2026 Salary — Missouri
Updated April 29, 2026
Physician Salary in Missouri: $213K Median
Physicians in Missouri earn between $163K and $372K per year.
That's -7% below the US national median.
Quick Answer
As of April 2026, the median Physician salary in Missouri is $213,249 per year — -7% below the US national median of $229,300. Salaries range from $162,750 (entry, 25th percentile) to $372,000 (90th percentile). Missouri's cost-of-living index is 89. State income tax applies.
Median
$213,249
+560.0% YoY
Entry
$186,000
Experienced
$325,500
Top 10%
$372,000
About Physicians in Missouri
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
Physician Salary in Missouri Metros
Click any city for full breakdown including take-home pay calculator.
| City | Median |
|---|---|
| Kansas City | $217,835 |
How to Negotiate Your Physician Salary in Missouri
Walk-away anchor: $193,863.
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 — Missouri
What is the average Physician salary in Missouri?
The average Physician salary in Missouri is $213,249 per year as of April 2026. Salaries range from $162,750 (entry, 25th percentile) up to $372,000 (90th percentile). State income tax applies.
How does Physician pay in Missouri compare to the US average?
Physicians in Missouri earn approximately 7% less than the US national median ($229,300 nationally vs $213,249 in Missouri). Missouri's cost-of-living index of 89 amplifies the real purchasing power.
Did Physician salaries in Missouri increase in 2026?
Yes — Physician salaries in Missouri grew approximately 560.0% year-over-year, from $32,310 in 2025 to $213,249 in 2026. This reflects the broader Healthcare sector's wage growth, driven by Telemedicine and AI-assisted diagnosis demand.
Which Missouri cities pay Physicians the most?
Top-paying Missouri metros for Physicians: Kansas City ($218K). Click any city for full breakdown including take-home pay.
What's the job outlook for Physicians in Missouri?
Physician demand strong with growing US population. Specialties like radiology, anesthesiology, and orthopedics paying $400K+. Missouri's top industries include Logistics, Healthcare, Finance, and the state's unemployment rate is 3.5% — a tight labor market favoring candidates.
Does Missouri have state income tax?
Yes, Missouri has state income tax. This affects take-home pay — at $213,249, 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 Missouri employers.
How can I increase my Physician salary in Missouri?
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 Missouri: $193,863.
Methodology
Missouri Physician salary is the BLS national median ($229,300) adjusted by Missouri's state multiplier (0.93×). YoY rate from BLS Employment Cost Index. Last reviewed April 29, 2026.
Physician Salary in Other States
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