You’ve read the Best States to Practice article, examined the rankings and thought carefully about which business-climate and lifestyle characteristics are most important to you. Now it’s time to go a little deeper.
To help you decide where your best place to practice is, you can manipulate the chart below according to your specifications. Just click the data category header to reorder the results from highest to lowest in that category. Click the same header again to reverse the order from lowest to highest. In most cases, the lower the number, the better. Click the cost-of-living category header, for example, and see Hawaii, top the list as America’s priciest state to live in. Click that header again and find that Kentucky is the land of cheap living.
When examining medical liability premiums data, make sure you’re looking at the category that most closely resembles your own specialty.
Finally, check the data key below the chart to make sure you’re clear on what each data category means and where it comes from.
| State | Cost-of-Living Index (lower better) | Tax Burden per Capita (lower better) | Medical Board Disciplinary Actions per 1,000 Physicians (lower better) | Physicians per 100,000 Residents (lower better) | Medical Liability Premiums | CMS Geographic Adjustment Factor (higher better) | ||
|---|---|---|---|---|---|---|---|---|
| Internal Medicine | General Surgery | OB/GYN | ||||||
| Alabama | 92.74 | $2,967 | 2.69 | 218.2 | $8K | $31K | $42K | 0.949 |
| Alaska | 132.64 | $2,973 | 5.47 | 228.5 | $9K | $33K | $56K | 1.289 |
| Arizona | 103.73 | $3,140 | 4.82 | 209.7 | $20K | $52K - $92K | $67K - $103K | 0.989 |
| Arkansas | 90.61 | $3,281 | 3.08 | 203.4 | $8K | $25K | $43K | 0.945 |
| California: North | 132.56 | $4,910 | 2.61 | 268.7 | $7K - $20K | $23K - $68K | $30K - $90K | 1.138 |
| California: South | 132.56 | $4,910 | 2.61 | 268.7 | $7K - $20K | $23K - $68K | $30K - $90K | 1.093 |
| Colorado | 102.23 | $4,011 | 4.51 | 259.7 | $13K | $47K | $55K | 0.989 |
| Connecticut | 130.22 | $7,256 | 1.69 | 376.4 | $15K -$35K | $65K - $81K | $107K - $170K | 1.094 |
| Delaware | 102.4 | $4,091 | 3.96 | 250.9 | $13K - $17K | $41K - 58K | $76K | 1.012 |
| District of Columbia | 139.92 | $6,076 | 2.57 | 807.2 | $24K | $73K | $147K | 1.124 |
| Florida | 98.39 | $3,897 | 1.94 | 247.9 | $21K - $55K | $74K - $215K | $105K - $239K | 1.061 |
| Georgia | 92.21 | $3,350 | 2.52 | 217.4 | $10K - $16K | $30K - $60K | $68K - $93K | 0.987 |
| Hawaii | 165.56 | $4,399 | 4.38 | 317 | $10K | $37K | $62K | 1.074 |
| Idaho | 93.04 | $3,276 | 2.72 | 168.8 | $7K | $20K - $29K | $33K - $48K | 0.959 |
| Illinois | 96.08 | $4,596 | 3.51 | 280.2 | $17K - $41K | $43K - $127K | $60K - $178K | 0.985 |
| Illinois: Chicago | 96.08 | $4,596 | 3.51 | 280.2 | $17K - $41K | $43K - $127K | $60K - $178K | 1.081 |
| Indiana | 94.19 | $3,396 | 2.78 | 216.9 | $10K | $35K - $45K | $54K - $73K | 0.966 |
| Iowa | 93.98 | $3,688 | 3.89 | 189.3 | $7K | $18K - 34K | $27K - $46K | 0.950 |
| Kansas | 91.31 | $3,911 | 3.11 | 222.5 | $10K | $35K | $49K - $52K | 0.964 |
| Kentucky | 89.21 | $3,059 | 4.03 | 232.3 | $11K | $45K | $60K - $70K | 0.959 |
| Louisiana | 96.15 | $3,037 | 5.98 | 262.7 | $18K | $56K - $64K | $78K - $88K | 0.985 |
| Maine | 116.42 | $3,832 | 3.7 | 278.4 | $8K - $10K | $26K - $31K | $43K - $50K | 0.979 |
| Maryland | 124.81 | $5,218 | 2.55 | 421.4 | $13K -$21K | $48K - $81K | $91K - $158K | 1.028 |
| Massachusetts | 117.8 | $5,316 | 1.83 | 469 | $13K | $40K | $97K | 1.073 |
| Michigan | 95.25 | $3,565 | 2.57 | 250.2 | $9K - $38K | $36K-$143K | $36K-$136K | 1.023 |
