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2026 Salary — Iowa
Updated April 29, 2026

Physician Salary in Iowa: $211K Median

Physicians in Iowa earn between $161K and $368K per year.

That's -8% below the US national median.

Quick Answer

As of April 2026, the median Physician salary in Iowa is $210,956 per year — -8% below the US national median of $229,300. Salaries range from $161,000 (entry, 25th percentile) to $368,000 (90th percentile). Iowa's cost-of-living index is 90. State income tax applies.

Median
$210,956
+560.0% YoY
Entry
$184,000
Experienced
$322,000
Top 10%
$368,000

About Physicians in Iowa

Physicians diagnose and treat illnesses, prescribe medications, and provide preventive care. Specialties range widely in compensation.

Hot 2026 Skills

TelemedicineAI-assisted diagnosisConcierge medicineSpecialty practiceEHR efficiency

ATS Keywords

MDboard certifiedpatient careEHR (Epic)clinical researchspecialtyresidency

How to Negotiate Your Physician Salary in Iowa

Walk-away anchor: $191,778.

Leverage Points

  • Specialty certifications (CCRN, OCS, BCPS, FNP) command 8-15% premiums
  • Compact license / multi-state authority and willingness to float between units
  • Night, weekend, and holiday shift differentials add up to $10K-$25K annually
  • Critical-shortage specialties (ICU, ER, NICU, oncology) have the most leverage

Negotiate Beyond Base

Sign-on bonus ($10K-$30K, often $50K+ for hard-to-fill roles)Tuition reimbursement and certification stipendsLoan repayment programs (especially federal/HRSA-eligible)Shift differentials (nights +15%, weekends +10%)Relocation package and housing stipend

Physician Salary FAQ — Iowa

What is the average Physician salary in Iowa?
The average Physician salary in Iowa is $210,956 per year as of April 2026. Salaries range from $161,000 (entry, 25th percentile) up to $368,000 (90th percentile). State income tax applies.
How does Physician pay in Iowa compare to the US average?
Physicians in Iowa earn approximately 8% less than the US national median ($229,300 nationally vs $210,956 in Iowa). Iowa's cost-of-living index of 90 amplifies the real purchasing power.
Did Physician salaries in Iowa increase in 2026?
Yes — Physician salaries in Iowa grew approximately 560.0% year-over-year, from $31,963 in 2025 to $210,956 in 2026. This reflects the broader Healthcare sector's wage growth, driven by Telemedicine and AI-assisted diagnosis demand.
Which Iowa cities pay Physicians the most?
Iowa has no major metros in our database — fallback to the closest tracked city for detailed breakdowns.
What's the job outlook for Physicians in Iowa?
Physician demand strong with growing US population. Specialties like radiology, anesthesiology, and orthopedics paying $400K+. Iowa's top industries include Agriculture, Insurance, Manufacturing, and the state's unemployment rate is 3% — a tight labor market favoring candidates.
Does Iowa have state income tax?
Yes, Iowa has state income tax. This affects take-home pay — at $210,956, expect 4-7% effective state tax depending on filing status. See city pages for detailed take-home calculations.
What skills are most in demand for Physicians in 2026?
Hottest 2026 skills: Telemedicine, AI-assisted diagnosis, Concierge medicine, Specialty practice, EHR efficiency. ATS systems specifically scan for these. Adding them to your resume — naturally and in context — improves your match rate with Iowa employers.
How can I increase my Physician salary in Iowa?
Given the current shortage in this specialty and my certifications, I'm looking for $X base plus shift differential and a sign-on bonus. What flexibility do you have on those line items? Beyond base, negotiate: Sign-on bonus ($10K-$30K, often $50K+ for hard-to-fill roles), Tuition reimbursement and certification stipends, Loan repayment programs (especially federal/HRSA-eligible), Shift differentials (nights +15%, weekends +10%). Walk-away anchor for Iowa: $191,778.

Methodology

Iowa Physician salary is the BLS national median ($229,300) adjusted by Iowa's state multiplier (0.92×). YoY rate from BLS Employment Cost Index. Last reviewed April 29, 2026.

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