Highest Paying Cities for Pediatrician (2025)
The median Pediatrician salary is $395,040 in Sacramento, CA, the highest-paying city for this role. After adjusting for cost of living, Sacramento, CA offers the best purchasing power at $316,792 adjusted.
The 58 cities below are ranked by median wage for Pediatrician, 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 Pediatrician 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 | Sacramento, CA | $395,040 | $239,060, $395,050 | 124.7 | $316,792 | 100 |
| 2 | Bakersfield, CA | $290,420 | $93,350, $375,700 | 100.6 | $288,688 | 70 |
| 3 | Fresno, CA | $289,290 | $77,030, $372,460 | 105.5 | $274,209 | 410 |
| 4 | Milwaukee, WI | $276,470 | $204,660, $331,860 | 97.4 | $283,850 | 60 |
| 5 | Kansas City, MO | $271,410 | $134,310, $302,830 | 95.4 | $284,497 | 70 |
| 6 | Des Moines, IA | $271,190 | $71,170, $325,380 | 93.3 | $290,665 | 90 |
| 7 | San Diego, CA | $262,650 | $158,110, $358,320 | 160.2 | $163,951 | 630 |
| 8 | Anchorage, AK | $251,830 | $224,040, $362,690 | 127 | $198,291 | 50 |
| 9 | Dallas, TX | $242,160 | $133,290, $367,600 | 104.1 | $232,622 | 340 |
| 10 | Oklahoma City, OK | $236,780 | $162,960, $302,540 | 86.5 | $273,734 | 140 |
| 11 | Phoenix, AZ | $233,950 | $111,020, $408,620 | 100.7 | $232,324 | 1,080 |
| 12 | Colorado Springs, CO | $230,720 | $158,430, $296,090 | 104.5 | $220,785 | 80 |
| 13 | Wichita, KS | $228,820 | $195,350, $310,110 | 84 | $272,405 | 50 |
| 14 | Greenville, SC | $227,540 | $119,020, $323,550 | 90.1 | $252,542 | 180 |
| 15 | Philadelphia, PA | $226,440 | $121,340, $375,010 | 118.4 | $191,250 | 870 |
| 16 | Minneapolis, MN | $226,280 | $83,920, $315,930 | 106.2 | $213,070 | 600 |
| 17 | St. Louis, MO | $223,910 | $65,700, $344,020 | 90 | $248,789 | 320 |
| 18 | Boston, MA | $221,170 | $125,170, $324,950 | 152.1 | $145,411 | 1,860 |
| 19 | Bridgeport, CT | $220,030 | $128,930, $337,720 | 137.5 | $160,022 | 370 |
| 20 | Providence, RI | $218,080 | $124,580, $302,640 | 119.4 | $182,647 | 280 |
| 21 | Detroit, MI | $218,000 | $105,180, $307,250 | 95.1 | $229,232 | 730 |
| 22 | Charlotte, NC | $217,670 | $98,790, $329,020 | 96.7 | $225,098 | 170 |
| 23 | Cincinnati, OH | $216,750 | $83,340, $287,840 | 91.2 | $237,664 | 420 |
| 24 | New York, NY | $216,040 | $82,210, $343,610 | 187.2 | $115,406 | 4,510 |
| 25 | Raleigh, NC | $214,680 | $100,250, $321,330 | 99.8 | $215,110 | 220 |
| 26 | Albuquerque, NM | $214,520 | $133,990, $313,200 | 94 | $228,213 | 140 |
| 27 | Buffalo, NY | $214,480 | $123,850, $548,850 | 92.5 | $231,870 | 140 |
