Highest Paying Jobs in Tennessee

Top 100 occupations ranked by median annual salary — Bureau of Labor Statistics, May 2025

Highest Salary

$610,080

Cardiologists

Top 25 Average

$254,142

median salary

$100K+ Jobs

82

occupations

Occupations

100

with wage data

This ranking surfaces the 100 highest-paying occupations in Tennessee by BLS OEWS state median salary, drawn from the May 2025 release. At the top, Cardiologists pays a state median of $610,080, +23% above the national median of $496,010 for the same role. Of the 100 tracked positions, 82 pay above $100,000 per year in Tennessee — a useful threshold for separating specialist professional roles from mid-tier employment. The top-10 average sits at $353,210, giving a sense of what elite specialists inside this state actually clear.

The "Difference" column compares each state median to the corresponding national median for the same SOC code, making pay premiums and discounts immediately visible. In this list, 26 of 100 occupations pay above the national median in Tennessee, which usually signals one of three things: a local concentration of specialized employers (finance hubs, tech clusters, research universities, federal agencies), a cost-of-living adjustment baked into state-wide wage scales, or scarce in-state talent supply bidding up competitive roles. Occupations paying below the national median are not necessarily bad news — they often reflect lower cost of living in the state or industries where Tennessee is not a concentrated employer.

Rankings like this show ceiling-potential by specialty, but they don't tell you the odds of landing one of those roles. Pair this table with the employment column (how many workers the state actually employs in each occupation) and the growth projections on each occupation's national page to see whether the field is expanding or contracting. BLS wages exclude benefits, bonuses, and overtime — especially distorting for top-paying roles where equity and performance compensation can represent 30-50% of total pay. Use this leaderboard to shortlist careers worth exploring in Tennessee, then drill into each row's linked profile to check percentile spread, typical education, metro-level variation, and whether projected openings match your timeline.

# Occupation State Median
1 Cardiologists $610,080
2 Dermatologists $433,630
3 Surgeons, All Other $373,510
4 Obstetricians and Gynecologists $354,580
5 Orthodontists $339,610
6 Anesthesiologists $330,620
7 Orthopedic Surgeons, Except Pediatric $325,520
8 Physicians, All Other $301,290
9 General Internal Medicine Physicians $232,220
10 Ophthalmologists, Except Pediatric $231,040
11 Neurologists $229,670
12 Family Medicine Physicians $226,830
13 Dentists, General $215,290
14 Psychiatrists $214,880
15 Podiatrists $212,470
16 Nurse Anesthetists $211,450
17 Judges, Magistrate Judges, and Magistrates $208,350
18 Chief Executives $198,830
19 Pediatricians, General $176,210
20 Physicists $165,010
21 Architectural and Engineering Managers $161,430
22 Computer and Information Systems Managers $158,700
23 Air Traffic Controllers $157,330
24 Airline Pilots, Copilots, and Flight Engineers $143,580
25 Acupuncturists $141,430
26 Financial Managers $141,010
27 Psychologists, All Other $138,070
28 Purchasing Managers $137,060
29 Lawyers $136,180
30 Medical Dosimetrists $135,530
31 Biochemists and Biophysicists $134,560
32 Optometrists $134,170
33 Pharmacists $133,390
34 Compensation and Benefits Managers $132,780
35 Captains, Mates, and Pilots of Water Vessels $132,710
36 Marketing Managers $131,990
37 Human Resources Managers $131,760
38 Computer Hardware Engineers $130,830
39 Physical Scientists, All Other $129,570
40 Aerospace Engineers $128,510
41 Agricultural Sciences Teachers, Postsecondary $128,270
42 Sales Managers $128,040
43 Administrative Services Managers $127,410
44 Public Relations Managers $127,390
45 Natural Sciences Managers $124,530
46 Veterinarians $124,350
47 Computer Network Architects $123,860
48 Electronics Engineers, Except Computer $122,920
49 Software Developers $122,430
50 Training and Development Managers $121,030
51 Industrial Production Managers $119,430
52 Education Administrators, All Other $118,330
53 Physician Assistants $118,240
54 Economists $117,650
55 Nurse Practitioners $117,590
56 Commercial Pilots $117,480
57 Nurse Midwives $116,980
58 Power Plant Operators $115,920
59 Database Administrators $115,500
60 Information Security Analysts $115,430
61 Database Architects $115,170
62 Sales Engineers $111,580
63 Construction Managers $110,200
64 Actuaries $108,930
65 Computer and Information Research Scientists $108,830
66 Life Scientists, All Other $108,770
67 Fundraising Managers $107,760
68 Administrative Law Judges, Adjudicators, and Hearing Officers $107,740
69 Medical and Health Services Managers $107,120
70 General and Operations Managers $106,970
71 Facilities Managers $106,730
72 Bioengineers and Biomedical Engineers $106,470
73 Economics Teachers, Postsecondary $104,560
74 Electrical Engineers $104,450
75 Medical Scientists, Except Epidemiologists $102,720
76 Education Administrators, Postsecondary $100,850
77 Transportation, Storage, and Distribution Managers $100,740
78 Engineering Teachers, Postsecondary $100,640
79 Elevator and Escalator Installers and Repairers $100,490
80 Mining and Geological Engineers, Including Mining Safety Engineers $100,390
81 Data Scientists $100,330
82 Physical Therapists $100,140
83 Mechanical Engineers $99,550
84 Managers, All Other $99,430
85 Management Analysts $99,260
86 Postmasters and Mail Superintendents $99,170
87 Industrial Engineers $99,080
88 Health Specialties Teachers, Postsecondary $98,870
89 Environmental Science Teachers, Postsecondary $98,560
90 Statisticians $98,230
91 Advertising and Promotions Managers $98,170
92 Anthropology and Archeology Teachers, Postsecondary $98,160
93 Occupational Therapists $97,700
94 Education Administrators, Kindergarten through Secondary $97,590
95 Epidemiologists $97,310
96 Environmental Engineers $97,190
97 Electrical and Electronics Repairers, Powerhouse, Substation, and Relay $96,840
98 Petroleum Pump System Operators, Refinery Operators, and Gaugers $96,730
99 Engineers, All Other $96,640
100 Atmospheric and Space Scientists $96,190

More ways to explore Tennessee pay and compare with national data.

About This Data

All salary data comes from the U.S. Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2025. State-level data reflects wages for workers employed in Tennessee. The "Difference" column shows how Tennessee pay compares to the national median for that occupation.

Last updated: May 2025. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025. Rankings by median annual salary in Tennessee.

National benchmark comparisons computed against BLS OEWS National Occupational Employment and Wage Estimates, May 2025.