Somewhere in New Mexico, a single Family Medicine listing is quietly advertising an average range of $561,600 to $624,000. It is one listing. One. And it is currently dragging an entire state’s average into orbit while the rest of the country negotiates around $250,000 like responsible adults. Family Medicine — the beating, sensible heart of American healthcare — has produced 2,957 national listings across nearly every state and one U.S. territory (hello, Guam). The thesis is simple: this is a massive, geographically indifferent market where the money is real, the outliers are absurd, and the states you least expect are quietly writing the biggest checks.
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The Family Medicine Job Market at a Glance

Total listings: 2,957
Listings with disclosed salary: 755
Full salary range: $175,000 to $465,000
Average salary range: $190,000 to $350,000

Most Family Medicine offers live in a tight, predictable band — roughly $250,000 to $330,000 depending on geography — with a practical mid-range closer to $270,000 to $310,000. The floor at $175,000 almost certainly reflects part-time or specialized roles, and the ceiling at $465,000 rewards a very specific mix of rural need, leadership scope, and willingness to relocate somewhere with more cows than stoplights.

States and territories represented: PA, CA, GU, MN, MA, NY, KS, MI, VT, FL, OH, AZ, TX, MD, IL, WA, NJ, CT, IA, IN, GA, LA, TN, NC, DC, SC, MO, HI, AL, NH, NV, VA, ND, SD, WI, KY, CO, AK, AR, UT, MT, OK, OR, MS, NM, DE, WV, NE, ME, RI, WY, ID (plus one lonely listing in NZ).
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How States Stack Up

Overperformers:

• New Mexico ($561,600–$624,000) — built on a single listing, so treat it as a rumor, not a rule.
• North Carolina ($389,231–$405,385) — 13 salary listings and 138 total openings; the rare state where volume and pay agree.
• Arkansas ($348,900–$364,150) — pays like it means it, quietly.
• Kentucky ($342,352–$347,344) — consistent, tight range, real money.
• Mississippi ($335,000–$380,000) — one listing, but a loud one.
• Montana ($329,778–$336,444) — big sky, bigger base.
• South Dakota ($324,222–$328,111) — Midwestern scarcity pricing at work.
• North Dakota ($325,000 flat) — see above, colder.
• Iowa ($318,333 flat) — reliable, understated, well-paid.
• Minnesota ($314,636–$330,318) — 22 listings back this up; genuinely strong.
• Guam ($315,000–$330,000) — one listing, tropical, taxable elsewhere.
• Maine ($300,000–$325,000), Tennessee ($300,000 flat), Wisconsin ($295,000–$312,500), Missouri ($283,636–$295,000), Florida ($287,850–$297,020), Texas ($291,538–$301,231), Georgia ($278,400–$325,583), Arizona ($276,750–$309,750), Oklahoma ($275,000–$285,000), Idaho ($275,000 flat) — all comfortably above the practical midline.

Near-average: Washington ($270,830–$317,755), Illinois ($265,143–$286,762, across a robust 42 listings), Alabama ($264,375 flat), New Hampshire ($260,000–$280,000), Nebraska ($260,000 flat), Oregon ($257,500 flat), Alaska ($257,500–$322,500), Louisiana ($254,120–$423,700 — wide, and worth reading closely), Indiana ($255,250–$272,850), Michigan ($255,714–$277,143), Connecticut ($249,827–$279,326), Ohio ($250,762–$270,333), Nevada ($249,333–$310,333), New Jersey ($247,893–$270,800), South Carolina ($247,500–$268,750), Hawaii ($242,500–$287,500), Massachusetts ($242,333–$270,879), Vermont ($240,000–$255,000), Maryland ($238,125–$256,750), Pennsylvania ($236,923–$272,923), New York ($235,250–$271,291), DC ($248,180–$256,180).

Underperformers:

• Colorado ($229,833–$271,167) — mountains cost extra, apparently.
• Rhode Island ($230,000–$250,000) — one listing, unimpressive.
• Virginia ($221,159–$255,100) — 10 listings, consistently below the line.
• Kansas ($201,667–$283,000) — the national floor, functionally.

Volume leaders: California (409), Florida (205), New York (182), Texas (141), North Carolina (138), Massachusetts (114), Georgia (116). California dominates raw count and posts a wildly inflated salary average driven by a handful of outlier listings. New York carries 182 openings and pays below the practical midline anyway.
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What This Means If You’re a Physician

If your priority is maximum compensation: look at North Carolina, Arkansas, Kentucky, Montana, and Minnesota — real listings, real ranges, real money. The highest disclosed listing is in Daytona Beach, FL, posted by The Inline Group at $310,000 to $369,000 per year, with a flat-$350,000 role in Jackson, MN close behind and Premise Health in Tamuning, GU at $315,000 to $330,000.

If your priority is maximum optionality: California (409), Florida (205), New York (182), and Texas (141) will bury you in choices. Just accept that CA and NY compensation, adjusted for cost of living, is quietly punishing.

If your priority is balance: North Carolina. It is the only state where high listing volume and above-average pay actually agree.
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What This Means If You’re a Recruiter

Salary transparency rate: 755 of 2,957 listings, or 25.5%.

Three out of four Family Medicine postings tell candidates nothing about compensation. In a specialty this competitive — and this saturated with recruiter outreach — opacity is a pipeline tax. Physicians filter aggressively, and unpriced listings get skipped.

The volume-pay misalignment is stark: New York carries 182 listings and pays in the low-$270s. California posts 409 listings with cost-of-living math that undermines nominal salary. Recruiters in these markets cannot lead with compensation. Lead instead with schedule flexibility, loan assistance, admin ratio, patient panel size, and any scope expansion — because the number itself will not win the candidate.
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What’s Driving the Numbers

Rural scarcity is doing real pricing work. Arkansas, Kentucky, Montana, the Dakotas, and Iowa all clear $315,000 comfortably. These are not accidents — they are underserved markets pricing in the difficulty of getting a physician to move there and stay. Scarcity pays. The map rewards it.

Volume does not equal pay, and the biggest markets prove it. California and New York together account for nearly 600 listings and post practical compensation ranges that trail Arkansas by six figures. High listing volume signals demand, but it also signals a deep labor supply — and deep supply flattens wages.

Part-time and specialized roles are pulling the floor down. A $175,000 low and Kansas’s $201,667 base almost certainly include partial-FTE, urgent care, or clinic-only positions. The realistic full-time Family Medicine floor is closer to $240,000, and offers below that number deserve scope scrutiny before they deserve a counter.

Transparency is the recruiter’s real problem. At 25.5% disclosure, Family Medicine trails specialties that have adopted salary-forward posting as a default. Every undisclosed listing is a candidate who kept scrolling.

The Bottom Line

Family Medicine is exactly what it appears to be: enormous, geographically democratic, and financially rational once you strip out the outliers. The states writing the biggest checks are the ones with the fewest stoplights. The states with the most openings are the ones asking you to accept a New York rent on a Kentucky salary. North Carolina is the anomaly that makes the whole map worth reading.

The money is where the people aren’t.
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Salary data based on 755 listings with disclosed compensation. Figures may reflect part-time or specialized roles. This report is informational and should not replace professional judgment or financial planning.