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Family Medicine Physicians Salary in Virginia: Cost of Living Adjusted (2025)

Last updated: 2025 BLS data · Page refreshed:

What does a Family Medicine Physicians salary really buy you in Virginia?

Virginia is 2.1% pricier than the US average

Data: BLS OEWS 2025 + BEA Regional Price Parities 2022 • Updated 2026-05-19

Nominal Salary
$222,630
Median annual (2025)
-2.1%
Real Purchasing Power
$218,050
COL-adjusted (RPP=102.1)

Virginia Cost of Living Index

Virginia's Regional Price Parity (RPP) is 102.1, meaning prices are 2.1% higher the national average. A Family Medicine Physicians earning $222,630 in Virginia has the equivalent purchasing power of $218,050 in an average-cost US state.

VA: 102.1
Cheapest (~85) US Avg (100) Priciest (~115)

Salary Breakdown: Nominal vs. COL-Adjusted

Every dollar goes further in low-cost states. Here is how each salary percentile compares after adjusting for Virginia's cost of living.

Percentile Nominal Salary COL-Adjusted Difference
10th Percentile (P10) $103,720 $101,586 $-2,133
25th Percentile (P25) $173,660 $170,088 $-3,571
Median (P50) $222,630 $218,050 $-4,579
75th Percentile (P75) $281,510 $275,719 $-5,790
90th Percentile (P90) $443,010 $433,898 $-9,111
Key Insight

Virginia's cost of living is close to the national average, so $222,630 keeps most of its value at $218,050 in real terms. Location choice here is more about career opportunities than cost arbitrage.

What the Cost-of-Living Data Says

Virginia Sits Near the National Cost Benchmark

RPP 102.1

With an RPP of 102.1, Virginia is within a few percent of the national cost-of-living baseline. Salary adjustment for Family Medicine Physicians is therefore minor — what you earn is close to what you'd keep in real purchasing power.

Minor COL Adjustment for This Salary

-2.1%

After adjusting for Virginia's cost of living, $222,630 nominal nets out to $218,051 in real purchasing power — a small 2.1% loss. The state's cost profile is close enough to average that COL alone shouldn't drive location decisions for this Family Medicine Physicians.

Bottom-Quartile COL-Adjusted Pay

#45 / 51

Virginia ranks #45 of 51 — bottom quartile for Family Medicine Physicians real purchasing power. Relocation, employer negotiation, or remote roles at higher-paying markets tend to generate the biggest ROI.

Best States for Family Medicine Physicians (After Cost of Living)

Where does Family Medicine Physicians salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.

$446,189
RPP 104.7
$406,925
RPP 88.8
3. Idaho
$378,169
RPP 91.8
4. Montana
$366,290
RPP 90.3
$318,118
RPP 96.2
6. Alaska
$317,147
RPP 102.0
$315,783
RPP 88.7
$314,886
RPP 92.3
9. Utah
$314,825
RPP 94.5
$305,695
RPP 89.2

Virginia ranks #45 out of 51 states for Family Medicine Physicians after cost-of-living adjustment.

How much do you actually take home? See Family Medicine Physicians take-home pay in Virginia after taxes →

Frequently Asked Questions

What is the real salary for a Family Medicine Physicians in Virginia after cost of living?

A Family Medicine Physicians in Virginia earns a median salary of $222,630 per year. After adjusting for Virginia's cost of living (RPP=102.1), the real purchasing power is $218,050 — a -2.1% difference.

Is Virginia expensive to live in?

Virginia's cost of living is 2.1% higher than the national average according to the BEA Regional Price Parities (2022). The RPP index for Virginia is 102.1 (US average = 100).

What are Regional Price Parities (RPP)?

Regional Price Parities (RPPs) are price indexes published by the U.S. Bureau of Economic Analysis (BEA) that measure differences in price levels across states. They are expressed as a percentage of the national average (US = 100). Higher RPP means higher cost of living.

How is the cost-of-living adjusted salary calculated?

The adjusted salary is calculated as: Nominal Salary x (100 / RPP). For a Family Medicine Physicians in Virginia: $222,630 x (100 / 102.1) = $218,050. This represents what the salary would be worth in a state with average living costs.

Does the high cost of living in Virginia offset the salary?

Partially — a Family Medicine Physicians's nominal salary of $222,630 in Virginia has 2.1% less purchasing power due to higher living costs. The real value is $218,050. However, Virginia may offer better career opportunities, networking, and industry access.

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