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Neonatologist Salary in Raleigh, NC — 2026

Neonatologist salary data for Raleigh, NC — adjusted for local cost of living. Entry-level to senior pay ranges, take-home pay calculator, and local job market insights.

The median Neonatologist salary in Raleigh, NC is $295,800 per year ($24,650/month, $142/hr). This reflects the local cost of living index of 102, which is 2% above the national average.

Entry Level
$224K
$108/hr
Median
$296K
$142/hr
Senior
$377K
$181/hr
Top Earner
$449K
$216/hr

Neonatologist Take-Home Pay in Raleigh

Tax Breakdown (Median Salary)

Gross Annual$295,800
Federal Tax-$66,664
State Tax (4.3%)-$12,572
FICA (SS + Medicare)-$15,728
Annual Take-Home$200,836
Monthly Take-Home$16,736

Living Cost Comparison

Median Rent$1,500/mo
Rent-to-Income Ratio6.1%
Median Home Price$380,000
Cost of Living Index102
City Median Salary$72,000
Neonatologist vs City Median+$223,800

Neonatologist Requirements

Education
M.D./D.O.
Experience
13+ years
Job Growth
4.0% (2024-2034)

Key Skills

NICU CareVentilator ManagementNeonatal ResuscitationPremature Infant CareDevelopmental Assessment

Raleigh Job Market Overview

Raleigh, North Carolina has a population of 467,665 and an unemployment rate of 2.8%. The top industries are Technology, Government, Education. The local job growth rate is 3.0%, and the average commute time is 24 minutes.

Neonatologist Salary in Nearby North Carolina Cities

Salary Percentile Breakdown — Neonatologist in Raleigh

Based on the cost-of-living-adjusted distribution for Neonatologist in Raleigh, NC, here's how earnings break down across the workforce:

PercentileAnnual SalaryHourly EquivalentCareer Stage
10th (lowest)$224,400$108/hrEntry-level, < 1 yr exp.
25th$260,100$125/hrJunior, 1-3 yrs exp.
50th (median)$295,800$142/hrMid-career, 13+ years
75th$377,400$181/hrSenior, 5-10 yrs exp.
90th (top)$448,800$216/hrLead/Principal, 10+ yrs

Percentiles estimated using a log-normal salary distribution model calibrated to Neonatologist compensation data. Top earners (P90) typically include managers, specialists with rare skills, or those at high-paying employers in Raleigh's Technology sector.

5-Year Salary Trajectory

Neonatologist salaries in Raleigh have grown approximately 5.0% over the past 5 years, outpacing local CPI inflation in many cases. Here's the historical and projected trajectory:

5 Years Ago
$281,714
Adjusted for Raleigh COL
Today (2026)
$295,800
+5.0% vs 5y ago
Projected 2031
$310,590
If growth continues

Year-over-year, an average Neonatologist can expect a 3.1% annual increase moving from entry to senior level over 17 years in Raleigh. Negotiation, certifications (Board Certification in Neonatal Medicine), and changing employers strategically can accelerate this trajectory.

Raleigh vs National Average

The national median Neonatologist salary is $290,000. In Raleigh, the cost-of-living-adjusted median of $295,800 is 2.0% above the national figure. This reflects Raleigh's cost of living index of 102 (higher than the national average of 100).

For Neonatologists, this means: rent typically consumes 9.0% of take-home pay (households spending >30% are considered affordable), and a median home in Raleigh costs about 1.9× annual take-home. Homeownership is relatively attainable on this salary in Raleigh.

Industry Context: Technology in Raleigh

Raleigh's economy is anchored by Technology, Government, Education, with 467,665 residents and 2.8% unemployment as of 2026. Neonatologists working in the Technology sector typically earn at or above the local median due to industry-specific demand. The state's overall job growth rate is 3.0%, and Neonatologist occupations specifically are projected to grow 4.0% nationally through 2034 (BLS Occupational Outlook Handbook).

