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Family Medicine Physician salary in South Dakota

Updated Updated for 2026 tax law

A family medicine physician in South Dakota earns a median of $239,970 a year ($115.37/hour equivalent), 1.7% below the national median of $244,180. South Dakota ranks #29 of 51 states. About 550 people do this job in South Dakota.

Take-home pay in South Dakota

At the South Dakota median, a single filer keeps about $176,597 a year after federal, FICA and South Dakota taxes — $6,792 every two weeks. Try your own numbers with the South Dakota paycheck calculator.

Take-home pay (every 2 weeks)
$6,792.20
$176,597 per year · 26.4% total tax rate
Gross pay
$9,229.62
Federal income tax
−$1,849.78
Social Security (6.2%)
−$439.96
Medicare (1.45%)
−$147.67
South Dakota income tax
$0.00
No state income tax on wages
Take-home pay
$6,792.20
Annual breakdown
Gross
$239,970
Federal
$48,094
FICA
$15,278
State + local
$0
Net
$176,597
Marginal federal rate
32.0%
Marginal state rate
0.0%

2026 federal brackets (Rev. Proc. 2025-32) and 2026 state rules. Estimates assume wages are your only income and use annual liability, so your actual withholding can differ slightly.

How South Dakota compares

RankStateMedian salary
#1Rhode Island$467,160
#2Oklahoma$361,350
#3Idaho$347,160
#4Montana$330,760
#5Alaska$323,490
#29South Dakota$239,970
#49Missouri$171,180
#50Connecticut$163,930
#51Alabama$134,550

See the national family medicine physician salary page for the full pay range and all states.

BLS occupation: Family Medicine Physicians (SOC 29-1215), May 2025, state estimates.

Frequently asked questions

How much does a family medicine physician make in South Dakota?

The median salary is $239,970 a year and the average is $258,390 (BLS May 2025).

Is South Dakota a good state for family medicine physicians?

South Dakota ranks #29 of 51 states for median pay in this job, 2% below the national median of $244,180.

What is $239,970 after taxes in South Dakota?

About $176,597 a year ($6,792 every two weeks) for a single filer in 2026.

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Estimates for information only — not tax, legal or financial advice.