The short answer
North Dakota $51,893 · Georgia $49,557 · Minnesota $48,626 · Illinois $48,585 · Missouri $48,449
California leads on the raw paycheck ($56,040) and ranks #44 once cost of living is applied. Hawaii, California, and Massachusetts lose the most purchasing power of any states.
The U.S. median phlebotomist wage is $45,230 (BLS, May 2025). Lowest adjusted pay lands in Hawaii (~$25,811).
Phlebotomist pay in all 50 states + DC
Ranked by cost-of-living-adjusted pay (highest real pay first). “Adjusted pay” = median wage ÷ (state cost-of-living index ÷ 100). Select a state for its full breakdown.
| # | State | Median wage (BLS 2025) | Cost-of-living index | Adjusted (real) pay |
|---|---|---|---|---|
| 1 | North Dakota | $47,430 | 91.4 | $51,893 |
| 2 | Georgia | $45,840 | 92.5 | $49,557 |
| 3 | Minnesota | $46,000 | 94.6 | $48,626 |
| 4 | Illinois | $46,010 | 94.7 | $48,585 |
| 5 | Missouri | $43,120 | 89.0 | $48,449 |
| 6 | Montana | $45,470 | 95.5 | $47,613 |
| 7 | Wisconsin | $46,470 | 97.7 | $47,564 |
| 8 | Delaware | $48,110 | 101.9 | $47,213 |
| 9 | Virginia | $46,340 | 100.8 | $45,972 |
| 10 | Colorado | $47,180 | 102.7 | $45,940 |
| 11 | Kentucky | $42,480 | 92.5 | $45,924 |
| 12 | New Mexico | $42,910 | 93.7 | $45,795 |
| 13 | Nevada | $45,760 | 100.2 | $45,669 |
| 14 | Oklahoma | $39,030 | 86.0 | $45,384 |
| 15 | Pennsylvania | $43,910 | 97.2 | $45,175 |
| 16 | West Virginia | $39,250 | 88.3 | $44,451 |
| 17 | North Carolina | $43,330 | 97.8 | $44,305 |
| 18 | Michigan | $39,860 | 90.1 | $44,240 |
| 19 | Kansas | $39,100 | 88.8 | $44,032 |
| 20 | Oregon | $49,160 | 111.8 | $43,971 |
| 21 | Texas | $40,450 | 92.1 | $43,920 |
| 22 | New Hampshire | $48,660 | 111.4 | $43,680 |
| 23 | Idaho | $43,400 | 99.9 | $43,443 |
| 24 | Indiana | $39,250 | 91.0 | $43,132 |
| 25 | South Dakota | $39,560 | 91.9 | $43,047 |
| 26 | Washington | $48,880 | 114.1 | $42,840 |
| 27 | Nebraska | $39,540 | 92.6 | $42,700 |
| 28 | Tennessee | $38,550 | 90.3 | $42,691 |
| 29 | Iowa | $38,240 | 89.7 | $42,631 |
| 30 | New Jersey | $48,650 | 115.1 | $42,268 |
| 31 | Ohio | $39,770 | 94.3 | $42,174 |
| 32 | Alabama | $37,220 | 88.6 | $42,009 |
| 33 | Rhode Island | $46,380 | 110.6 | $41,935 |
| 34 | Arkansas | $37,450 | 89.6 | $41,797 |
| 35 | Arizona | $46,260 | 110.7 | $41,789 |
| 36 | Mississippi | $36,290 | 87.3 | $41,569 |
| 37 | South Carolina | $39,010 | 94.7 | $41,193 |
| 38 | Wyoming | $38,180 | 93.7 | $40,747 |
| 39 | Connecticut | $45,820 | 112.7 | $40,657 |
| 40 | Vermont | $46,000 | 113.6 | $40,493 |
| 41 | New York | $50,530 | 125.1 | $40,392 |
| 42 | Maine | $45,640 | 113.0 | $40,389 |
| 43 | Utah | $40,630 | 102.2 | $39,755 |
| 44 | California | $56,040 | 142.3 | $39,382 |
| 45 | Florida | $40,230 | 102.2 | $39,364 |
| 46 | Louisiana | $36,120 | 92.3 | $39,133 |
| 47 | Maryland | $43,480 | 115.4 | $37,678 |
| 48 | District of Columbia | $51,980 | 138.8 | $37,450 |
| 49 | Alaska | $45,900 | 124.9 | $36,749 |
| 50 | Massachusetts | $50,170 | 141.2 | $35,531 |
| 51 | Hawaii | $47,750 | 185.0 | $25,811 |
How we calculated this
- Median wages are from the U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025, for Phlebotomists (SOC 31-9097). We use the median (the typical phlebotomist) rather than the mean, which a few very high earners can pull upward.
- Cost-of-living index (U.S. average = 100) is from World Population Review's 2025-2026 Cost of Living Index by State — the same index we use for our medical assistant pay analysis and pharmacy technician pay analysis, so all three occupations are directly comparable.
- Adjusted (real) pay = median wage ÷ (state cost-of-living index ÷ 100). A state with an index of 110 is 10% more expensive than the national average, so a $44,000 wage there has the buying power of about $40,000.
- Figures are rounded and meant for comparison, not as an offer or a guarantee. Individual pay depends on setting (hospital vs. reference lab vs. physician office vs. blood/plasma center), shift differentials, state licensure requirements, certification (CPT, PBT, NCPT, RPT), and experience.
What this means for your next move
Use adjusted pay, not the sticker wage, when you compare offers across states — and then make sure your resume actually earns the top of that range. Phlebotomist hiring rewards the same things this data hints at: documented draw volume and throughput, named EHR and LIS systems (Epic Beaker, Oracle Health/Cerner), certifications stated plainly (CPT, PBT, NCPT, RPT), difficult-draw competencies, and operational impact a hiring manager can scan in seconds.
That's exactly what a Pharm rewrite surfaces. See the early-career and mid-career tracks, or drop your resume for a free 60-second read.
More phlebotomist career resources
Pay data is only part of the picture. These guides cover the credential and positioning moves that push phlebotomists toward the top of the wage band.
- Allied health resume examples
- Early-career healthcare resume track
- Mid-career healthcare resume track
- Compare: medical assistant pay by state
- Compare: pharmacy technician pay by state
Wage data: U.S. Bureau of Labor Statistics, OEWS May 2025, Phlebotomists (SOC 31-9097). Cost-of-living index: World Population Review (2025-2026). Compiled 2026-06-24. Figures are medians for comparison, not an offer or guarantee; individual pay varies by employer, setting, shift, certification, and experience. General career information, not financial advice.
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