Winston-Salem, NC Salaries

The Winston-Salem, NC Metropolitan Statistical Area is tracked by BLS Occupational Employment and Wage Statistics across 467 occupations in the May 2025 release, each representing a distinct SOC code where local employment is large enough to report without triggering confidentiality suppression. Averaging the top-ranked occupation medians gives roughly $183,798 per year, a rough midpoint that helps you compare this metro to peer cities and the national picture. The BEA Regional Price Parity index for Winston-Salem, NC sits at 92.0, meaning the local price level is 8% below the national average for rent, groceries, services, and transportation combined.

At the top of the Winston-Salem, NC ranking, Emergency Medicine Physicians pays a median of $319,170. Second-ranked is Radiologists at $317,250, followed by Family Medicine Physicians at $309,990. At the bottom of the reported-occupation range, Parking Attendants pays $28,310. This spread between top-specialist and entry-service pay is characteristic of U.S. metro labor markets, though the specific ratio varies by metro economic base. Critically, nominal pay in Winston-Salem, NC converts to $199,687 of purchasing power in a national-average-cost city, the paycheck you take home here buys more than the same nominal amount would in high-cost metros.

Metro medians reflect where the job is located, not where you live, relevant if you plan to commute across MSA boundaries. BLS defines metro areas using OMB's MSA delineations, so Winston-Salem, NC spans the central city plus economically integrated surrounding counties. When using this page, drill into individual occupation rows to see percentile spread (the top 10% often earns 2× or more than the median) and compare against the occupation's national profile to see whether Winston-Salem, NC pays a premium or discount for that specific role. Remember that OEWS wages capture base pay only, health benefits, retirement contributions, bonuses, overtime, and equity compensation can add 20-40% to real total compensation, and that gap often skews larger in high-cost metros where employers load non-wage benefits to remain competitive.