Roanoke, VA metro area
Highest-Paying Occupations in Roanoke Metro
Source: BLS OEWS, May 2025Roanoke, VA metro area
Figures describe the Roanoke, VA metropolitan statistical area as defined by BLS/OMB — the whole multi-county metro region, not Roanoke city limits. Occupations are ranked by published median annual wage; occupations where BLS suppressed the annual median or publishes only hourly wages are not ranked (3 such occupations here).
Top 25 of 388 occupations
| # | Occupation | Median annual | Median hourly | Employment |
|---|---|---|---|---|
| 1 | Anesthesiologists | $488,310 | $234.77 | Not published |
| 2 | Obstetricians and Gynecologists | $346,900 | $166.78 | 70 |
| 3 | Psychiatrists | $295,010 | $141.83 | 70 |
| 4 | Chief Executives | $258,310 | $124.19 | 100 |
| 5 | Cardiologists | $239,200 or more | $115.00 or more | 60 |
| 6 | General Internal Medicine Physicians | $227,320 | $109.29 | 90 |
| 7 | Family Medicine Physicians | $224,410 | $107.89 | 230 |
| 8 | Pediatricians, General | $219,960 | $105.75 | 70 |
| 9 | Marketing Managers | $165,000 | $79.33 | 160 |
| 10 | Computer and Information Systems Managers | $164,910 | $79.28 | 270 |
| 11 | Financial Managers | $158,030 | $75.97 | 490 |
| 12 | Optometrists | $144,900 | $69.66 | 40 |
| 13 | Architectural and Engineering Managers | $139,170 | $66.91 | 140 |
| 14 | Sales Managers | $138,380 | $66.53 | 250 |
| 15 | Human Resources Managers | $137,510 | $66.11 | 160 |
| 16 | Physician Assistants | $135,940 | $65.36 | 360 |
| 17 | Nurse Practitioners | $134,920 | $64.87 | 440 |
| 18 | Lawyers | $134,440 | $64.63 | 480 |
| 19 | Public Relations Managers | $134,320 | $64.58 | 40 |
| 20 | Pharmacists | $133,980 | $64.41 | 360 |
| 21 | Managers, All Other | $133,010 | $63.95 | 260 |
| 22 | Medical and Health Services Managers | $128,800 | $61.92 | 580 |
| 23 | Psychologists, All Other | $128,590 | $61.82 | 60 |
| 24 | Administrative Law Judges, Adjudicators, and Hearing Officers | $126,440 | $60.79 | 50 |
| 25 | Elevator and Escalator Installers and Repairers | $125,680 | $60.42 | 30 |
The full list of every published occupation here is on the Roanoke metro area overview.
About this data. Estimates are from the U.S. Bureau of Labor Statistics Occupational Employment and Wage Statistics program, May 2025 release, retrieved from bls.gov/oes/tables.htm on July 24, 2026. OEWS estimates describe metropolitan/nonmetropolitan areas and states — not city limits — and are not designed for year-over-year comparisons. See BLS methodology, our plain-English methodology, and sources. CitySalaryData is independent and not affiliated with BLS.