St. Louis, MO-IL metro area
Highest-Paying Occupations in St. Louis Metro
Source: BLS OEWS, May 2025St. Louis, MO-IL metro area
Figures describe the St. Louis, MO-IL metropolitan statistical area as defined by BLS/OMB — the whole multi-county metro region, not St. Louis 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 (9 such occupations here).
Top 25 of 652 occupations
| # | Occupation | Median annual | Median hourly | Employment |
|---|---|---|---|---|
| 1 | Radiologists | $468,860 | $225.41 | 170 |
| 2 | Psychiatrists | $298,160 | $143.34 | 100 |
| 3 | Emergency Medicine Physicians | $276,550 | $132.96 | 120 |
| 4 | Physicians, All Other | $246,440 | $118.48 | 2,470 |
| 5 | Nurse Anesthetists | $232,300 | $111.68 | 650 |
| 6 | Pediatricians, General | $223,910 | $107.65 | 320 |
| 7 | Dentists, General | $210,430 | $101.17 | 1,250 |
| 8 | Physicians, Pathologists | $207,450 | $99.74 | Not published |
| 9 | Athletes and Sports Competitors | $203,390 | Not published | 320 |
| 10 | Chief Executives | $202,840 | $97.52 | 1,120 |
| 11 | General Internal Medicine Physicians | $199,310 | $95.82 | Not published |
| 12 | Computer and Information Systems Managers | $167,130 | $80.35 | 6,160 |
| 13 | Architectural and Engineering Managers | $162,660 | $78.20 | 1,280 |
| 14 | Natural Sciences Managers | $158,820 | $76.36 | 650 |
| 15 | Financial Managers | $158,780 | $76.34 | 7,190 |
| 16 | Lawyers | $142,690 | $68.60 | 6,100 |
| 17 | Computer and Information Research Scientists | $142,660 | $68.59 | 100 |
| 18 | Pharmacists | $138,530 | $66.60 | 2,910 |
| 19 | Marketing Managers | $137,900 | $66.30 | 3,540 |
| 20 | Physician Assistants | $136,120 | $65.44 | 1,260 |
| 21 | Purchasing Managers | $135,400 | $65.10 | 700 |
| 22 | Optometrists | $135,090 | $64.95 | 340 |
| 23 | Human Resources Managers | $133,880 | $64.36 | 1,940 |
| 24 | Chemical Engineers | $133,450 | $64.16 | 110 |
| 25 | Nurse Midwives | $133,330 | $64.10 | 40 |
The full list of every published occupation here is on the St. Louis 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.