Highest Paying Jobs in West Virginia

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

Highest Salary

$597,740

Orthopedic Surgeons, Except Pediatric

Top 25 Average

$237,774

median salary

$100K+ Jobs

43

occupations

Occupations

100

with wage data

This ranking surfaces the 100 highest-paying occupations in West Virginia by BLS OEWS state median salary, drawn from the May 2025 release. At the top, Orthopedic Surgeons, Except Pediatric pays a state median of $597,740, +67% above the national median of $358,550 for the same role. Of the 100 tracked positions, 43 pay above $100,000 per year in West Virginia - a useful threshold for separating specialist professional roles from mid-tier employment. The top-10 average sits at $377,431, 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, 25 of 100 occupations pay above the national median in West Virginia, 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 West Virginia 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 West Virginia, 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 Orthopedic Surgeons, Except Pediatric $597,740
2 Emergency Medicine Physicians $491,230
3 Radiologists $471,650
4 Surgeons, All Other $468,210
5 Physicians, Pathologists $400,070
6 Obstetricians and Gynecologists $300,810
7 Nurse Anesthetists $278,530
8 Family Medicine Physicians $272,680
9 Physicians, All Other $258,020
10 Dentists, All Other Specialists $235,370
11 Podiatrists $207,000
12 Dentists, General $170,370
13 Pediatricians, General $158,470
14 Chief Executives $151,950
15 Architectural and Engineering Managers $149,430
16 Purchasing Managers $147,220
17 Computer and Information Systems Managers $139,820
18 Natural Sciences Managers $138,010
19 Sales Engineers $135,260
20 Pharmacists $133,430
21 Chemical Engineers $129,210
22 Veterinarians $128,990
23 Physician Assistants $128,610
24 Nurse Practitioners $127,320
25 Managers, All Other $124,940
26 Computer Network Architects $122,520
27 Software Developers $121,000
28 Electronics Engineers, Except Computer $120,170
29 Human Resources Managers $120,020
30 Engineers, All Other $118,800
31 Optometrists $118,010
32 Electrical Engineers $113,420
33 Financial Managers $113,140
34 Medical and Health Services Managers $112,010
35 Industrial Production Managers $111,760
36 Industrial Engineers $108,360
37 Computer Occupations, All Other $107,140
38 Commercial Pilots $105,950
39 Business Teachers, Postsecondary $104,480
40 Lawyers $102,420
41 Power Distributors and Dispatchers $101,960
42 Artists and Related Workers, All Other $101,400
43 Engineering Teachers, Postsecondary $100,400
44 Marketing Managers $98,750
45 Education Administrators, All Other $98,450
46 Physics Teachers, Postsecondary $98,320
47 Transportation, Storage, and Distribution Managers $98,230
48 Mining and Geological Engineers, Including Mining Safety Engineers $97,960
49 Electrical and Electronics Repairers, Powerhouse, Substation, and Relay $97,600
50 Management Analysts $97,470
51 Mechanical Engineers $97,390
52 Sales Representatives, Wholesale and Manufacturing, Technical and Scientific Products $97,230
53 Power Plant Operators $97,210
54 Physical Therapists $96,600
55 Architects, Except Landscape and Naval $96,470
56 Postmasters and Mail Superintendents $96,260
57 Occupational Therapists $96,190
58 Construction Managers $95,740
59 Facilities Managers $95,050
60 Sales Managers $94,830
61 Social Scientists and Related Workers, All Other $94,520
62 Financial Risk Specialists $94,350
63 Petroleum Engineers $93,360
64 Detectives and Criminal Investigators $92,410
65 Project Management Specialists $91,780
66 Rail Yard Engineers, Dinkey Operators, and Hostlers $91,380
67 Economics Teachers, Postsecondary $91,170
68 Telecommunications Line Installers and Repairers $89,690
69 Dietitians and Nutritionists $89,440
70 Labor Relations Specialists $88,020
71 Civil Engineers $86,930
72 Occupational Health and Safety Specialists $86,560
73 Financial Specialists, All Other $86,200
74 Chemists $85,560
75 Electrical and Electronic Engineering Technologists and Technicians $85,440
76 Captains, Mates, and Pilots of Water Vessels $85,290
77 Data Scientists $85,090
78 Administrative Services Managers $84,820
79 Education Administrators, Postsecondary $84,660
80 Statisticians $84,660
81 Biological Scientists, All Other $84,590
82 Forestry and Conservation Science Teachers, Postsecondary $84,450
83 Petroleum Pump System Operators, Refinery Operators, and Gaugers $83,910
84 Electrical Power-Line Installers and Repairers $83,810
85 Environmental Engineers $83,200
86 Chiropractors $83,160
87 Medical Scientists, Except Epidemiologists $82,690
88 Gas Plant Operators $82,600
89 General and Operations Managers $82,500
90 Public Relations Managers $82,380
91 Environmental Scientists and Specialists, Including Health $82,100
92 Atmospheric, Earth, Marine, and Space Sciences Teachers, Postsecondary $81,850
93 Chemistry Teachers, Postsecondary $81,830
94 Chemical Plant and System Operators $81,710
95 Occupational Health and Safety Technicians $81,470
96 Engineering Technologists and Technicians, Except Drafters, All Other $81,330
97 Speech-Language Pathologists $80,970
98 Orthotists and Prosthetists $80,860
99 Atmospheric and Space Scientists $80,690
100 Education Administrators, Kindergarten through Secondary $80,650

More ways to explore West Virginia 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 West Virginia. The "Difference" column shows how West Virginia 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 West Virginia.

National benchmark comparisons computed against BLS OEWS National Occupational Employment and Wage Estimates, May 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. These figures are computed directly from BLS OEWS state-level wage data. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2025.