2026 Salary — Virginia
Updated April 29, 2026
Physician Salary in Virginia: $243K Median
Physicians in Virginia earn between $186K and $424K per year.
That's +6% above the US national median.
Quick Answer
As of April 2026, the median Physician salary in Virginia is $243,058 per year — +6% above the US national median of $229,300. Salaries range from $185,500 (entry, 25th percentile) to $424,000 (90th percentile). Virginia's cost-of-living index is 104. State income tax applies.
Median
$243,058
+560.0% YoY
Entry
$212,000
Experienced
$371,000
Top 10%
$424,000
About Physicians in Virginia
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 Virginia Metros
Click any city for full breakdown including take-home pay calculator.
| City | Median |
|---|---|
| Virginia Beach | $224,714 |
How to Negotiate Your Physician Salary in Virginia
Walk-away anchor: $220,962.
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 — Virginia
What is the average Physician salary in Virginia?
The average Physician salary in Virginia is $243,058 per year as of April 2026. Salaries range from $185,500 (entry, 25th percentile) up to $424,000 (90th percentile). State income tax applies.
How does Physician pay in Virginia compare to the US average?
Physicians in Virginia earn approximately 6% more than the US national median ($229,300 nationally vs $243,058 in Virginia). Virginia's cost-of-living index of 104 is close to the national average.
Did Physician salaries in Virginia increase in 2026?
Yes — Physician salaries in Virginia grew approximately 560.0% year-over-year, from $36,827 in 2025 to $243,058 in 2026. This reflects the broader Healthcare sector's wage growth, driven by Telemedicine and AI-assisted diagnosis demand.
Which Virginia cities pay Physicians the most?
Top-paying Virginia metros for Physicians: Virginia Beach ($225K). Click any city for full breakdown including take-home pay.
What's the job outlook for Physicians in Virginia?
Physician demand strong with growing US population. Specialties like radiology, anesthesiology, and orthopedics paying $400K+. Virginia's top industries include Government/Defense, Tech (Data Centers), Shipbuilding, and the state's unemployment rate is 3.3% — a tight labor market favoring candidates.
Does Virginia have state income tax?
Yes, Virginia has state income tax. This affects take-home pay — at $243,058, 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 Virginia employers.
How can I increase my Physician salary in Virginia?
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 Virginia: $220,962.
Methodology
Virginia Physician salary is the BLS national median ($229,300) adjusted by Virginia's state multiplier (1.06×). YoY rate from BLS Employment Cost Index. Last reviewed April 29, 2026.
Physician Salary in Other States
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