Psychiatrists earn $250,000-$400,000+ per year — with demand surging due to the mental health crisis and a shortage of providers.

Pay at a Glance (BLS Data)

Bureau of Labor Statistics wage estimates for psychiatrists, across all industries:

Percentile Annual Wage Hourly Equivalent
10th (entry level) $84,060 $40.41
25th $154,150 $74.11
50th (median) $281,870 $135.51
75th $362,740 $174.39
90th $446,520 $214.67
Average (mean) $269,940 $129.78

Source: US Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, for Psychiatrists (all industries). Hourly figures are annual wages divided by 2,080 hours. “Not published” means BLS withheld the estimate, usually because wages are above its top reporting limit.

Average Psychiatrist Salary in 2026

Experience Level Salary Range
New Attending (1-3 years) $220,000-$270,000
Mid-Career (5-10 years) $280,000-$340,000
Experienced (10+ years) $340,000-$450,000
National Average (BLS mean) $269,940

Psychiatrist Salary by Subspecialty

Subspecialty Average Salary Fellowship
Addiction Psychiatry $310,000 1 year
Interventional Psychiatry $350,000 —
Child & Adolescent $295,000 2 years
Forensic Psychiatry $300,000 1 year
Consultation-Liaison $285,000 1 year
Geriatric Psychiatry $280,000 1 year
General Adult Psychiatry $285,000 —

Interventional psychiatry (TMS, ketamine/esketamine) is a growing high-income niche.

Psychiatrist Salary by State

Rank State Avg Salary Starting Salary Median Salary
1 Missouri $345,860 $122,240 $312,680
2 Minnesota $333,320 $90,470 $336,410
3 Florida $328,060 $71,680 $316,200
4 Louisiana $321,300 $190,550 $345,040
5 California $315,380 $113,990 $353,500
6 Maryland $306,100 $154,720 $305,320
7 Vermont $298,070 $77,450 $302,770
8 Indiana $297,220 $161,820 $284,110
9 Connecticut $292,660 $75,190 $326,670
10 Utah $288,370 $158,990 $299,670
11 Wisconsin $282,980 $86,340 $331,070
12 Pennsylvania $282,370 $148,050 $278,970
13 Oregon $282,210 $62,300 $314,880
14 Alaska $278,800 $83,170 $342,170
15 Maine $275,050 $110,690 $300,180
16 Iowa $273,190 $77,320 $295,270
17 Virginia $272,960 $129,440 $295,010
18 Oklahoma $272,510 $123,220 $271,640
19 Michigan $272,010 $81,390 $291,850
20 Hawaii $271,330 $156,990 $289,990
21 South Dakota $270,220 $130,000 $226,180
22 Illinois $269,000 $134,770 $258,740
23 Washington $265,600 $92,320 $304,920
24 Kansas $265,280 $147,070 $278,100
25 Arizona $264,260 $128,350 $249,720
26 Colorado $258,210 $134,050 $266,370
27 Rhode Island $257,290 $145,780 $287,610
28 New York $252,840 $86,120 $265,890
29 Ohio $250,210 $82,650 $244,990
30 New Jersey $244,560 $87,120 $194,070
31 Delaware $243,740 $57,150 $279,410
32 New Mexico $238,260 $172,340 $227,730
33 Georgia $227,430 $89,990 $237,480
34 South Carolina $226,360 $129,250 $237,250
35 Kentucky $221,190 $74,200 $237,770
36 Texas $221,100 $73,330 $228,460
37 Mississippi $218,620 $61,380 $213,680
38 Tennessee $210,520 $65,820 $214,880
39 Nevada $203,980 $100,880 $210,030
40 North Carolina $201,840 $101,080 $168,880
41 New Hampshire $199,220 $69,970 $246,140
42 Nebraska $196,590 $53,160 $135,180
43 Arkansas $182,100 $66,030 $124,750
44 District of Columbia $181,090 $45,150 $183,080
45 West Virginia $173,570 $63,320 $63,320
46 Idaho $159,470 $75,470 $75,470
— National $269,940 $84,060 $281,870

Source: US Bureau of Labor Statistics OEWS, 2025 estimates, fetched 2026-09-29. Figures cover Psychiatrists (cross-industry). Some states are omitted where BLS did not publish a reliable estimate. Psychiatrist shortages in coastal states drive higher salaries.

