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

Last updated: 2025 BLS data · Page refreshed:

What does a Physicians, Pathologists 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
$240,780
Median annual (2025)
-2.1%
Real Purchasing Power
$235,827
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 Physicians, Pathologists earning $240,780 in Virginia has the equivalent purchasing power of $235,827 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) $134,790 $132,017 $-2,772
25th Percentile (P25) $178,580 $174,906 $-3,673
Median (P50) $240,780 $235,827 $-4,952
75th Percentile (P75) $320,870 $314,270 $-6,599
90th Percentile (P90) $347,470 $340,323 $-7,146
Key Insight

Virginia's cost of living is close to the national average, so $240,780 keeps most of its value at $235,827 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 Physicians, Pathologists 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, $240,780 nominal nets out to $235,828 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 Physicians, Pathologists.

Bottom-Quartile COL-Adjusted Pay

#29 / 33

Virginia ranks #29 of 33 — bottom quartile for Physicians, Pathologists real purchasing power. Relocation, employer negotiation, or remote roles at higher-paying markets tend to generate the biggest ROI.

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

Virginia ranks #29 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 Virginia after taxes →

Frequently Asked Questions

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

A Physicians, Pathologists in Virginia earns a median salary of $240,780 per year. After adjusting for Virginia's cost of living (RPP=102.1), the real purchasing power is $235,827 — 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 Physicians, Pathologists in Virginia: $240,780 x (100 / 102.1) = $235,827. 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 Physicians, Pathologists's nominal salary of $240,780 in Virginia has 2.1% less purchasing power due to higher living costs. The real value is $235,827. However, Virginia may offer better career opportunities, networking, and industry access.

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