What a psychiatrist earns, by metro

A psychiatrist in Springfield has a median wage of $413,890. In Dayton-Kettering-Beavercreek the median is $65,270. That is a 6.34-fold difference for the same job title, which is unusually wide even by the standards of a country this large — and it means a national average for this role is close to meaningless.

The band is wide — outcomes vary a lot

The top tenth of psychiatrists earn $446,520 or more; the bottom tenth earn under $84,060. That is a 5.31× gap within the same occupation, in the same year. A spread this wide means the job title is not what determines pay — specialisation, employer type, seniority or book of business is. Expect the early years to sit near the bottom of the band rather than the middle, and treat the $281,870 median as a waypoint, not a destination.

Why the range is 6.34× wide

The top of the table is spread across several states rather than concentrated in one, which points away from a pure cost-of-living story. Where a role pays 6.34× more in one market than another without a single expensive state dominating, the usual cause is local demand density — a few metros where the industry clusters and employers compete for the same small pool. The psychiatrist concentration table further down shows where that is happening.

Highest paying metros

Lowest paying metros

Rochester is the cluster

Rochester has 6.08× the national concentration of psychiatrists — the densest market in the country for this role, with 130 employed locally. Pay there is $341,540, which does not put it near the top of the pay table. Concentration and compensation are different things — a dense market is easier to get hired in and easier to move around within, but the competition that makes it dense also caps what employers need to offer.

Where the role is most concentrated

Largest employers by metro

Current openings

About this data

Figures come from the BLS Occupational Employment and Wage Statistics programme, May 2025 release, SOC code 29-1223. OEWS surveys employers, so it reports what is actually paid rather than what job advertisements claim, and it excludes the self-employed. Estimates are published for 99 of 528 metropolitan areas; the remaining 429 had too few survey responses for BLS to publish without risking disclosure, so they are absent here rather than estimated. For a specialised role that is normal. Read the methodology.