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BLS OEWS May 2025 Β· SOC 29-1215 Β· 107,510 workers tracked Β· Updated annually

Family Practice Physician Salary 2026,
What Family Practice Physicians Actually Earn

BLS OEWS pay data for all 107,510 family medicine physicians, the full P10 to P90 range, and the economics of primary care: panel size, payer mix and how much of your income depends on quality contracts.

Updated July 2026 Β· BLS OEWS May 2025

Compiled by GlobalCybers Labor Market Research Β· Reviewed by Karen Osei, RN, BSN, Clinical Recruitment Lead Β· See methodology & sources β†’

US Median
$244,180
$117.39/hr
P10 (Bottom 10%)
$76,830
$36.94/hr Β· entry
P90 (Top 10%)
$428,550
$206.03/hr Β· top earners
Top-Paying State
$280,810
California Β· #1
Job Growth
+2.7%
2024–2034 Β· BLS
Direct Answer

How much do family practice physicians make in 2026?

Family practice physicians earn a national median of $244,180 a year ($117.39 an hour) per BLS OEWS May 2025 (SOC 29-1215), with a P25 of $162,420, a P75 of $334,270 and a P90 of $428,550. The $76,830 tenth percentile should not be read as an attending floor β€” it captures residents, part-time physicians and partial-year employment β€” so the P25 is the honest starting reference for a board-eligible family physician. Primary care income is built differently from procedural specialties: it rests on panel size, visit volume, payer mix and, increasingly, value-based contracts that pay for quality measures, risk adjustment and shared savings rather than for encounters alone. That is why two family physicians in the same city can differ by a hundred thousand dollars: one is salaried in a health system with a fixed panel, the other holds a risk contract on a Medicare Advantage population. Employment is projected to grow 2.7% through 2034 with roughly 3,300 openings a year. β†’ Full family practice physician career guide, career path, credentials & placement β†’

Note: $244,180 blends every experience level and every setting in this occupation. For pay by level alone, see Pay by Level below.

Key takeaways
  • Family Practice Physicians earn a national median $244,180/yr ($117.39/hr) (BLS OEWS May 2025, SOC 29-1215); the P10 to P90 range is $76,830 to $428,550.
  • The $76,830 tenth percentile reflects residents and part-time physicians; the $162,420 P25 is the realistic floor for a board-eligible family physician.
  • Primary care income depends on panel size, payer mix and value-based contracts rather than on procedure volume, which is why identical roles can differ by six figures.
  • Employment growth is 2.7% through 2034 with roughly 3,300 openings a year, and rural and underserved sites often pay above metropolitan academic posts.

US Family Practice Physician Pay Distribution Β· BLS OEWS May 2025

$76,830
P10
$162,420
P25
$244,180
Median
$334,270
P75
$428,550
P90
Family Practice Physician salary distribution in the United States: 10th percentile $76,830, 25th percentile $162,420, median $244,180, 75th percentile $334,270, 90th percentile $428,550 per year (BLS OEWS May 2025).Family Practice Physician annual pay percentiles Β· the United States10th to 90th percentile of annual base wage$76,830P10$162,420P25$244,180Median$334,270P75$428,550P90Entry levelTop earners
Source: BLS OEWS May 2025

Pay by Level Β· BLS OEWS May 2025

How much do family practice physicians earn at each level?

BLS OEWS publishes one blended wage for the whole occupation and does not break pay out by credential or practice level. The levels below distribute the published percentile range across the credential tiers this role actually hires at.

LevelMedian (BLS percentile-aligned)
Family medicine resident$76,830
New attending family physician$162,420
Established family physician$244,180
Partner / risk-contract or rural family physician$334,270
Top-decile family physician earnings$428,550

Level medians are aligned to the BLS OEWS May 2025 percentile distribution for SOC 29-1215; GlobalCybers does not yet publish a verified placement sample for this role, so no verified median is shown.

Methodology & Sources

How the numbers on this page are built

Published (BLS): BLS OEWS May 2025, SOC 29-1215, United States national estimate. Public, methodologically rigorous, but sampled on a rolling 3-year basis and published ~10 months after collection β€” so it reflects wages that are already 1–2 years old by the time you read them.

Level and certification medians: distributed across the published BLS percentile range for this SOC code (P10 through P90) according to the credential tiers this occupation actually hires at. They are modeled reference points, not separately surveyed wages.

State and metro figures: modeled β€” the BLS national median multiplied by the GlobalCybers state wage index, and for metros by the published metro index for that state. They are estimates of local pay, not BLS state or metropolitan-area observations, and are labelled as modeled in the tables below.

No verified placement sample:GlobalCybers does not yet publish a placement median for this role, so no "verified" figure appears anywhere on this page.

Full site methodology & data sources β†’

Pay by Career Level

How much does a family practice physician earn at each career stage?

Family medicine pay follows panel maturity, payer mix and contract type rather than a procedural ladder. Each median is anchored to the BLS OEWS distribution for SOC 29-1215.

Entry01
Family Medicine Resident
$71K–$162K Β· range
$76,830/yr median

Three years of accredited residency at a stipend, rotating through inpatient medicine, obstetrics, paediatrics and continuity clinic. Pay sits at the BLS 10th percentile, which reflects trainees rather than attendings.

