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SalaryTruthBLS DATA

Updated May 2026 · BLS OEWS 2025 reference period

New York · COL Index 92.5

64 Highest Paying Jobs in Buffalo, NY (2026)

The highest-paying job in Buffalo, NY, New York is Obstetrician/Gynecologist with a median salary of $258,760 as of 2026, based on Bureau of Labor Statistics OEWS data. Across all 64 tracked occupations the average median is $107,158, with 29 occupations paying a six-figure ($100K+) median. Buffalo, NY has a cost-of-living index of 92.5 (national average = 100), so a $107,158 nominal salary equals $115,846 in average-cost-metro buying power.

The 64 occupations below are ranked by median wage in Buffalo, NY, NY, from BLS OEWS data. Buffalo, NY's cost-of-living index runs 92.5 (national baseline = 100), which shapes the headline-wage interpretation. Top-paying occupations in any U.S. metro typically cluster around physicians, dentists, executives, tech specialists, and licensed professionals. The specific top of the list varies with local industry concentration: tech-heavy metros boost software-engineering ranks, finance-heavy metros boost banking ranks.

Each role on the ranking links to the per-role-and-city page with full percentile distribution (p10 to p90), employment count, and cost-adjusted wage. For workers comparing offers within Buffalo, NY, the percentile data is the most decision-relevant.

$258,760
Top Salary
29
Six-Figure ($100,000+) Jobs
$107,158
Average Median
$115,846
COL-Adjusted Avg

Top 10 Highest-Paying Jobs in Buffalo, NY

Ranked by median (50th percentile) salary. The COL-Adjusted column rebases each nominal salary to Buffalo, NY's cost-of-living index of 92.5 so you can compare buying power against an average-cost U.S. metro.

Median $258,760 · 10th–90th $227,180$364,600 · 0 jobs in metro

Obstetrician/Gynecologists in Buffalo, NY earn $258,760 median, with top earners (90th percentile) over $364,600. The lower cost of living here means the median translates to $279,741 of buying power versus an average-cost metro — better than the nominal number suggests.

$258,760
median

Median $228,190 · 10th–90th $140,020$408,570 · 140 jobs in metro

Family Medicine Physicians in Buffalo, NY earn $228,190 median, with top earners (90th percentile) over $408,570. The lower cost of living here means the median translates to $246,692 of buying power versus an average-cost metro — better than the nominal number suggests.

$228,190
median
#3PediatricianHealthcare

Median $214,480 · 10th–90th $123,850$548,850 · 140 jobs in metro

Pediatricians in Buffalo, NY earn $214,480 median, with top earners (90th percentile) over $548,850. The lower cost of living here means the median translates to $231,870 of buying power versus an average-cost metro — better than the nominal number suggests.

$214,480
median
#4DentistHealthcare

Median $178,260 · 10th–90th $62,410$386,180 · 270 jobs in metro

Dentists in Buffalo, NY earn $178,260 median, with top earners (90th percentile) over $386,180. The lower cost of living here means the median translates to $192,714 of buying power versus an average-cost metro — better than the nominal number suggests.

$178,260
median

Median $172,650 · 10th–90th $110,500$260,780 · 1,590 jobs in metro

Computer and Information Systems Managers in Buffalo, NY earn $172,650 median, with top earners (90th percentile) over $260,780. The lower cost of living here means the median translates to $186,649 of buying power versus an average-cost metro — better than the nominal number suggests.

$172,650
median
#6OptometristHealthcare

Median $165,640 · 10th–90th $106,650$170,880 · 160 jobs in metro

Optometrists in Buffalo, NY earn $165,640 median, with top earners (90th percentile) over $170,880. The lower cost of living here means the median translates to $179,070 of buying power versus an average-cost metro — better than the nominal number suggests.

$165,640
median

Median $164,230 · 10th–90th $98,440$296,180 · 2,680 jobs in metro

Financial Managers in Buffalo, NY earn $164,230 median, with top earners (90th percentile) over $296,180. The lower cost of living here means the median translates to $177,546 of buying power versus an average-cost metro — better than the nominal number suggests.

$164,230
median
#8Sales ManagerManagement

Median $163,090 · 10th–90th $86,310$291,220 · 1,200 jobs in metro

Sales Managers in Buffalo, NY earn $163,090 median, with top earners (90th percentile) over $291,220. The lower cost of living here means the median translates to $176,314 of buying power versus an average-cost metro — better than the nominal number suggests.