| 28 | Portland, OR | $212,660 | $126,610, $312,530 | 130.1 | $163,459 | 480 |
| 29 | San Antonio, TX | $212,640 | $120,520, $303,820 | 91.5 | $232,393 | 230 |
| 30 | Hartford, CT | $211,230 | $66,930, $328,620 | 112.6 | $187,593 | 470 |
| 31 | Pittsburgh, PA | $208,050 | $192,300, $293,270 | 92.3 | $225,406 | 340 |
| 32 | Tulsa, OK | $208,040 | $179,230, $376,880 | 86.8 | $239,677 | 120 |
| 33 | San Francisco, CA | $207,450 | $102,600, $447,610 | 179.6 | $115,507 | 810 |
| 34 | Birmingham, AL | $189,650 | $177,950, $258,580 | 90.4 | $209,790 | 80 |
| 35 | Chicago, IL | $188,340 | $106,520, $379,260 | 107.3 | $175,527 | 860 |
| 36 | Miami, FL | $186,620 | $68,590, $239,990 | 123.1 | $151,600 | 250 |
| 37 | Tucson, AZ | $183,400 | $101,750, $297,230 | 95.4 | $192,243 | 80 |
| 38 | Tampa, FL | $182,680 | $67,220, $200,350 | 99.6 | $183,414 | 60 |
| 39 | Los Angeles, CA | $176,900 | $96,810, $306,670 | 166 | $106,566 | 3,080 |
| 40 | Nashville, TN | $176,210 | $69,110, $380,010 | 100.3 | $175,683 | 400 |
| 41 | Austin, TX | $175,680 | $93,590, $211,680 | 103 | $170,563 | 0 |
| 42 | Denver, CO | $173,950 | $107,990, $275,020 | 112.8 | $154,211 | 380 |
| 43 | Salt Lake City, UT | $172,850 | $115,870, $316,490 | 101.4 | $170,464 | 110 |
| 44 | Washington, DC | $172,520 | $79,240, $354,030 | 152.8 | $112,906 | 550 |
| 45 | Indianapolis, IN | $170,020 | $140,450, $276,030 | 90.1 | $188,701 | 920 |
| 46 | Memphis, TN | $168,200 | $165,170, $376,660 | 84 | $200,238 | 120 |
| 47 | Richmond, VA | $165,370 | $143,580, $352,200 | 102.1 | $161,969 | 130 |
| 48 | Seattle, WA | $165,350 | $94,300, $295,440 | 149.4 | $110,676 | 320 |
| 49 | Lexington, KY | $165,300 | $65,160, $338,450 | 91.3 | $181,051 | 250 |
| 50 | Knoxville, TN | $164,720 | $164,720, $232,030 | 90.3 | $182,414 | 0 |
| 51 | Baltimore, MD | $160,160 | $132,480, $245,650 | 114.2 | $140,245 | 420 |
| 52 | Atlanta, GA | $149,990 | $87,480, $276,760 | 99.2 | $151,200 | 0 |
| 53 | Rochester, NY | $124,990 | $67,690, $214,130 | 92.9 | $134,543 | 190 |
| 54 | Houston, TX | $124,190 | $73,300, $377,000 | 96.5 | $128,694 | 1,040 |
| 55 | Albany, NY | $107,700 | $75,490, $272,090 | 100.7 | $106,951 | 110 |
| 56 | Orlando, FL | $103,720 | $67,090, $198,370 | 103.1 | $100,601 | 0 |
| 57 | Madison, WI | $75,590 | $75,590, $327,540 | 103.8 | $72,823 | 100 |
| 58 | Little Rock, AR | $71,000 | $64,090, $310,750 | 88.2 | $80,499 | 30 |
Ranked by Purchasing Power (COL-Adjusted)
Cost-of-living adjusted salaries show where your Pediatrician paycheck goes furthest. A lower COL index means your dollars stretch further.
