Top Paying Jobs in Roanoke, VA (2026)
Roanoke, VA has 130 jobs across diverse industries. The highest-paying occupations include Chief Executives ($230,320), Family Medicine Physicians ($206,970), Dentists, General ($168,820). The cost of living index is 93.62 (national average = 100). Median 2-bedroom rent is $1,254/month.
$134K
Avg. median salary
93.62
Cost of living index
$1,254
Median 2BR rent
N/A
Population
Highest paying careers in Roanoke
| Rank | Occupation | Category | Median salary | Hourly |
|---|---|---|---|---|
| 1 | Chief Executives | Management | $230K | $110.73/hr |
| 2 | Family Medicine Physicians | Healthcare | $207K | $99.51/hr |
| 3 | Dentists, General | Healthcare | $169K | $81.16/hr |
| 4 | Computer and Information Systems Managers | Management | $159K | $76.53/hr |
| 5 | Financial Managers | Management | $146K | $70.29/hr |
| 6 | Pharmacists | Healthcare | $135K | $65.07/hr |
| 7 | Architectural and Engineering Managers | Management | $134K | $64.56/hr |
| 8 | Marketing Managers | Management | $134K | $64.52/hr |
| 9 | Public Relations Managers | Management | $134K | $64.27/hr |
| 10 | Physician Assistants | Healthcare | $130K | $62.38/hr |
| 11 | Database Architects | Technology | $128K | $61.7/hr |
| 12 | Sales Managers | Management | $128K | $61.53/hr |
| 13 | Lawyers | Legal | $127K | $61.19/hr |
| 14 | Human Resources Managers | Management | $124K | $59.65/hr |
| 15 | Psychologists, All Other | Science | $123K | $58.95/hr |
| 16 | Administrative Law Judges, Adjudicators, and Hearing Officers | Legal | $122K | $58.83/hr |
| 17 | Managers, All Other | Management | $122K | $58.74/hr |
| 18 | Nurse Practitioners | Healthcare | $122K | $58.67/hr |
| 19 | Medical and Health Services Managers | Management | $120K | $57.7/hr |
| 20 | Purchasing Managers | Management | $115K | $55.33/hr |
| 21 | Optometrists | Healthcare | $113K | $54.34/hr |
| 22 | Elevator and Escalator Installers and Repairers | Construction & Trades | $112K | $53.77/hr |
| 23 | Industrial Production Managers | Management | $110K | $53.08/hr |
| 24 | Detectives and Criminal Investigators | Public Safety | $107K | $51.35/hr |
| 25 | Natural Sciences Managers | Management | $107K | $51.32/hr |
Affordability snapshot: Roanoke
Cost of living vs. national average-6.4% less expensive
Studio apartment (FMR)$/mo
1-bedroom apartment (FMR)$/mo
2-bedroom apartment (FMR)$1,254/mo
3-bedroom apartment (FMR)$/mo
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After federal and state taxes