| Minnesota | 102.23 | $4,651 | 1.29 | 293.2 | $4K | $11K - $17K | $17K - $23K | 0.969 |
| Mississippi | 92.26 | $2,678 | 2.62 | 177.9 | $6K - $17K | $41K - $58K | $56K - $82K | 0.961 |
| Missouri | 91.66 | $3,425 | 2.91 | 246 | $11K - $26K | $28K - $132K | $47K - $132K | 0.982 |
| Montana | 100 | $3,216 | 2.66 | 220.6 | $15K | $56K - $62K | $71K - $93K | 0.996 |
| Nebraska | 91.09 | $3,960 | 4.57 | 245.4 | $5K | $15K | $23K | 0.947 |
| Nevada | 101.39 | $3,311 | 2.7 | 187.8 | $8K - $34K | $29K - $118K | $42K - $169K | 1.024 |
| New Hampshire | 116.68 | $3,765 | 2.13 | 274.9 | $9K - $17K | $37K - $49K | $60K - $77K | 1.007 |
| New Jersey | 128.47 | $6,751 | 2.28 | 316.3 | $19K | $42K - $64K | $50K - $171K | 1.097 |
| New Mexico | 98.88 | $2,997 | 4.99 | 243.6 | $11K | $59K | $74K | 0.979 |
| New York | 128.29 | $6,157 | 3.03 | 395.9 | $9K - $33K | $30K - $106K | $50K - $195K | 0.965 |
| New York: NYC Metro Area | 128.29 | $6,157 | 3.03 | 395.9 | $9K - $33K | $30K - $106K | $50K - $195K | 1.151 |
| New York: Northern NYC Suburbs | 128.29 | $6,157 | 3.03 | 395.9 | $9K - $33K | $30K - $106K | $50K - $195K | 1.037 |
| North Carolina | 96.21 | $3,583 | 3.8 | 254.2 | $10K | $33K - $53K | $42K - $82K | 0.970 |
| North Dakota | 95.91 | $3,892 | 5.05 | 244.4 | $6 - $13K | $18K - $37K | $27K - $44K | 0.979 |
| Ohio | 93.85 | $3,652 | 5.36 | 266.7 | $13K - $40K | $40K - $141K | $56K - $171K | 0.992 |
| Oklahoma | 90.09 | $3,259 | 5.23 | 173.5 | $12K - $15K | $39K - $51K | $56K - $63K | 0.959 |
| Oregon | 110.47 | $3,761 | 3.78 | 274.5 | $9K | $28K - $37K | $36K - $64K | 0.980 |
| Pennsylvania | 100.67 | $4,190 | 2.76 | 305.3 | $7K - $27K | $22K - $137K | $35K - $172K | 0.986 |
| Pennsylvania: Philadelphia | 100.67 | $4,190 | 2.76 | 305.3 | $7K - $27K | $22K - $137K | $35K - $172K | 1.068 |
| Rhode Island | 123.25 | $4,647 | 1.92 | 375.5 | $12K - $16K | $44K - $57K | $111K - $117K | 1.042 |
| South Carolina | 98.71 | $2,742 | 1.31 | 229.8 | $9K - $11K | $41K - $45K | $45K - $49K | 0.959 |
| South Dakota | 98.53 | $3,042 | 2.6 | 219.1 | $4K | $13K | $20K - $21K | 0.978 |
| Tennessee | 89.49 | $2,752 | 2.78 | 263.6 | $9K - $11K | $36K - $41K | $51K - 60K | 0.959 |
| Texas | 91.04 | $3,197 | 2.61 | 214.2 | $9K - $32K | $20K - $107K | $27K - $152K | 0.992 |
| Utah | 95.15 | $3,349 | 2.15 | 208.1 | $9K - $13K | $44K - $68K | $62K - $95K | 0.982 |
| Vermont | 120.38 | $4,181 | 2.18 | 373.7 | $7K - $10K | $23K - $28K | $44K - $52K | 0.982 |
| Virginia | 97.66 | $4,392 | 3.45 | 274.5 | $13K | $45K - $59K | $61K - $72K | 0.978 |
| Washington | 103.98 | $4,408 | 3.76 | 270 | $13K - $15K | $45K - $59K | $61K - $72K | 1.016 |
| West Virginia | 94.4 | $3,034 | 3.88 | 232.1 | $21K - $23K | $58K - $79K | $80K - $113K | 0.972 |
| Wisconsin | 96.45 | $4,427 | 1.59 | 259.1 | $6K | $14K - $23K | $18K - $35K | 0.965 |
| Wyoming | 98.66 | $4,205 | 5.14 | 184.4 | $17K - $22K | $59K - $78K | $84K - $97K | 1.002 |
KEY
Cost-of-Living Index: Computed by the Council for Community and Economic Research. Median: 100.
State Tax Burden, per capita: From the Tax Foundation.
Medical Board Disciplinary Actions: From Public Citizen, reflects physician autonomy. Physicians per 100,000 residents: From the U.S. Census, reflects competition level.
Medical Liability Average Premiums: From MyMedicalPracticeInsurance.com; ranges supplied where averages vary widely by location and insurer.
CMS Geographic Adjustment Factor: CMS' Geographic Adjustment Factor is an adjustment in Medicare pay based on cost-of-doing-business differences. Median: 1.0.