$163,090
median

Median $150,180 · 10th–90th $85,030$235,770 · 590 jobs in metro

Human Resources Managers in Buffalo, NY earn $150,180 median, with top earners (90th percentile) over $235,770. The lower cost of living here means the median translates to $162,357 of buying power versus an average-cost metro — better than the nominal number suggests.

$150,180
median
#10Marketing ManagerManagement

Median $144,390 · 10th–90th $79,060$256,360 · 1,280 jobs in metro

Marketing Managers in Buffalo, NY earn $144,390 median, with top earners (90th percentile) over $256,360. The lower cost of living here means the median translates to $156,097 of buying power versus an average-cost metro — better than the nominal number suggests.

$144,390
median

Full Ranking (64 Occupations)

RankRoleCategoryMedian10th–90thCOL-AdjustedJobs
1Obstetrician/GynecologistHealthcare$258,760$227,180$364,600$279,7410
2Family Medicine PhysicianHealthcare$228,190$140,020$408,570$246,692140
3PediatricianHealthcare$214,480$123,850$548,850$231,870140
4DentistHealthcare$178,260$62,410$386,180$192,714270
5Computer and Information Systems ManagerTechnology$172,650$110,500$260,780$186,6491,590
6OptometristHealthcare$165,640$106,650$170,880$179,070160
7Financial ManagerFinance$164,230$98,440$296,180$177,5462,680
8Sales ManagerManagement$163,090$86,310$291,220$176,3141,200
9Human Resources ManagerManagement$150,180$85,030$235,770$162,357590
10Marketing ManagerManagement$144,390$79,060$256,360$156,0971,280
11PharmacistHealthcare$137,900$71,200$176,560$149,0811,400
12Medical and Health Services ManagerHealthcare$132,720$82,010$287,350$143,4811,380
13Nurse PractitionerHealthcare$132,220$104,470$166,300$142,9411,190
14Computer Network ArchitectTechnology$131,320$78,260$165,060$141,968620
15LawyerLegal$130,800$72,040$225,100$141,4052,930
16Software DeveloperTechnology$127,850$79,080$172,730$138,2163,960
17VeterinarianHealthcare$127,500$92,700$203,870$137,838230
18Physician AssistantHealthcare$126,360$98,820$160,880$136,6051,040
19Information Security AnalystTechnology$116,290$77,920$166,850$125,719400
20Computer Occupations (Other)Technology$104,700$58,940$161,600$113,189730
21StatisticianTechnology$104,240$75,900$151,920$112,6920
22Personal Financial AdvisorFinance$103,650$60,300$374,020$112,054690
23General and Operations ManagerManagement$103,280$54,140$236,480$111,65411,100
24Data ScientistTechnology$102,250$55,940$158,960$110,541840
25Software Quality Assurance TesterTechnology$101,880$54,990$160,980$110,141340
26Computer Systems AnalystTechnology$101,660$67,220$158,040$109,9031,170
27Business Professor (Postsecondary)Education$101,430$52,680$216,130$109,654380
28Industrial EngineerEngineering$101,260$75,150$142,420$109,4701,580
29Engineers (Other)Engineering$100,280$62,040$165,890$108,411430
30Web DeveloperTechnology$99,990$52,240$166,980$108,097460
31Operations Research AnalystTechnology$99,560$64,850$163,980$107,632230
32Registered NurseHealthcare$99,060$78,490$117,980$107,09213,830
33Electrical EngineerEngineering$98,180$65,800$152,500$106,141550
34Mechanical EngineerEngineering$97,200$65,460$133,170$105,081780
35Civil EngineerEngineering$97,060$72,020$150,300$104,930930
36Financial AnalystFinance$96,490$62,910$166,780$104,3141,060
37Physical TherapistHealthcare$95,800$66,210$116,420$103,5681,410
38ArchitectEngineering$95,130$63,130$158,860$102,843330
39Computer ProgrammerTechnology$94,260$69,590$125,300$101,903430
40Network ArchitectTechnology$93,830$63,880$131,720$101,438970
41Management AnalystManagement$84,710$58,720$141,470$91,5782,690
42Web DesignerTechnology$83,550$36,420$160,260$90,324100
43Speech-Language PathologistHealthcare$82,890$51,280$116,390$89,611850
44Dental HygienistHealthcare$82,470$62,720$98,540$89,157760
45AccountantFinance$82,120$56,550$135,370$88,7784,870
46Occupational TherapistHealthcare$81,560$60,560$106,620$88,173970
47Secondary School TeacherEducation$79,280$48,550$109,280$85,7083,160
48Computer Network Support SpecialistTechnology$79,020$47,880$100,940$85,427530
49Clinical Laboratory TechnologistHealthcare$78,050$48,370$104,110$84,378710
50ElectricianTrades$77,930$37,820$104,710$84,2492,340
51Financial ExaminerFinance$77,100$61,450$107,070$83,351640
52AudiologistHealthcare$76,940$66,580$106,280$83,17870
53Database ArchitectTechnology$76,820$52,610$141,420$83,049210
54Elementary School TeacherEducation$76,490$48,080$106,980$82,6925,810
55Loan OfficerFinance$76,170$45,540$173,730$82,346900
56Market Research AnalystManagement$75,990$44,440$131,990$82,1512,520
57PlumberTrades$72,230$40,300$104,040$78,0861,430
58Public Relations SpecialistCreative$69,380$41,640$112,250$75,005820
59Writer/AuthorCreative$65,630$47,830$111,610$70,95190
60CarpenterTrades$63,500$42,670$83,360$68,6492,440
61Graphic DesignerCreative$60,000$40,280$97,120$64,865540
62ParalegalLegal$58,270$45,730$81,050$62,9952,060
63WelderTrades$55,420$41,880$74,110$59,914970
64Automotive TechnicianTrades$48,550$36,080$74,980$52,4862,590