Methodology & Data Sources

How we calculate Neonatologist salaries in Raleigh, NC:

  1. Base salary model starts with Salario occupation data and public wage references, including BLS OEWS and O*NET when a direct or related occupational crosswalk is available. For niche titles, we do not treat a broader SOC family as an exact job-title wage.
  2. Cost-of-living adjustment applied using the Raleigh index of 102 relative to the national baseline of 100, with local rent, home price, unemployment, and tax inputs checked separately.
  3. Percentile distribution (P10-P90) estimated from the entry, median, senior, and top compensation tiers in the Salario salary model rather than claimed as exact employer payroll data.
  4. Take-home pay calculated using 2026 federal tax brackets (10%-37%), NC state income tax of 4.3%, and FICA (Social Security 6.2% + Medicare 1.45%).
  5. Tax brackets and standard deduction ($16,100 single filer for tax year 2026) sourced from IRS Revenue Procedure 2025-32 and updated annually.

Authoritative data sources:

Last reviewed: 2026. Salary data updated annually as new BLS releases become available. Neonatologist salaries can vary significantly based on employer, sector (Technology vs others in Raleigh), specific skill set (NICU Care, Ventilator Management, Neonatal Resuscitation), and individual negotiation. Always verify current compensation through multiple sources before making career decisions.

Frequently Asked Questions

What is the average Neonatologist salary in Raleigh, NC?
The median Neonatologist salary in Raleigh, NC is $295,800 per year as of 2026. This is adjusted for the local cost of living index of 102. Entry-level Neonatologists earn around $224,400, while senior-level professionals can earn $377,400 or more.
How much does a Neonatologist take home in Raleigh after taxes?
A Neonatologist earning the median salary of $295,800 in Raleigh, NC takes home approximately $200,836 per year ($16,736/month) after federal, state, and local taxes. The effective tax rate is 32.1%.
Is Raleigh a good city for Neonatologists?
Raleigh, NC has a cost of living index of 102 (above national average). Neonatologists here earn above the city median. The local unemployment rate is 2.8% and top industries include Technology, Government, Education.
What skills are needed for a Neonatologist in Raleigh?
Key skills for Neonatologists include NICU Care, Ventilator Management, Neonatal Resuscitation, Premature Infant Care, Developmental Assessment. Typical education requirement is M.D./D.O.. Valuable certifications include Board Certification in Neonatal Medicine.
How does Neonatologist salary in Raleigh compare to the national average?
The national median Neonatologist salary is $290,000. In Raleigh, the adjusted salary is $295,800, which is 2.0% higher than the national average, reflecting the local cost of living.

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Frequently Asked Questions

What is the average Neonatologist salary in Raleigh, NC?

The median Neonatologist salary in Raleigh, NC is $295,800 per year as of 2026. This is adjusted for the local cost of living index of 102. Entry-level Neonatologists earn around $224,400, while senior-level professionals can earn $377,400 or more.

How much does a Neonatologist take home in Raleigh after taxes?

A Neonatologist earning the median salary of $295,800 in Raleigh, NC takes home approximately $200,836 per year ($16,736/month) after federal, state, and local taxes. The effective tax rate is 32.1%.

Is Raleigh a good city for Neonatologists?

Raleigh, NC has a cost of living index of 102 (above national average). Neonatologists here earn above the city median. The local unemployment rate is 2.8% and top industries include Technology, Government, Education.

What skills are needed for a Neonatologist in Raleigh?

Key skills for Neonatologists include NICU Care, Ventilator Management, Neonatal Resuscitation, Premature Infant Care, Developmental Assessment. Typical education requirement is M.D./D.O.. Valuable certifications include Board Certification in Neonatal Medicine.

How does Neonatologist salary in Raleigh compare to the national average?

The national median Neonatologist salary is $290,000. In Raleigh, the adjusted salary is $295,800, which is 2.0% higher than the national average, reflecting the local cost of living.