BLS metro-level wage data places Psychiatrists pay in Raleigh-Cary, NC at a median of $168,880 per year ($81.19/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $281,870, Raleigh-Cary pays 40% below, which typically tracks with a lower local cost of living or smaller specialized-employer cluster. Approximately 130 psychiatristss are employed across the Raleigh-Cary MSA in SOC 29-1223.

The Raleigh-Cary pay distribution spans from $122,950 at the 10th percentile to $285,680 at the 90th — a 2.3× spread that reflects experience tenure, specialization, employer size, and the difference between public-sector, nonprofit, and private-sector compensation inside the metro. The 25th percentile sits at $135,020 and the 75th at $202,460, so half of Raleigh-Cary-based psychiatristss earn within that middle band.

Metro figures capture where you actually work, not just where you live — which matters for commuters. BLS draws metro boundaries from the OMB MSA definitions, so Raleigh-Cary, NC covers the central city plus outlying counties tied to the metro economically. Remember that OEWS wages reflect base pay only: employer-provided health insurance, retirement matches, stock options, signing bonuses, overtime, and tips are excluded and can add 20-40% to real total compensation. Before using this metro median as a negotiation anchor, triangulate against the same occupation's national profile (linked below), its state-wide NC data, and peer-metro comparisons — a median is a starting point, not a ceiling.