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Neurologists Salary in California: Cost of Living Adjusted (2025)

Last updated: 2025 BLS data · Page refreshed:

What does a Neurologists salary really buy you in California?

California is 12.5% pricier than the US average

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

Nominal Salary
$357,080
Median annual (2025)
-11.1%
Real Purchasing Power
$317,404
COL-adjusted (RPP=112.5)

California Cost of Living Index

California's Regional Price Parity (RPP) is 112.5, meaning prices are 12.5% higher the national average. A Neurologists earning $357,080 in California has the equivalent purchasing power of $317,404 in an average-cost US state.

CA: 112.5
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 California's cost of living.

Percentile Nominal Salary COL-Adjusted Difference
10th Percentile (P10) $104,320 $92,728 $-11,591
25th Percentile (P25) $302,620 $268,995 $-33,624
Median (P50) $357,080 $317,404 $-39,675
75th Percentile (P75) $357,080 $317,404 $-39,675
90th Percentile (P90) $357,080 $317,404 $-39,675
Key Insight

While $357,080 sounds high, California's elevated cost of living erases 11% of that salary's purchasing power. Your real buying power is $317,404. Consider whether the higher pay offsets the higher costs.

What the Cost-of-Living Data Says

California Is a High-Cost State

RPP 112.5

California's RPP of 112.5 puts it 12.5% above the national baseline cost of living. A Neurologists needs that premium in nominal pay just to maintain the same purchasing power as an average-cost state.

Sizable COL Effect Reshapes This Salary

-11.1%

Adjusting $357,080 for California's cost of living yields $317,404 — a 11.1% loss in real purchasing power. This magnitude usually reflects either a materially cheaper or materially pricier metro mix than the national average.

Above-Median Adjusted Pay

#12 / 24

California sits at #12 of 24 states for Neurologists COL-adjusted salary — comfortably above the national midpoint.

Best States for Neurologists (After Cost of Living)

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

1. Vermont
$430,000
RPP 101.1
2. Arizona
$410,020
RPP 99.9
$390,655
RPP 97.7
$379,026
RPP 89.4
$376,794
RPP 93.6
$371,094
RPP 92.3
7. Texas
$369,887
RPP 97.5
$367,066
RPP 86.6
$348,240
RPP 102.3
10. Alaska
$347,803
RPP 102.0

California ranks #12 out of 24 states for Neurologists after cost-of-living adjustment.

How much do you actually take home? See Neurologists take-home pay in California after taxes →

Frequently Asked Questions

What is the real salary for a Neurologists in California after cost of living?

A Neurologists in California earns a median salary of $357,080 per year. After adjusting for California's cost of living (RPP=112.5), the real purchasing power is $317,404 — a -11.1% difference.

Is California expensive to live in?

California's cost of living is 12.5% higher than the national average according to the BEA Regional Price Parities (2022). The RPP index for California is 112.5 (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 Neurologists in California: $357,080 x (100 / 112.5) = $317,404. This represents what the salary would be worth in a state with average living costs.

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

Partially — a Neurologists's nominal salary of $357,080 in California has 11.1% less purchasing power due to higher living costs. The real value is $317,404. However, California may offer better career opportunities, networking, and industry access.

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