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Ranking · original analysis of BLS and O*NET data

Highest-paying jobs in North Carolina

The 40 best-paid occupations in North Carolina with at least 100 people employed, by state median wage.

Updated Oct 24, 2026 · Data: BLS OEWS May 2025 · O*NET 31.0
Quick answer

The highest-paying occupation in North Carolina with at least 100 people employed was Surgeons, All Other, with a state median of $398,410 (BLS May 2025).

The ranking

40 occupations

Data Every figure is from BLS OEWS May 2025 or O*NET 31.0; the selection rule is below.

Highest-paying jobs in North Carolina
#OccupationMedian pay in North CarolinaEmployed
1Surgeons, All Other$398,410480
2Dermatologist$367,350800
3Emergency Medicine Physician$339,350710
4Neurologist$325,550180
5Orthopedic Surgeon$323,630560
6CEO$314,2901,930
7General Internal Medicine Physicians$289,7801,700
8Physicians, All Other$260,33014,080
9Pathologist$248,940340
10Dentists, All Other Specialists$225,990130
11Orthodontist$224,990160
12CRNA$224,6103,340
13Podiatrist$215,420240
14Family Medicine Physician$215,2301,520
15Dentist$207,0004,140
16Pediatrician$183,550740
17Physicist$174,180150
18Natural Sciences Managers$173,8706,010
19IT Manager$172,86025,650
20Psychiatrist$168,880620
21Architectural and Engineering Managers$167,8406,960
22Financial Manager$166,78022,460
23Marketing Manager$165,48010,790
24Optometrist$161,5601,140
25Airline Pilot$151,5402,240
26Sales Manager$150,47016,920
27Medical Dosimetrist$147,830140
28HR Manager$142,9906,480
29Managers, All Other$141,16021,830
30Pharmacist$138,86011,430
31Purchasing Manager$138,7102,670
32Economist$136,150290
33Compensation and Benefits Managers$135,240880
34Software Engineer$134,71058,470
35Computer Hardware Engineer$134,6701,340
36Database Architect$134,6304,070
37OB-GYN$134,540590
38Public Relations Manager$132,2801,510
39Financial Risk Specialists$132,0403,200
40Nuclear Engineer$131,850460
Method

How this page is built

BLS OEWS state estimates for North Carolina, May 2025: occupations with at least 100 people employed and a published median, ranked by median annual wage.

What this page can't tell you
  • Pay at a specific employer or for self-employed workers.
  • Openings in your area: these are national figures.
  • Whether a job suits you personally.
Sources
  1. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025 estimates (public domain).
  2. O*NET 31.0 Database, U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), used under the CC BY 4.0 license. TryHired selected, ranked and combined the data; O*NET is not responsible for these pages.