2026 Salary — Texas
Updated April 29, 2026
Physician Salary in Texas: $234K Median
Physicians in Texas earn between $179K and $408K per year.
That's +2% above the US national median.
Quick Answer
As of April 2026, the median Physician salary in Texas is $233,886 per year — +2% above the US national median of $229,300. Salaries range from $178,500 (entry, 25th percentile) to $408,000 (90th percentile). Texas's cost-of-living index is 93. Texas has no state income tax.
Median
$233,886
+560.0% YoY
Entry
$204,000
Experienced
$357,000
Top 10%
$408,000
About Physicians in Texas
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 Texas Metros
Click any city for full breakdown including take-home pay calculator.
| City | Median |
|---|---|
| Houston | $240,765 |
| Dallas | $240,765 |
| Austin | $263,695 |
| San Antonio | $213,249 |
| Fort Worth | $233,886 |
| El Paso | $194,905 |
| Arlington | $229,300 |
How to Negotiate Your Physician Salary in Texas
Walk-away anchor: $212,624.
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 — Texas
What is the average Physician salary in Texas?
The average Physician salary in Texas is $233,886 per year as of April 2026. Salaries range from $178,500 (entry, 25th percentile) up to $408,000 (90th percentile). Texas has no state income tax — increasing take-home meaningfully.
How does Physician pay in Texas compare to the US average?
Physicians in Texas earn approximately 2% more than the US national median ($229,300 nationally vs $233,886 in Texas). Texas's cost-of-living index of 93 amplifies the real purchasing power.
Did Physician salaries in Texas increase in 2026?
Yes — Physician salaries in Texas grew approximately 560.0% year-over-year, from $35,437 in 2025 to $233,886 in 2026. This reflects the broader Healthcare sector's wage growth, driven by Telemedicine and AI-assisted diagnosis demand.
Which Texas cities pay Physicians the most?
Top-paying Texas metros for Physicians: Houston ($241K), Dallas ($241K), Austin ($264K). Click any city for full breakdown including take-home pay.
What's the job outlook for Physicians in Texas?
Physician demand strong with growing US population. Specialties like radiology, anesthesiology, and orthopedics paying $400K+. Texas's top industries include Energy/Oil & Gas, Tech, Healthcare, and the state's unemployment rate is 4.1% — steady demand for skilled workers.
Does Texas have state income tax?
No, Texas has no state income tax. This significantly boosts take-home pay vs comparable salaries in tax states like California or New York. At $233,886, you keep all of it (after federal + FICA).
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 Texas employers.
How can I increase my Physician salary in Texas?
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 Texas: $212,624.
Methodology
Texas Physician salary is the BLS national median ($229,300) adjusted by Texas's state multiplier (1.02×). YoY rate from BLS Employment Cost Index. Last reviewed April 29, 2026.
Physician Salary in Other States
Land a $234K+ Physician Role in Texas
CVCraft scans your resume against Texas ATS systems — free, 60 seconds.
Scan My Resume Free