Updated May 2026 · BLS OEWS 2025 reference period
59 Highest Paying Jobs in Las Vegas, NV (2026)
The highest-paying job in Las Vegas, NV, Nevada is Family Medicine Physician with a median salary of $251,550 as of 2026, based on Bureau of Labor Statistics OEWS data. Across all 59 tracked occupations the average median is $101,864, with 29 occupations paying a six-figure ($100K+) median. Las Vegas, NV has a cost-of-living index of 109 (national average = 100), so a $101,864 nominal salary equals $93,453 in average-cost-metro buying power.
The 59 occupations below are ranked by median wage in Las Vegas, NV, NV, from BLS OEWS data. Las Vegas, NV's cost-of-living index runs 109.0 (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 Las Vegas, NV, the percentile data is the most decision-relevant.
Top 10 Highest-Paying Jobs in Las Vegas, NV
Ranked by median (50th percentile) salary. The COL-Adjusted column rebases each nominal salary to Las Vegas, NV's cost-of-living index of 109 so you can compare buying power against an average-cost U.S. metro.
Median $251,550 · 10th–90th $132,810–$309,260 · 260 jobs in metro
Family Medicine Physicians in Las Vegas, NV earn $251,550 median, with top earners (90th percentile) over $309,260. Adjusted for the local cost of living, that median equals $230,780 of buying power in an average-cost U.S. metro.
Median $166,090 · 10th–90th $98,810–$317,460 · 2,470 jobs in metro
Computer and Information Systems Managers in Las Vegas, NV earn $166,090 median, with top earners (90th percentile) over $317,460. Adjusted for the local cost of living, that median equals $152,376 of buying power in an average-cost U.S. metro.
Median $162,200 · 10th–90th $99,600–$262,280 · 780 jobs in metro
Dentists in Las Vegas, NV earn $162,200 median, with top earners (90th percentile) over $262,280. Adjusted for the local cost of living, that median equals $148,807 of buying power in an average-cost U.S. metro.
Median $150,510 · 10th–90th $96,010–$414,290 · 5,480 jobs in metro
Lawyers in Las Vegas, NV earn $150,510 median, with top earners (90th percentile) over $414,290. Adjusted for the local cost of living, that median equals $138,083 of buying power in an average-cost U.S. metro.
Median $148,710 · 10th–90th $87,240–$155,090 · 750 jobs in metro
Computer Network Architects in Las Vegas, NV earn $148,710 median, with top earners (90th percentile) over $155,090. Adjusted for the local cost of living, that median equals $136,431 of buying power in an average-cost U.S. metro.
Median $144,060 · 10th–90th $83,960–$173,040 · 1,390 jobs in metro
Nurse Practitioners in Las Vegas, NV earn $144,060 median, with top earners (90th percentile) over $173,040. Adjusted for the local cost of living, that median equals $132,165 of buying power in an average-cost U.S. metro.
Median $136,250 · 10th–90th $104,000–$167,560 · 1,860 jobs in metro
Pharmacists in Las Vegas, NV earn $136,250 median, with top earners (90th percentile) over $167,560. Adjusted for the local cost of living, that median equals $125,000 of buying power in an average-cost U.S. metro.
Median $135,460 · 10th–90th $74,290–$176,740 · 310 jobs in metro
Optometrists in Las Vegas, NV earn $135,460 median, with top earners (90th percentile) over $176,740. Adjusted for the local cost of living, that median equals $124,275 of buying power in an average-cost U.S. metro.
Median $134,660 · 10th–90th $65,060–$179,070 · 650 jobs in metro
Physician Assistants in Las Vegas, NV earn $134,660 median, with top earners (90th percentile) over $179,070. Adjusted for the local cost of living, that median equals $123,541 of buying power in an average-cost U.S. metro.
Median $132,650 · 10th–90th $74,740–$287,680 · 5,560 jobs in metro
Financial Managers in Las Vegas, NV earn $132,650 median, with top earners (90th percentile) over $287,680. Adjusted for the local cost of living, that median equals $121,697 of buying power in an average-cost U.S. metro.
