Personal Services · State Rankings

Best US States for Massage Therapists

All 50 states + DC ranked by Massage Therapist salary. State tax structure noted for take-home math.

Top 10 states by salary
#StateEstimated salaryCost mult.State tax
1Hawaii$60,1001.15×~5% effective
2District of Columbia$55,9001.20×~5% effective
3California$55,2001.18×~5% effective
4New York$54,1001.15×~5% effective
5Alaska$53,5001.13×No state tax
6New Jersey$53,5001.13×~5% effective
7Massachusetts$53,1001.12×~5% effective
8Virginia$53,0001.03×~5% effective
9Nevada$52,7001.02×No state tax
10Connecticut$52,4001.10×~5% effective
All 51 states + DC, ranked
#StateSalaryAfter state tax (rough)
1Hawaii$60,100$44,083
2District of Columbia$55,900$41,003
3California$55,200$40,489
4New York$54,100$39,682
5Alaska$53,500$41,917
6New Jersey$53,500$39,242
7Massachusetts$53,100$38,949
8Virginia$53,000$38,876
9Nevada$52,700$41,290
10Connecticut$52,400$38,435
11Washington$52,400$41,055
12Florida$51,900$40,664
13Minnesota$51,900$38,069
14Maryland$51,700$37,922
15Colorado$50,700$37,188
16New Hampshire$50,700$39,723
17Oregon$50,700$37,188
18Louisiana$50,600$37,115
19Rhode Island$50,000$36,675
20South Carolina$49,100$36,015
21Tennessee$49,100$38,470
22Arizona$49,000$35,942
23Delaware$49,000$35,942
24Illinois$49,000$35,942
25Vermont$48,700$35,721
26Maine$48,000$35,208
27Pennsylvania$48,000$35,208
28Texas$48,000$37,608
29Utah$48,000$35,208
30Georgia$46,900$34,401
31North Carolina$46,900$34,401
32Idaho$46,600$34,181
33Michigan$46,600$34,181
34Montana$46,600$34,181
35Wisconsin$46,600$34,181
36Wyoming$46,600$36,511
37New Mexico$46,300$33,961
38North Dakota$46,300$33,961
39Indiana$45,900$33,668
40Kansas$45,900$33,668
41Nebraska$45,900$33,668
42Ohio$45,900$33,668
43South Dakota$45,900$35,963
44Iowa$45,600$33,448
45Missouri$45,600$33,448
46Alabama$44,900$32,934
47Kentucky$44,900$32,934
48Oklahoma$44,900$32,934
49Arkansas$44,200$32,421
50West Virginia$44,200$32,421
51Mississippi$43,500$31,907
After-state-tax estimate uses federal ~14% + FICA 7.65% + state ~5% (or 0% in no-tax states).

What moves with you and what does not

State lines matter more for Massage Therapist than for most occupations, because the work requires State license required; 500-1,000 hours of approved training. A license is issued by one state and recognized by others only where a reciprocity agreement exists. Before treating any state on this list as reachable, check what its board requires of an out-of-state Massage Therapist — the answer ranges from a form to a full re-examination.

Tax and what the numbers are worth

Income tax reshuffles this ranking. Alaska, Nevada appear in the top ten and levy no state income tax, so the gross figures understate take-home there by roughly 3–6% relative to a taxing state at the same salary. Against a high-tax state, that is worth several thousand dollars a year at this occupation's median of $49,000.

No state funds itself on nothing. The income-tax advantage in these states typically shows up again as higher property or sales tax, which changes the calculation depending on whether you rent, own, and how much you spend.

The spread from Mississippi ($43,500) to Hawaii ($60,100) is 38%. Cost of living explains most of it — a state paying 25% above the national median for this role usually costs proportionally more to live in, which is why cost-adjusted rankings look different from nominal ones.

Where the field is heading

Nationally, Massage Therapist employment is projected to grow strongly — 15% through 2034, with roughly 24,700 openings a year counting replacements. Growth is rarely evenly distributed: states with the industry concentration driving that growth will feel it first, and the ranking above is a reasonable proxy for where.

Salaries are modelled from BLS national medians adjusted for local price level at a wage elasticity below 1 — pay rises with local costs but not proportionally. See our methodology.

Frequently Asked Questions

Which state pays the most for Massage Therapists?
Based on cost-of-living-adjusted estimates, Hawaii pays the most with an estimated median of $60,100/year for Massage Therapists. High-cost states (CA, NY, MA, HI) tend to top the list because employers compensate for local cost of living.
Do no-state-tax states pay better effective?
Often yes after taxes. Alaska, Nevada, Washington, Florida, New Hampshire have no state income tax. A 5% state tax savings on $100K = $5,000 more take-home. But verify cost of living too — Texas pays well and has no tax, but Houston/Austin housing has risen dramatically.
Why do some states pay so much more?
Three factors: (1) cost of living — coastal states cost 15-25% more, employers adjust pay; (2) employer concentration — CA dominates tech, NY finance, MA biotech; (3) regulatory environment — some states have higher unionization or licensing requirements that increase wages.
Are these salaries net or gross?
Gross — before federal income tax (~14% effective at this income), FICA (7.65%), state income tax (varies), and local taxes if applicable. Use our state-specific Paycheck Calculator for exact take-home in any state.
How does experience affect these numbers?
These are medians — entry-level often runs 25-35% below median, senior roles 40-60%+ above. A senior Massage Therapist in Hawaii can easily exceed $90,150, while an entry-level role in a low-cost state might be $30,450.