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Physicians, Pathologists Salary in North Carolina: Cost of Living Adjusted (2025)

Last updated: 2025 BLS data · Page refreshed:

What does a Physicians, Pathologists salary really buy you in North Carolina?

North Carolina is 5.8% cheaper than the US average

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

Nominal Salary
$248,940
Median annual (2025)
+6.2%
Real Purchasing Power
$264,267
COL-adjusted (RPP=94.2)

North Carolina Cost of Living Index

North Carolina's Regional Price Parity (RPP) is 94.2, meaning prices are 5.8% lower the national average. A Physicians, Pathologists earning $248,940 in North Carolina has the equivalent purchasing power of $264,267 in an average-cost US state.

NC: 94.2
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 North Carolina's cost of living.

Percentile Nominal Salary COL-Adjusted Difference
10th Percentile (P10) $220,330 $233,895 +$13,565
25th Percentile (P25) $248,940 $264,267 +$15,327
Median (P50) $248,940 $264,267 +$15,327
75th Percentile (P75) $355,250 $377,123 +$21,873
90th Percentile (P90) $420,870 $446,783 +$25,913
Key Insight

A Physicians, Pathologists in North Carolina earns $248,940 on paper, but low living costs mean your money goes 6% further — like earning $264,267 in an average-cost state. This makes North Carolina one of the best value states for this occupation.

What the Cost-of-Living Data Says

North Carolina Sits Near the National Cost Benchmark

RPP 94.2

With an RPP of 94.2, North Carolina is within a few percent of the national cost-of-living baseline. Salary adjustment for Physicians, Pathologists is therefore minor — what you earn is close to what you'd keep in real purchasing power.

Meaningful Purchasing-Power Shift

+6.2%

After applying North Carolina's RPP, the $248,940 median salary translates to $264,268 in real terms — a 6.2% gain. That difference can cover several months of expenses over a year for a Physicians, Pathologists.

Below-Median Adjusted Pay

#22 / 33

North Carolina's rank of #22 of 33 states means real purchasing power for Physicians, Pathologists trails the national half-way line.

Best States for Physicians, Pathologists (After Cost of Living)

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

$448,508
RPP 89.2
$429,698
RPP 96.2
3. Nevada
$398,703
RPP 96.4
$376,870
RPP 101.3
$370,798
RPP 97.7
6. Indiana
$370,697
RPP 91.8
7. Iowa
$365,904
RPP 88.4
$362,852
RPP 89.4
$357,939
RPP 88.8
10. Texas
$354,697
RPP 97.5

North Carolina ranks #22 out of 33 states for Physicians, Pathologists after cost-of-living adjustment.

How much do you actually take home? See Physicians, Pathologists take-home pay in North Carolina after taxes →

Frequently Asked Questions

What is the real salary for a Physicians, Pathologists in North Carolina after cost of living?

A Physicians, Pathologists in North Carolina earns a median salary of $248,940 per year. After adjusting for North Carolina's cost of living (RPP=94.2), the real purchasing power is $264,267 — a +6.2% difference.

Is North Carolina expensive to live in?

North Carolina's cost of living is 5.8% lower than the national average according to the BEA Regional Price Parities (2022). The RPP index for North Carolina is 94.2 (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 Physicians, Pathologists in North Carolina: $248,940 x (100 / 94.2) = $264,267. This represents what the salary would be worth in a state with average living costs.

Is it better to be a Physicians, Pathologists in North Carolina financially?

From a purchasing power perspective, yes. A Physicians, Pathologists in North Carolina enjoys 6.2% more buying power than the nominal salary suggests, because living costs are below the national average. However, other factors like job availability, career growth, and quality of life also matter.

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