| Rank | City | COL-Adjusted | Raw Median | COL Index |
|---|---|---|---|---|
| 1 | Sacramento, CA | $316,792 | $395,040 | 124.7 |
| 2 | Des Moines, IA | $290,665 | $271,190 | 93.3 |
| 3 | Bakersfield, CA | $288,688 | $290,420 | 100.6 |
| 4 | Kansas City, MO | $284,497 | $271,410 | 95.4 |
| 5 | Milwaukee, WI | $283,850 | $276,470 | 97.4 |
| 6 | Fresno, CA | $274,209 | $289,290 | 105.5 |
| 7 | Oklahoma City, OK | $273,734 | $236,780 | 86.5 |
| 8 | Wichita, KS | $272,405 | $228,820 | 84 |
| 9 | Greenville, SC | $252,542 | $227,540 | 90.1 |
| 10 | St. Louis, MO | $248,789 | $223,910 | 90 |
| 11 | Tulsa, OK | $239,677 | $208,040 | 86.8 |
| 12 | Cincinnati, OH | $237,664 | $216,750 | 91.2 |
| 13 | Dallas, TX | $232,622 | $242,160 | 104.1 |
| 14 | San Antonio, TX | $232,393 | $212,640 | 91.5 |
| 15 | Phoenix, AZ | $232,324 | $233,950 | 100.7 |
| 16 | Buffalo, NY | $231,870 | $214,480 | 92.5 |
| 17 | Detroit, MI | $229,232 | $218,000 | 95.1 |
| 18 | Albuquerque, NM | $228,213 | $214,520 | 94 |
| 19 | Pittsburgh, PA | $225,406 | $208,050 | 92.3 |
| 20 | Charlotte, NC | $225,098 | $217,670 | 96.7 |
| 21 | Colorado Springs, CO | $220,785 | $230,720 | 104.5 |
| 22 | Raleigh, NC | $215,110 | $214,680 | 99.8 |
| 23 | Minneapolis, MN | $213,070 | $226,280 | 106.2 |
| 24 | Birmingham, AL | $209,790 | $189,650 | 90.4 |
| 25 | Memphis, TN | $200,238 | $168,200 | 84 |
| 26 | Anchorage, AK | $198,291 | $251,830 | 127 |
| 27 | Tucson, AZ | $192,243 | $183,400 | 95.4 |
| 28 | Philadelphia, PA | $191,250 | $226,440 | 118.4 |
| 29 | Indianapolis, IN | $188,701 | $170,020 | 90.1 |
| 30 | Hartford, CT | $187,593 | $211,230 | 112.6 |
| 31 | Tampa, FL | $183,414 | $182,680 | 99.6 |
| 32 | Providence, RI | $182,647 | $218,080 | 119.4 |
| 33 | Knoxville, TN | $182,414 | $164,720 | 90.3 |
| 34 | Lexington, KY | $181,051 | $165,300 | 91.3 |
| 35 | Nashville, TN | $175,683 | $176,210 | 100.3 |
| 36 | Chicago, IL | $175,527 | $188,340 | 107.3 |
| 37 | Austin, TX | $170,563 | $175,680 | 103 |
| 38 | Salt Lake City, UT | $170,464 | $172,850 | 101.4 |
| 39 | San Diego, CA | $163,951 | $262,650 | 160.2 |
| 40 | Portland, OR | $163,459 | $212,660 | 130.1 |
| 41 | Richmond, VA | $161,969 | $165,370 | 102.1 |
| 42 | Bridgeport, CT | $160,022 | $220,030 | 137.5 |
| 43 | Denver, CO | $154,211 | $173,950 | 112.8 |
| 44 | Miami, FL | $151,600 | $186,620 | 123.1 |
| 45 | Atlanta, GA | $151,200 | $149,990 | 99.2 |
| 46 | Boston, MA | $145,411 | $221,170 | 152.1 |
| 47 | Baltimore, MD | $140,245 | $160,160 | 114.2 |
| 48 | Rochester, NY | $134,543 | $124,990 | 92.9 |
| 49 | Houston, TX | $128,694 | $124,190 | 96.5 |
| 50 | San Francisco, CA | $115,507 | $207,450 | 179.6 |
| 51 | New York, NY | $115,406 | $216,040 | 187.2 |
| 52 | Washington, DC | $112,906 | $172,520 | 152.8 |
| 53 | Seattle, WA | $110,676 | $165,350 | 149.4 |
| 54 | Albany, NY | $106,951 | $107,700 | 100.7 |
| 55 | Los Angeles, CA | $106,566 | $176,900 | 166 |
| 56 | Orlando, FL | $100,601 | $103,720 | 103.1 |
| 57 | Little Rock, AR | $80,499 | $71,000 | 88.2 |
| 58 | Madison, WI | $72,823 | $75,590 | 103.8 |
Frequently Asked Questions
Sacramento, CA pays the highest median Pediatrician salary at $395,040. However, after cost-of-living adjustment, Sacramento, CA offers the most purchasing power at $316,792 adjusted.
The national median Pediatrician salary is $201,922 based on BLS data. Salaries range from $71,000 to $395,040 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.