Top Paying Jobs in Rochester, NY (2026)
Rochester, NY has 420 jobs across diverse industries. The highest-paying occupations include Physicians, All Other ($237,660), Family Medicine Physicians ($215,210), Obstetricians and Gynecologists ($202,240). The cost of living index is 97.03 (national average = 100). Median 2-bedroom rent is $1,573/month.
$158K
Avg. median salary
97.03
Cost of living index
$1,573
Median 2BR rent
N/A
Population
Highest paying careers in Rochester
| Rank | Occupation | Category | Median salary | Hourly |
|---|---|---|---|---|
| 1 | Physicians, All Other | Healthcare | $238K | $114.26/hr |
| 2 | Family Medicine Physicians | Healthcare | $215K | $103.47/hr |
| 3 | Obstetricians and Gynecologists | Healthcare | $202K | $97.23/hr |
| 4 | Chief Executives | Management | $185K | $89.08/hr |
| 5 | Psychiatrists | Healthcare | $182K | $87.63/hr |
| 6 | Judges, Magistrate Judges, and Magistrates | Legal | $171K | $81.98/hr |
| 7 | Sales Managers | Management | $165K | $79.32/hr |
| 8 | Computer and Information Systems Managers | Management | $163K | $78.32/hr |
| 9 | Marketing Managers | Management | $160K | $76.8/hr |
| 10 | Architectural and Engineering Managers | Management | $160K | $76.78/hr |
| 11 | Dentists, General | Healthcare | $160K | $76.77/hr |
| 12 | Financial Managers | Management | $157K | $75.38/hr |
| 13 | Purchasing Managers | Management | $146K | $70.41/hr |
| 14 | Public Relations Managers | Management | $144K | $69.02/hr |
| 15 | Sales Representatives, Wholesale and Manufacturing, Technical and Scientific Products | Sales | $143K | $68.55/hr |
| 16 | Optometrists | Healthcare | $140K | $67.3/hr |
| 17 | Compensation and Benefits Managers | Management | $138K | $66.47/hr |
| 18 | Human Resources Managers | Management | $138K | $66.44/hr |
| 19 | Lawyers | Legal | $138K | $66.35/hr |
| 20 | Fundraising Managers | Management | $136K | $65.19/hr |
| 21 | Commercial Pilots | Transportation | $135K | $/hr |
| 22 | Pharmacists | Healthcare | $133K | $64.07/hr |
| 23 | Training and Development Managers | Management | $133K | $64.07/hr |
| 24 | Chemical Engineers | Engineering | $132K | $63.69/hr |
| 25 | Education Administrators, Postsecondary | Management | $132K | $63.54/hr |
Affordability snapshot: Rochester
Cost of living vs. national average-3.0% less expensive
Studio apartment (FMR)$/mo
1-bedroom apartment (FMR)$/mo
2-bedroom apartment (FMR)$1,573/mo
3-bedroom apartment (FMR)$/mo
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After federal and state taxes