Why These Roles Pay the Most in Buffalo, NY

Buffalo, NY's pay distribution reflects its mix of regional employers and industries, plus the local cost of living that affects nominal salary levels in the BLS data.

An average median salary above $90K places this metro in the top tier of U.S. cities for nominal pay. Most of that premium accrues to the upper percentiles of skilled and managerial occupations; entry-level and service-sector pay is closer to national norms.

Buffalo, NY's cost-of-living index of 92.5 runs 8% below the U.S. national average. Lower nominal pay here often translates to comparable or better purchasing power than higher headline numbers in coastal hubs — see the COL-Adjusted column for the apples-to-apples figure.

How to Use This Ranking

For salary negotiation, the median is a starting anchor — not the ceiling. A Obstetrician/Gynecologist with five-plus years of experience in Buffalo, NY should be benchmarking against the 75th percentile ($311,680) or 90th percentile ($364,600), not the $258,760 median. Use the salary percentile calculator to place any specific salary into the BLS distribution for any role-and-city pair.

For cross-city comparisons, ignore the nominal Median column and look at COL-Adjusted. A $259K Obstetrician/Gynecologist salary in Buffalo, NY (COL 92.5) translates to $280K of buying power in an average-cost metro — that is the apples-to-apples figure when weighing a relocation. Read the methodology behind these adjustments in our methodology page.

For job hunting, focus on the top-10 ranking above and on the role-by-role detail pages — each links through to a Obstetrician/Gynecologist in Buffalo, NY page with full percentile breakdowns, year-over-year change, and prevailing-wage references for H-1B / PERM applicants.

Frequently Asked Questions

The highest paying job in Buffalo, NY is Obstetrician/Gynecologist with a median salary of $258,760 and a 90th-percentile reading of $364,600. The role employs roughly 0 workers in this metro according to the Bureau of Labor Statistics' 2025 OEWS data.

29 of the 64 BLS-tracked occupations in Buffalo, NY have a median salary of $100,000 or higher. That is well above what most U.S. metros offer. See the full list ranked by median salary above.

Across 64 BLS-tracked occupations, the average median salary in Buffalo, NY is $107,158. The cost-of-living index is 92.5, so adjusted to a national-average baseline, the average is $115,846 in equivalent purchasing power.

Buffalo, NY has a cost-of-living index of 92.5, below the national average. Nominal pay translates better than face value, making it a strong choice for many careers — particularly the Obstetrician/Gynecologist, Family Medicine Physician, Pediatrician occupations at the top of the ranking.

Every wage figure on this page is sourced from the U.S. Bureau of Labor Statistics' Occupational Employment and Wage Statistics (OEWS) program at bls.gov/oes — public domain federal survey data covering about 1.2 million U.S. employers across all industries. The OEWS publishes 10th, 25th, 50th (median), 75th, and 90th percentile wages by Metropolitan Statistical Area and Standard Occupational Classification (SOC) code. The same data is used by the Department of Labor for prevailing wage determinations.

Sources: Bureau of Labor Statistics OEWS
Last updated:

Rankings based on BLS Occupational Employment and Wage Statistics, 2025 reference period. COL adjustments use a composite cost-of-living index calibrated to U.S. average = 100.

Source: BLS Occupational Employment and Wage Statistics, 2026.