Texas, New Mexico, and California drive the high dollars in the Western region, with dramatic lows in Colorado, Arizona, and Hawaii.

ARIZONA: Average of $160 per hr./$286K annually, high of $225 per hr./$392K annually in Kingman, $250K annually in Phoenix
CALIFORNIA: Average of $220 per hr./$384K, high of $291 per hr./$500K annually, $500K annually in Los Angeles
COLORADO: Average of $150 per hr./$269K annually, no significant highs
HAWAII: Average of $140 per hr./$253K annually, no significant highs
NEVADA: Average of $195 per hr./$343K annually in Las Vegas, no significant highs
NEW MEXICO: Average of $224 per hr./$390K annually, high of $308 per hr./$525K annually in Roswell/Carlsbad area
OKLAHOMA: Average of $210 per hr./$367K annually, high of $220 per hr./$367K annually
TEXAS: Average of $242 per hr./$419K annually, high of $300 per hr./$515K annually, $450K annually in Houston and Dallas, $380K annually in San Antonio and Austin
UTAH: N/A

The Middle Atlantic states experienced about a 10 percent earnings hike but primarily in Pennsylvania, with other states staying mostly the same.

DELAWARE: Average of $180 per hr./$318K annually, no significant highs
DISTRICT OF COLUMBIA: Average of $132 per hr./$240K annually, no significant highs
MARYLAND: Average of $155 per hr./$278K annually, high of $200 per hr./$351K annually in Cumberland region
NEW JERSEY: Average of $180 per hr./$318K annually, high of $200 per hr./$351K annually
PENNSYLVANIA: Average of $200 per hr./$351K annually, high of $230 per hr./$400K annually, $375K annually in Pittsburgh, $300K annually in Philadelphia
VIRGINIA: Average of $194 per hr./$341K annually, high of $256 per hr./$442K annually
WEST VIRGINIA: Average of $175 per hr./$310K annually, no significant highs

The Northeastern states also remain predominately the same, with increases in New Hampshire and New York.

CONNECTICUT: Average of $175 per hr./$310K annually, no significant highs
MAINE: Average of $150 per hr./$271K annually, no significant highs
MASSACHUSETTS: Average of $170 per hr./$302K annually, high of $225 per hr./$392K annually, $150–$179 per hr. in Boston
NEW HAMPSHIRE: Average of $180 per hr./$318K annually, no significant highs
NEW YORK: Average of $168 per hr./$299K annually, high of $225 per hr./$392K annually, $270K annually in New York City
RHODE ISLAND: Average of $155 per hr./$278K annually, no significant highs
VERMONT: Average of $180 per hr./$318K annually, no significant highs

Nothing seems to change in the Pacific Northwest, land of low incomes and high mountains.

ALASKA: Average of $140 per hr./$253K annually, no significant highs (or jobs for that matter)
IDAHO: Average of $135 per hr./$245K annually, no significant highs (or jobs for that matter)
MONTANA: Average of $175 per hr./$310K annually, no significant highs (or jobs for that matter)
OREGON: Average of $176 per hr./$312K annually, no significant highs (or jobs for that matter)
WASHINGTON: Average of $185 per hr./ $296K annually, high of $250 per hr./$400K annually
WYOMING: Average of $185 per hr./$327K annually, high of $230 per hr./$400K annually

Trends

• The percentage of jobs open to primary care–boarded physicians is 37 percent, up 6 percent from last year.
• Sign-on bonuses are increasing, with the average at $25K and the high at $50K; most do not include relocation. It is difficult to pinpoint the percentage of employers that offer sign-ons, but it is around 75 percent.
• The good news is that emergency physician incomes are up 10 percent across the board from last year.
• The benchmark of $200 per hour continues to prevail, spreading into the Middle Atlantic but remaining elusive in the Northeast and Pacific Northwest.
• Regional averages show the Southeast still leads in highest average compensation but is followed closely by the Midwest and Western states.

Top 10 States for Compensation

1. Mississippi
2. Texas
3. New Mexico
4. Wisconsin
5. California
6. Georgia
7. Illinois
8. Louisiana
9. Oklahoma
10. Missouri

Bottom 10 States for Compensation

1. District of Columbia
2. Idaho
3. Hawaii
4. Colorado
5. Maine
6. Washington
7. Maryland
8. Arizona
9. New York
10. Massachusetts