Full Ranking (59 Occupations)
| Rank | Role | Category | Median | 10th–90th | COL-Adjusted | Jobs |
|---|---|---|---|---|---|---|
| 1 | Family Medicine Physician | Healthcare | $251,550 | $132,810–$309,260 | $230,780 | 260 |
| 2 | Computer and Information Systems Manager | Technology | $166,090 | $98,810–$317,460 | $152,376 | 2,470 |
| 3 | Dentist | Healthcare | $162,200 | $99,600–$262,280 | $148,807 | 780 |
| 4 | Lawyer | Legal | $150,510 | $96,010–$414,290 | $138,083 | 5,480 |
| 5 | Computer Network Architect | Technology | $148,710 | $87,240–$155,090 | $136,431 | 750 |
| 6 | Nurse Practitioner | Healthcare | $144,060 | $83,960–$173,040 | $132,165 | 1,390 |
| 7 | Pharmacist | Healthcare | $136,250 | $104,000–$167,560 | $125,000 | 1,860 |
| 8 | Optometrist | Healthcare | $135,460 | $74,290–$176,740 | $124,275 | 310 |
| 9 | Physician Assistant | Healthcare | $134,660 | $65,060–$179,070 | $123,541 | 650 |
| 10 | Financial Manager | Finance | $132,650 | $74,740–$287,680 | $121,697 | 5,560 |
| 11 | Software Developer | Technology | $129,940 | $75,530–$198,610 | $119,211 | 2,900 |
| 12 | Human Resources Manager | Management | $128,350 | $77,230–$257,400 | $117,752 | 1,070 |
| 13 | Veterinarian | Healthcare | $125,640 | $98,860–$189,620 | $115,266 | 480 |
| 14 | Medical and Health Services Manager | Healthcare | $119,990 | $76,280–$189,210 | $110,083 | 3,750 |
| 15 | Physical Therapist | Healthcare | $116,480 | $86,260–$190,700 | $106,862 | 1,530 |
| 16 | Database Architect | Technology | $110,740 | $69,330–$147,360 | $101,596 | 270 |
| 17 | Occupational Therapist | Healthcare | $110,520 | $86,120–$141,760 | $101,394 | 860 |
| 18 | Dental Hygienist | Healthcare | $109,210 | $99,800–$149,740 | $100,193 | 950 |
| 19 | Mechanical Engineer | Engineering | $107,600 | $76,420–$162,280 | $98,716 | 640 |
| 20 | Electrical Engineer | Engineering | $107,390 | $76,900–$167,330 | $98,523 | 740 |
| 21 | Civil Engineer | Engineering | $106,110 | $79,340–$159,720 | $97,349 | 2,240 |
| 22 | Marketing Manager | Management | $106,090 | $66,140–$228,100 | $97,330 | 2,640 |
| 23 | Speech-Language Pathologist | Healthcare | $104,510 | $57,580–$138,020 | $95,881 | 960 |
| 24 | Registered Nurse | Healthcare | $103,940 | $79,030–$133,270 | $95,358 | 20,410 |
| 25 | Computer Systems Analyst | Technology | $103,760 | $45,510–$144,150 | $95,193 | 1,700 |
| 26 | Information Security Analyst | Technology | $103,670 | $67,410–$178,440 | $95,110 | 0 |
| 27 | Sales Manager | Management | $103,580 | $65,850–$222,420 | $95,028 | 4,090 |
| 28 | Network Architect | Technology | $103,440 | $68,260–$150,030 | $94,899 | 1,390 |
| 29 | Computer Occupations (Other) | Technology | $102,140 | $52,010–$175,860 | $93,706 | 1,840 |
| 30 | Personal Financial Advisor | Finance | $99,950 | $62,180–$222,860 | $91,697 | 1,020 |
| 31 | Architect | Engineering | $99,320 | $64,590–$161,770 | $91,119 | 400 |
| 32 | Engineers (Other) | Engineering | $99,140 | $56,130–$174,850 | $90,954 | 440 |
| 33 | Data Scientist | Technology | $98,930 | $58,440–$158,710 | $90,761 | 1,180 |
| 34 | Business Professor (Postsecondary) | Education | $98,080 | $45,140–$209,490 | $89,982 | 270 |
| 35 | General and Operations Manager | Management | $97,290 | $46,800–$265,410 | $89,257 | 27,290 |
| 36 | Computer Programmer | Technology | $93,600 | $67,510–$131,850 | $85,872 | 740 |
| 37 | Industrial Engineer | Engineering | $91,140 | $68,530–$129,860 | $83,615 | 350 |
| 38 | Operations Research Analyst | Technology | $87,050 | $65,900–$145,760 | $79,862 | 260 |
