Physician salary in North Carolina
Updated Updated for 2026 tax law
A physician in North Carolina earns a median of $260,330 a year ($125.16/hour equivalent), 2.1% below the national median of $265,930. North Carolina ranks #33 of 50 states. About 14,080 people do this job in North Carolina.
Take-home pay in North Carolina
At the North Carolina median, a single filer keeps about $180,085 a year after federal, FICA and North Carolina taxes — $6,926 every two weeks. Try your own numbers with the North Carolina paycheck calculator.
- Gross pay
- $10,012.69
- Federal income tax
- −$2,100.37
- Social Security (6.2%)
- −$439.96
- Medicare (1.45%)
- −$166.07
- North Carolina income tax
- −$379.94
- Take-home pay
- $6,926.35
Annual breakdown
- Gross
- $260,330
- Federal
- $54,610
- FICA
- $15,757
- State + local
- $9,878
- Net
- $180,085
- Marginal federal rate
- 32.0%
- Marginal state rate
- 4.0%
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 North Carolina compares
| Rank | State | Median salary |
|---|---|---|
| #1 | North Dakota | $454,550 |
| #2 | Montana | $438,850 |
| #3 | Maine | $419,410 |
| #4 | Wisconsin | $391,740 |
| #5 | Minnesota | $367,320 |
| #33 | North Carolina | $260,330 |
| #48 | Arkansas | $136,880 |
| #49 | Illinois | $132,540 |
| #50 | District of Columbia | $77,430 |
See the national physician salary page for the full pay range and all states.
BLS occupation: Physicians, All Other (SOC 29-1229), May 2025, state estimates.
Frequently asked questions
How much does a physician make in North Carolina?
The median salary is $260,330 a year and the average is $247,750 (BLS May 2025).
Is North Carolina a good state for physicians?
North Carolina ranks #33 of 50 states for median pay in this job, 2% below the national median of $265,930.
What is $260,330 after taxes in North Carolina?
About $180,085 a year ($6,926 every two weeks) for a single filer in 2026.
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Estimates for information only — not tax, legal or financial advice.