118.4 |
| 19 | Baltimore, MD | $266,392 | $304,220 | 114.2 |
| 20 | Albany, NY | $251,817 | $253,580 | 100.7 |
| 21 | Bridgeport, CT | $246,509 | $338,950 | 137.5 |
| 22 | Cincinnati, OH | $238,498 | $217,510 | 91.2 |
| 23 | Seattle, WA | $229,679 | $343,140 | 149.4 |
| 24 | Rochester, NY | $226,319 | $210,250 | 92.9 |
| 25 | Detroit, MI | $220,347 | $209,550 | 95.1 |
| 26 | Richmond, VA | $219,628 | $224,240 | 102.1 |
| 27 | Madison, WI | $219,316 | $227,650 | 103.8 |
| 28 | Chicago, IL | $193,849 | $208,000 | 107.3 |
| 29 | Columbus, OH | $193,136 | $179,810 | 93.1 |
| 30 | Providence, RI | $190,218 | $227,120 | 119.4 |
| 31 | San Diego, CA | $183,146 | $293,400 | 160.2 |
| 32 | Los Angeles, CA | $181,470 | $301,240 | 166 |
| 33 | New York, NY | $176,149 | $329,750 | 187.2 |
| 34 | Boston, MA | $154,806 | $235,460 | 152.1 |
| 35 | San Jose, CA | $134,826 | $263,990 | 195.8 |
| 36 | Hartford, CT | $120,213 | $135,360 | 112.6 |
| 37 | Lexington, KY | $119,463 | $109,070 | 91.3 |
| 38 | San Francisco, CA | $110,646 | $198,720 | 179.6 |
| 39 | Houston, TX | $86,062 | $83,050 | 96.5 |
Frequently Asked Questions
Riverside-San Bernardino, CA pays the highest median Obstetrician/Gynecologist salary at $375,400. However, after cost-of-living adjustment, Louisville, KY offers the most purchasing power at $414,723 adjusted.
The national median Obstetrician/Gynecologist salary is $279,676 based on BLS data. Salaries range from $83,050 to $375,400 depending on city.
Not necessarily. A city with higher nominal pay may have a higher cost of living that offsets the salary difference. Compare the "COL-Adjusted" column in both tables above, cities with lower costs of living often offer better real purchasing power.
Other Healthcare Rankings
Rankings based on BLS Occupational Employment and Wage Statistics, May 2024. COL adjustments use BEA Regional Price Parities.
Source: BLS Occupational Employment and Wage Statistics, 2026.