Salary data is based on the Sioux Falls, SD-MN metropolitan area and applied to Sioux Falls using local cost-of-living adjustments.

Pediatricians Salaries in Sioux Falls, SD

Average Base Pay

$173,953/yr

9% below national average

Monthly

$14,496

Hourly

$84

Cost Index

Pediatricians in Sioux Falls, SD earn an average of $173,953 per year, with most salaries falling between $139,162 and $208,744 depending on experience, employer, and specialization. At 9% below the national average, Sioux Falls offers a more modest rate for this role, in part reflecting a local cost of living index of 78. For professionals evaluating a move or negotiating an offer, the headline salary is only part of the picture—what matters most is how far that income actually goes once taxes, rent, and daily expenses are factored in. The sections below break that down in full for Sioux Falls.

Salary Range

The chart below shows the full compensation spectrum for this role, from entry-level to senior positions. The highlighted center bars represent the 25th–75th percentile band where most professionals are paid.

$130K
Low

$174K
Median

$217K
High

25th percentile: $148K75th percentile: $200K

About Pediatricians

Physicians diagnose and treat illnesses, injuries, and medical conditions across a wide range of specialties. General practitioners and family medicine physicians manage undifferentiated health problems and chronic conditions for patients of all ages, serving as the primary point of care and coordinating specialist referrals. Internists focus on adult medicine and often subspecialize in areas such as cardiology, gastroenterology, oncology, or pulmonology. Surgeons perform operative procedures to treat conditions ranging from appendicitis and cancer to orthopedic injuries and heart disease. Psychiatrists diagnose and treat mental health conditions using medication management and psychotherapy. Emergency physicians manage acute and life-threatening conditions in high-acuity settings. Pediatricians care for infants, children, and adolescents. Pathologists diagnose disease through laboratory analysis of tissue, blood, and other specimens. Radiologists interpret medical imaging studies. The educational pathway requires four years of medical school following a bachelor's degree, three to seven years of residency training, and often additional fellowship training in a subspecialty. Physicians are licensed by state medical boards and must maintain board certification through continuous medical education and periodic examinations.

What Pediatricians Do

Obtain patient history and perform physical examinations
Diagnose conditions based on clinical findings and diagnostic test results
Develop and implement individualized treatment plans
Prescribe medications and therapies
Order and interpret diagnostic tests including laboratory studies and imaging
Perform procedures appropriate to specialty
Coordinate care with specialists, nurses, and allied health professionals
Maintain accurate medical records and complete documentation

Key Skills & Qualifications

Clinical assessment and diagnostic reasoning
Medical knowledge across pathophysiology, pharmacology, and treatment
Procedure-specific technical skills relevant to specialty
Patient communication and shared decision-making
Interpretation of laboratory and radiographic data
Electronic health record documentation
MD or DO degree, residency completion, and board certification
Medical licensure in state(s) of practice

Career Path

Medical Student
Resident Physician
Attending Physician
Subspecialty Fellow
Department Chief / Medical Director

Pediatricians Market in Sioux Falls, SD

Salary Competitiveness

Sioux Falls currently pays 9% below the national median for Pediatricians. This gap can reflect a lower regional cost base, thinner employer density, or a surplus of qualified candidates relative to open roles—factors worth factoring into any offer negotiation or relocation calculation.

Cost of Living Impact

Sioux Falls's cost of living runs below the national average, which works in favor of this salary. Essential monthly expenses account for approximately 20% of take-home pay—a ratio that leaves meaningful room for savings, debt reduction, and discretionary spending compared with higher-cost metros.

Effective Purchasing Power

After adjusting for local taxes and cost of living, a Pediatricians earning $173,953 in Sioux Falls reaches a strong purchasing-power position. The effective standard of living this income supports is materially higher than the gross number alone implies—a useful data point for professionals comparing offers across metro areas.

vs. National Avg

-9%

Cost Pressure

20%

Purchasing Power

Strong

Take-Home Pay Calculator

Enter any gross salary to see how federal and state taxes affect your actual take-home pay, broken down by year, month, and week. Results use an estimated effective tax rate of 27% based on this location and income level.

Annual Salary

Take-home (73%)Taxes (27%)

Annual Net

$126,986

Monthly

$10,582

Weekly

$2,442

Eff. Tax Rate

27%

A gross salary of $173,953 for a Pediatricians in Sioux Falls translates to roughly $10,582 in monthly take-home pay after estimated federal and state taxes. Set against monthly living costs of $2,095—covering housing, food, transportation, utilities, and healthcare—that leaves approximately $8,487 per month in disposable income. That margin, not the gross number, is what determines whether you can comfortably cover rent, build savings, and afford discretionary spending in Sioux Falls's current market.

How far does this salary go in Sioux Falls?

Cost of Living in Sioux Falls

Estimated monthly expenses for a single person in Sioux Falls, benchmarked against US regional price indices for housing, food, transportation, utilities, and healthcare.

Cost Index

Below Avg — US average is 100. Based on a single person (1-bed apartment).

🏠Housing / Rent$1,120/mo

🍔Food & Groceries$435/mo

🚗Transportation$115/mo

💡Utilities$150/mo

🏥Healthcare$275/mo

Monthly$2,095

Annual$25,140

Disposable Income$8,487

Financial Reality Check

This section compares estimated monthly take-home pay against typical living costs in Sioux Falls to show your real disposable income—the amount remaining after essential bills are paid each month.

Monthly Take-Home

$10,582

Living Costs

$2,095

Disposable

$8,487

Cost Index

Lifestyle

Comfortable

With a monthly take-home of $10,582, your estimated living costs in Sioux Falls are $2,095 ($25,140/yr). This leaves $8,487 per month in disposable income, indicating a comfortable standard of living. Sioux Falls's cost of living is 22% below the national average.

Overall, a Pediatricians earning $173,953 in Sioux Falls falls into a comfortable lifestyle tier and has meaningful room to save, invest, and absorb unexpected expenses without financial stress. With a cost index of 78, Sioux Falls is 22% more affordable than the national average, which extends your purchasing power. Regardless of tier, prioritizing retirement contributions, an emergency fund of three to six months' expenses, and incremental debt reduction will yield the greatest long-term financial stability—especially as living costs in Sioux Falls continue to evolve.