Employers advertising family medicine jobs on PhysEmp are offering an average of $260,000 to $293,000 a year, based on the 749 of 2,644 active family medicine listings that disclosed pay. Data pulled October 1, 2026, from live job ads on PhysEmp. Updated quarterly.
Why this is different: these figures come from salaries employers posted in live job ads on PhysEmp this quarter, not from surveys or self-reported pay. They show what employers are offering right now, before bonuses and negotiation.
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Family medicine pay at a glance
| Specialty | Active listings | Listings with pay | Posted range | Average posted range |
|---|---|---|---|---|
| Family medicine | 2,644 | 749 | $120,000 – $700,000 | $259,763 – $292,544 |
| Internal medicine | 1,395 | 489 | $125,000 – $873,600 | $263,915 – $304,952 |
| Primary care (listed as such) | 156 | 119 | $229,500 – $410,000 | $262,320 – $305,717 |
Family medicine averages slightly below internal medicine, by about $4,000 on the low end and $12,000 on the high end. With 749 listings disclosing pay, family medicine has the deepest salary data of any specialty on PhysEmp.
Highest-paying states for family medicine
States with at least five family medicine listings that disclosed pay, ranked by the low end of the average range:
| State | Active listings | Listings with pay | Average posted range |
|---|---|---|---|
| Montana | 32 | 7 | $355,429 – $358,286 |
| Arkansas | 24 | 5 | $339,120 – $351,320 |
| North Carolina | 120 | 11 | $320,000 – $337,727 |
| South Dakota | 39 | 8 | $315,625 – $321,250 |
| Minnesota | 61 | 21 | $311,667 – $324,048 |
| Missouri | 45 | 12 | $290,417 – $310,000 |
| Florida | 176 | 23 | $278,913 – $305,000 |
| Arizona | 66 | 7 | $274,857 – $306,857 |
| Illinois | 81 | 41 | $274,415 – $298,854 |
| Georgia | 106 | 12 | $271,733 – $314,750 |
Lowest-paying states for family medicine
| State | Active listings | Listings with pay | Average posted range |
|---|---|---|---|
| New York | 137 | 90 | $237,297 – $263,767 |
| Massachusetts | 106 | 31 | $239,581 – $268,226 |
| Virginia | 52 | 6 | $239,265 – $257,167 |
| Vermont | 19 | 8 | $240,000 – $255,000 |
| Maryland | 23 | 9 | $240,556 – $252,667 |
| Kansas | 24 | 7 | $208,571 – $282,571 |
In this quarter’s data, rural, Southern and Upper Midwest markets pay more, and the Northeast pays less. California has the most family medicine listings (404) and the most salary disclosures (234), averaging $256,087 to $292,443. Maine (22 listings), Wyoming (12) and Utah (11) posted no pay at all.
How family medicine pay has moved in 2026
| Data pulled | Active listings | Listings with pay | Average posted range |
|---|---|---|---|
| October 1, 2026 | 2,644 | 749 | $259,763 – $292,544 |
| September 1, 2026 | 2,633 | 734 | $261,931 – $292,420 |
| April 1, 2026 | 2,955 | 795 | $254,611 – $286,134 |
Average posted pay is up about $5,000 on the low end and $6,000 on the high end since April, while the number of open family medicine jobs fell by about 300.
Common questions
How much do family medicine physicians make?
Family medicine jobs posted on PhysEmp in October 2026 offer an average of $260,000 to $293,000 a year, with individual offers ranging from $120,000 to $700,000.
Is $300,000 a good salary offer for family medicine?
Yes, by national standards. $300,000 is above the high end of the average posted range ($292,544). In Montana, Arkansas, North Carolina, South Dakota and Minnesota, though, average offers start above $310,000, so $300,000 would be below market there.
Which states pay family medicine physicians the most?
Among states with at least five salary disclosures, Montana, Arkansas and North Carolina post the highest averages, all starting at $320,000 or more.
How these numbers are calculated
PhysEmp pulls every active family medicine job ad on the site at the start of each quarter. Salary figures come only from ads where the employer posted pay. The average posted range is the average of the low and high ends of those posted ranges. Full-time and locum listings are combined. Figures are employer-posted and not independently verified.
Last updated October 2026. Next update January 2027. All specialties in the PhysEmp Salary Report →