Occupation ranking
Highest Paying Occupations in America
All detailed occupations ranked by annual median salary, the jobs that pay the most in the United States.
- 50
- Occupations ranked
- $559,030
- Highest (Annual Median)
- $136,570
- Lowest in list
This list, in one line
The #15 cutoff to make this top-15 list, $281,870, sits at the 98th percentile among the 825 BLS occupations with a published national median.
- 98th
- percentile to make this list
- 825
- occupations with published wages
Percentile reflects where this list's cutoff value falls among every occupation BLS publishes a national median wage for, not just those shown here.
This ranking surfaces 50 distinct occupations from the Bureau of Labor Statistics Occupational Employment and Wage Statistics program, each scored on the "Annual Median" dimension. The top-ranked occupation is Pediatric Surgeons at $559,030, versus $136,570 at rank 50, a spread that shows how differently the American labor market values specialized skills, credential requirements, and location-specific demand. Every row on this page links to the occupation's full national profile with state and metro-level salary breakdowns, so the ranking doubles as a launch pad for deeper research rather than a static leaderboard.
These occupations represent the highest-earning careers in the United States based on BLS Occupational Employment and Wage Statistics. Medical specialists, executives, and technical professionals dominate the top spots. Annual median means half of workers in the occupation earn more and half earn less. Actual pay varies significantly by location, experience, and employer, the 90th percentile for many of these occupations exceeds $200,000. Entry into most top-paying occupations requires advanced degrees and years of training.
The numbers here are not marketing estimates or job-board averages. They come from the OEWS survey of roughly 1.1 million establishments representing over 95% of U.S. wage and salary workers, collected over three-year rolling panels and published each May. When you compare occupations within this list, remember that annual median means the midpoint, half the workforce earns more and half earns less, and that percentile bands within each occupation often span 2-3x the median on either side. Use this ranking to shortlist careers that match your economic goals, then drill into each occupation's individual page to see the 10th-to-90th percentile pay range, state-by-state variation, metro premiums, education requirements, and BLS-projected openings through 2033 before making a long-term commitment. See our methodology for exactly how these figures are sourced, computed, and verified.
Highest Paying Occupations in America
Annual median wage, top 15 occupations
- Pediatric Surgeons
Pediatric Surgeons
$559,030 median / yr
- Cardiologists
Cardiologists
$496,010 median / yr
- Radiologists
Radiologists
$420,860 median / yr
- Surgeons, All Other
Surgeons, All Other
$414,010 median / yr
- Anesthesiologists
Anesthesiologists
$391,490 median / yr
- Orthopedic Surgeons, Except …
Orthopedic Surgeons, Except Pediatric
$358,550 median / yr
- Oral and Maxillofacial Surge…
Oral and Maxillofacial Surgeons
$352,220 median / yr
- Emergency Medicine Physicians
Emergency Medicine Physicians
$335,550 median / yr
- Dermatologists
Dermatologists
$328,730 median / yr
- Physicians, Pathologists
Physicians, Pathologists
$312,400 median / yr
- Prosthodontists
Prosthodontists
$311,180 median / yr
- Ophthalmologists, Except Ped…
Ophthalmologists, Except Pediatric
$300,080 median / yr
- Obstetricians and Gynecologi…
Obstetricians and Gynecologists
$292,910 median / yr
- Orthodontists
Orthodontists
$289,140 median / yr
- Psychiatrists
Psychiatrists
$281,870 median / yr
Full ranking table
Last updated: May 2025. Source: Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS).
Percentile bands and state/metro breakouts use BLS OEWS State and Metropolitan Area Occupational Employment and Wage Estimates, May 2025.
What does it take to make this list?
Where the cutoff sits nationally
Median annual wage across 825 BLS occupations with a published median
$281,870 Top 2% higher than 98% of 825 US occupations
Each bar is a $20K-wide band; taller bars hold more US occupations. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source U.S. Bureau of Labor Statistics, OEWS · May 2025
The 15th highest-paying occupation pays $281,870, higher than 98% of the 825 occupations with a published BLS median wage.
Frequently Asked Questions
What does annual median salary mean?
The annual median salary is the midpoint of the wage distribution for an occupation, 50% of workers earn more and 50% earn less. BLS collects this data through surveys of approximately 1.1 million establishments, covering over 95% of wage and salary workers in the United States.
Why are medical professionals the highest paid?
Medical specialties require 11-16 years of education and training (4 years undergraduate + 4 years medical school + 3-8 years residency/fellowship). High barriers to entry, life-and-death responsibilities, and chronic demand for healthcare drive compensation. Physicians also carry significant educational debt averaging $200,000+.
Do these salaries include bonuses and benefits?
BLS wage data includes base pay, production bonuses, tips, and commissions, but excludes employer-provided benefits (health insurance, retirement contributions), stock options, and signing bonuses. Total compensation for top earners is often 20-40% higher than reported wages.
Related Rankings & Nearby Pages
Jump to another ranking lens, explore the top-ranked occupation, or compare roles side-by-side.
How to read this ranking
Use the ranking to scope a field, then drill into a specific job
- These are occupation medians from the BLS OEWS survey: in each role, half of workers earn more and half earn less. The ranking is a starting point, not your expected pay. Browse occupations
- Pay rank shifts by location. A role near the top nationally can pay very differently in your state or metro, before you even adjust for cost of living. Compare states
- Open any occupation to see its full pay band, percentiles, and outlook, so you read the number in context. All rankings
Estimates reflect the BLS May 2025 reference period and exclude self-employed workers; some small occupation-area cells are suppressed.
Source: U.S. Bureau of Labor Statistics, OES Occupational wage estimates by area and industry · 2025
Every figure on WageDex is rendered directly from U.S. Bureau of Labor Statistics wage data, no number is typed in by an editor. Rankings are computed directly from BLS OES occupational wage data. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.
This ranking is for informational purposes only and does not constitute financial or career advice. National rankings reflect aggregate BLS figures and may not represent a specific employer's actual pay, consult a qualified career counselor or financial advisor before making decisions based on this data.