What is the highest-paid profession in the U.S.?
- By median annual wage in the BLS May 2025 survey, pediatric surgeons are the highest-paid U.S. occupation.
- Every one of the top 20 occupations is in healthcare; most are physician or surgeon specialties.
- Outside healthcare, airline pilots and chief executives lead. Without a college degree, commercial pilots lead.
- The answer depends on the measure: averages, a single employer, or self-employed income can tell a different story.
The short answer
Pediatric Surgeons are the highest-paid occupation in the United States, with a median annual wage of $559,030 in May 2025. That is the figure half of them earn more than and half earn less than, as reported by employers to the Bureau of Labor Statistics (BLS).
It is a small group: the survey counts about 1,190 jobs. The next places go to cardiologists ($496,010), radiologists ($420,860) and surgeons, all other ($414,010).
Why is the top of the list all doctors?
20 of the 20 best-paid occupations are in healthcare, and almost all of them are physician, surgeon or dental specialties. The pattern follows the training: all but one typically need a doctoral or professional degree to enter, and the physician specialties add years of residency. The first job outside medicine, airline pilots, copilots, and flight engineers, ranks 21.
The best-paid occupation that is not a physician, surgeon or dentist is nurse anesthetists, at $236,590, entered with a master’s degree.
What pays most outside healthcare?
- Airline Pilots, Copilots, and Flight Engineers: $232,140.
- Chief Executives: $213,990. About 26.6% of chief executives were self-employed in 2025 and are not in the wage figures.
- Computer and Information Systems Managers: $175,140, with about 670,570 jobs.
- Financial Managers: $166,570.
- Lawyers: $159,670, though the top 10% earn more than $351,600.
The full list is in highest-paying jobs outside healthcare.
What is the highest-paid job without a degree?
Commercial Pilots ($123,220), entered with a postsecondary certificate, followed by nuclear power reactor operators ($122,890) and elevator and escalator installers and repairers ($109,910), which typically need a high school diploma plus long training or an apprenticeship. See highest-paying jobs without a degree.
What about athletes, CEOs and other famous high earners?
Medians describe the typical worker, not the stars. Athletes and Sports Competitors have a median of $66,710, but an average of $206,180 and a top 10% earning over $742,310. A few very large salaries move the average, not the middle.
The survey also counts only pay that employers report as wages. It leaves out the self-employed, overtime, and bonuses not tied to production, so the very highest incomes in any field are not visible here. More on that in why salary numbers disagree.
Which measure should you use?
For “what will a typical person in this job earn,” the median is the better guide: it is not pulled up by a handful of top earners. In this dataset the average is above the median for 94% of ranked occupations. Each occupation page shows both, plus the 10th and 90th percentiles, so you can see how wide the range is.
Questions
Do these figures include self-employed doctors and lawyers?
No. The BLS wage survey covers employees only. Self-employed workers and owners of unincorporated businesses, such as some practice owners, are not included.
Why aren't athletes or actors at the top?
The median athlete in the survey earns far less than star salaries suggest; a small number of very high earners raise the average but not the median. Actors are not ranked because BLS publishes only hourly pay for them.
Is this the highest-paid profession in the world?
No. These are U.S. figures from a U.S. employer survey. There is no comparable official dataset that ranks occupations across countries.
Sources
- BLS Occupational Employment and Wage Statistics, May 2025 (national file) — Official data file; checked October 25, 2026
- BLS Employment Projections 2025–35, Table 1.2 — Official data file; checked October 25, 2026
- BLS OEWS technical notes (coverage and wage definition) — Official documentation, full text; checked October 25, 2026
Figures in this guide are drawn from the site’s dataset when the page is built, so they match the occupation pages.
Update history
- : First published.