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Psychiatrists Salary in North Carolina: Cost of Living Adjusted (2025)

Last updated: 2025 BLS data · Page refreshed:

What does a Psychiatrists 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
$168,880
Median annual (2025)
+6.2%
Real Purchasing Power
$179,278
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 Psychiatrists earning $168,880 in North Carolina has the equivalent purchasing power of $179,278 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) $101,080 $107,303 +$6,223
25th Percentile (P25) $133,240 $141,443 +$8,203
Median (P50) $168,880 $179,278 +$10,398
75th Percentile (P75) $266,850 $283,280 +$16,430
90th Percentile (P90) $297,250 $315,552 +$18,302
Key Insight

A Psychiatrists in North Carolina earns $168,880 on paper, but low living costs mean your money goes 6% further — like earning $179,278 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 Psychiatrists 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 $168,880 median salary translates to $179,278 in real terms — a 6.2% gain. That difference can cover several months of expenses over a year for a Psychiatrists.

Bottom-Quartile COL-Adjusted Pay

#40 / 46

North Carolina ranks #40 of 46 — bottom quartile for Psychiatrists real purchasing power. Relocation, employer negotiation, or remote roles at higher-paying markets tend to generate the biggest ROI.

Best States for Psychiatrists (After Cost of Living)

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

$380,838
RPP 90.6
$358,689
RPP 92.3
$344,329
RPP 97.7
$343,227
RPP 91.1
5. Alaska
$335,460
RPP 102.0
6. Iowa
$334,015
RPP 88.4
7. Utah
$317,111
RPP 94.5
$314,222
RPP 112.5
$312,473
RPP 93.4
10. Florida
$309,696
RPP 102.1

North Carolina ranks #40 out of 46 states for Psychiatrists after cost-of-living adjustment.

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

Frequently Asked Questions

What is the real salary for a Psychiatrists in North Carolina after cost of living?

A Psychiatrists in North Carolina earns a median salary of $168,880 per year. After adjusting for North Carolina's cost of living (RPP=94.2), the real purchasing power is $179,278 — 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 Psychiatrists in North Carolina: $168,880 x (100 / 94.2) = $179,278. This represents what the salary would be worth in a state with average living costs.

Is it better to be a Psychiatrists in North Carolina financially?

From a purchasing power perspective, yes. A Psychiatrists 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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