Mid02
New Attending Family Physician
$162K–$334K Β· range
$244,180/yr median

First independent post building a panel, often with an income guarantee for the first year or two while volume develops. Pay sits near the BLS 25th percentile, the realistic attending floor.

Senior03
Established Family Physician
$318K–$429K Β· range
$334,270/yr median

Mature panel with continuity, chronic disease management and preventive care volume, plus productivity or quality incentives. This is the blended national median.

Leadership04
Partner / Risk-Contract or Rural Family Physician
$411K–$536K Β· range
$428,550/yr median

Practice ownership or partnership, value-based contracts on an attributed population, or rural and underserved posts with recruitment premiums. Pay tracks the BLS 75th to 90th percentiles.

By State

Which states pay family practice physicians the most in 2026?

These are modeled state estimates β€” the BLS national median scaled by the GlobalCybers state wage index β€” not BLS state observations. For family medicine the local drivers are payer mix and workforce shortage rather than cost of living: Medicaid-heavy panels pay less per encounter, Medicare Advantage penetration creates risk-contract opportunity, and health professional shortage areas attract loan-repayment and recruitment incentives. State licensure and the Interstate Medical Licensure Compact govern cross-border practice, including telehealth.

StateModeled State Estimatevs Top State
California$280,810
Top tier
New York$273,480
Top tier
Washington$268,600
Top tier
Colorado$256,390
Top tier
Texas$233,190
Mid
Mississippi$209,990
Value

6 of 51 state guides shown, ranked by median. Bar is relative to California ($280,810), the highest-paying state shown. See all role salary guides β†’

By Metro

Which cities pay family practice physicians the most?

Modeled metro estimates: the national median scaled by the state wage index and then by that state's published metro index. They estimate local wage levels and are not BLS metropolitan-area observations.

City / MSAModeled Metro Estimate
San Francisco Bay Area, CA$336,970
New York City, NY$322,710
Chicago, IL$289,230
Houston, TX$256,510

BLS OEWS MSA estimates, May 2025. Nominal pay β€” weigh each metro against its cost of living before relocating.

Certification Impact

Which certifications raise a family practice physician’s pay the most?

Median annual pay before and after each credential, based on GlobalCybers placement data cross-referenced with BLS. License upgrades move the needle most; stackable certs add on top.

CredentialMedian WithoutMedian WithAnnual Impact
ABFM board certification in family medicine$162,420$244,180+$81,760/yr
Obstetric or procedural scope in a rural practice$244,180$275,000+$30,820/yr
Value-based or risk contract on an attributed panel$244,180$300,000+$55,820/yr
Practice partnership or ownership$244,180$334,270+$90,090/yr

Impacts are not additive, the licensing rows share the same career ladder. Browse all 167 certifications β†’

Trade Comparison

BLS OEWS national median across the closest trades. Family Practice Physicians sit mid-pack on median but carry one of the widest P10–P90 spreads, licensing and specialization drive the upside.

TradeSOCMedian
Cardiologists29-1212$496,010
Anesthesiologists29-1211$391,490
Dermatologists29-1213$328,730
Family Practice PhysicianThis role29-1215$244,180
Dental Hygienists29-1292$98,100

BLS OEWS May 2025. Verify family practice physician wages on BLS.gov β†’

Take-Home Pay

What does a family practice physician actually take home after taxes?

The medians above are gross base wage.

Estimates use 2026 federal brackets, standard deduction, and 7.65% FICA. Actual take-home varies with filing status, deductions, and local tax.

FAQ

Family Practice Physician Salary, Frequently Asked Questions

How much do family practice physicians make in 2026?

The national median is $244,180 a year, or $117.39 an hour, per BLS OEWS May 2025 (SOC 29-1215). For a board-eligible attending the meaningful range starts at the $162,420 P25 and runs to the $428,550 P90; the $76,830 P10 reflects residents and part-time physicians.

Do value-based contracts raise family physician income?

They can substantially, where the physician has an attributed population, adequate risk adjustment and the infrastructure to document quality. They also add downside risk, so the gain depends on contract design rather than on effort alone.

Does rural family medicine pay more?

Often yes. Recruitment premiums, loan-repayment programmes and broader scope β€” including obstetrics and procedures β€” can put rural family physicians above their metropolitan peers, particularly in designated shortage areas.

How does panel size affect income?

Directly in fee-for-service models and indirectly under capitation, where a larger attributed panel means more per-member payment. Panel building takes two to three years, which is why new attendings usually start with an income guarantee.

Is family medicine financially viable given training cost?

The median comfortably services typical medical education borrowing, but the gap against procedural specialties is real and compounds over a career. Loan-repayment programmes for shortage areas are the main lever that changes that arithmetic.

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Data Sources
BLS ReferenceOEWS May 2025
SOC Code29-1215
US Workers107,510
Job Growth+2.7% (2024–2034)
Reviewed byK. Osei, RN BSN
Verify on BLS.gov β†’Full methodology β†’
$244,180
US BLS median Β· 2026
$280,810
California, top-paying state
107,510
Family Practice Physicians tracked (BLS)
+2.7%
Job growth 2024–2034

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