| 39 | Computer Network Support Specialist | Technology | $85,790 | $51,480–$109,990 | $78,706 | 2,010 |
| 40 | Financial Analyst | Finance | $84,800 | $61,100–$124,560 | $77,798 | 1,290 |
| 41 | Financial Examiner | Finance | $84,650 | $53,250–$131,210 | $77,661 | 140 |
| 42 | Web Developer | Technology | $82,750 | $52,000–$129,990 | $75,917 | 840 |
| 43 | Accountant | Finance | $80,530 | $57,740–$128,110 | $73,881 | 4,680 |
| 44 | Management Analyst | Management | $79,870 | $49,990–$128,240 | $73,275 | 2,770 |
| 45 | Web Designer | Technology | $78,930 | $52,990–$135,690 | $72,413 | 230 |
| 46 | Market Research Analyst | Management | $74,670 | $36,950–$123,130 | $68,505 | 4,600 |
| 47 | Public Relations Specialist | Creative | $73,840 | $45,310–$114,360 | $67,743 | 1,180 |
| 48 | Electrician | Trades | $70,890 | $45,810–$121,200 | $65,037 | 5,730 |
| 49 | Writer/Author | Creative | $67,280 | $40,560–$85,600 | $61,725 | 150 |
| 50 | Paralegal | Legal | $66,720 | $47,640–$82,160 | $61,211 | 2,660 |
| 51 | Loan Officer | Finance | $65,550 | $35,370–$166,290 | $60,138 | 1,920 |
| 52 | Secondary School Teacher | Education | $65,520 | $54,850–$83,190 | $60,110 | 6,760 |
| 53 | Graphic Designer | Creative | $65,060 | $39,470–$90,360 | $59,688 | 1,210 |
| 54 | Elementary School Teacher | Education | $65,040 | $52,800–$82,670 | $59,670 | 6,660 |
| 55 | Carpenter | Trades | $62,380 | $41,430–$102,910 | $57,229 | 9,310 |
| 56 | Clinical Laboratory Technologist | Healthcare | $60,640 | $39,850–$103,890 | $55,633 | 1,390 |
| 57 | Plumber | Trades | $59,700 | $42,210–$119,300 | $54,771 | 3,800 |
| 58 | Welder | Trades | $57,980 | $41,740–$84,030 | $53,193 | 730 |
| 59 | Automotive Technician | Trades | $47,650 | $32,600–$82,080 | $43,716 | 4,970 |
Why These Roles Pay the Most in Las Vegas, NV
Las Vegas, NV'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.
Las Vegas, NV's cost-of-living index of 109 is close to the U.S. average. Nominal salaries here translate roughly one-for-one into purchasing power; the COL-Adjusted column will be very close to the median column for every row.
How to Use This Ranking
For salary negotiation, the median is a starting anchor — not the ceiling. A Family Medicine Physician with five-plus years of experience in Las Vegas, NV should be benchmarking against the 75th percentile ($280,405) or 90th percentile ($309,260), not the $251,550 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 $252K Family Medicine Physician salary in Las Vegas, NV (COL 109) translates to $231K 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 Family Medicine Physician in Las Vegas, NV 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 Las Vegas, NV is Family Medicine Physician with a median salary of $251,550 and a 90th-percentile reading of $309,260. The role employs roughly 260 workers in this metro according to the Bureau of Labor Statistics' 2025 OEWS data.
29 of the 59 BLS-tracked occupations in Las Vegas, NV 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 59 BLS-tracked occupations, the average median salary in Las Vegas, NV is $101,864. The cost-of-living index is 109, so adjusted to a national-average baseline, the average is $93,453 in equivalent purchasing power.
Las Vegas, NV has a cost-of-living index of 109, near the national average. Nominal pay translates roughly to face value, making it a strong choice for many careers — particularly the Family Medicine Physician, Computer and Information Systems Manager, Dentist 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.
Related Pages
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.