Psychiatrist Salary by Practice Setting

Practice Type Notes
Private Practice Highest potential, business overhead
Telepsychiatry Remote, flexible, growing fast
Hospital-Employed Stable, benefits
Academic Teaching, research
Community Mental Health Loan forgiveness eligible
VA/Government Pension, job security
Locum Tenens Per diem, flexible

Psychiatrist vs. Psychologist vs. Therapist

Factor Psychiatrist Psychologist Therapist (LCSW/LPC)
Average Salary (BLS, May 2025) $269,940 $112,750 $64,440
Education 12 years 8-10 years 6 years
Can Prescribe? Yes No (most states) No
Student Debt $200,000-$350,000 $100,000-$200,000 $50,000-$100,000
Start Earning Age 30 Age 28 Age 24

Path to Becoming a Psychiatrist

Stage Duration Cost/Salary
Psychiatry residency 4 years $65,000-$85,000/year
Fellowship (optional) 1-2 years $80,000-$95,000/year
Total Training 12-14 years —

Psychiatrist Work-Life Balance

Factor Typical Range
Hours per week 40-50
Night call Rare to none
Weekend work Minimal
Vacation weeks 4-6
Remote work Excellent (telepsychiatry)

Psychiatry offers one of the best lifestyles in medicine — minimal emergencies, no procedures, regular hours.

Telepsychiatry Boom

Factor 2020 2026
% of visits via telehealth 5% 45%
Fully remote psychiatrists 2% 15%
Telehealth-only practices Rare Common
Compensation vs. in-person -10% Equal

The pandemic permanently shifted psychiatry toward virtual care.

Demand for Psychiatrists

Factor Assessment
Shortage Severe (27,000 shortage nationally)
Job growth (2025-2035) 4%
Wait times for patients 2-4 months average
States with critical shortage Most rural states

Mental health demand continues outpacing supply.

Psychiatrist Salary After Taxes

Gross Salary Federal Income Tax Social Security + Medicare Take-Home Before State Tax Monthly
$250,000 $51,304 $15,514 $183,182 $15,265
$269,940 $57,685 $15,983 $196,273 $16,356
$400,000 $103,134 $19,039 $277,827 $23,152

2026 federal income tax for a single filer taking the standard deduction ($16,100), plus Social Security and Medicare. Not included: state and local income tax, retirement contributions and other pre-tax deductions. For your own situation, use the take-home pay calculator.

Private Practice Potential

Factor Employed Private Practice
Base salary $280,000 $350,000+
Overhead None 30-40%
Schedule control Limited Full
Earning ceiling $320,000 $500,000+

Many psychiatrists transition to private practice mid-career for higher earnings and autonomy.

Career Earnings Comparison

Career Path Training Debt 30-Year Earnings Net Lifetime
Community Mental Health -$250,000 $7.5M ~$7M
Hospital-Employed -$250,000 $9M ~$8.5M
Private Practice -$250,000 $12M ~$11.5M

Tips for Maximizing Income

  1. Private practice — Highest earning potential after building patient base
  2. Telepsychiatry — Work from anywhere, add patients in underserved areas
  3. Medication management focus — Higher throughput than therapy
  4. Interventional psychiatry — TMS, esketamine procedures add revenue
  5. Locum work — Can earn $200-$300/hour for temporary coverage

Data sources: Bureau of Labor Statistics, Medscape Physician Compensation Report, MGMA, APA. Updated March 2026.

See every profession in our salary by profession guides.

Sources

  • U.S. Bureau of Labor Statistics. “Occupational Employment and Wage Statistics, May 2024.” bls.gov/oes
  • U.S. Department of Labor. “Wages and the Fair Labor Standards Act.” dol.gov/agencies/whd/flsa
  • Social Security Administration. “Benefits and Eligibility Information.” ssa.gov/benefits

WealthVieu
Written by WealthVieu

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