Locum tenens pay rates and market conditions by state. GSA per diem data, licensing requirements, demand levels, and compensation ranges for physicians and APPs across all 50 states.
Nevada is one of the most financially favorable states in the country for locum tenens physicians. No state income tax, a functioning IMLC compact pathway, and concentrated demand in a major metro — Las Vegas — alongside genuine rural frontier need make it worth understanding in detail before you accept or negotiate an assignment here….
Oregon is a high-demand locum market with a regulatory profile that has shifted significantly in the past year. Active IMLC membership, a sweeping non-compete ban for medical licensees effective June 2025, full NP and CRNA practice autonomy, and persistent rural shortages across a large and geographically diverse state create real locum opportunity — particularly outside…
Ohio is a large, accessible locum market with one of the most favorable income tax profiles in the Midwest. A top marginal rate of 3.75%, active IMLC membership, and a corporate practice of medicine doctrine that the Ohio State Medical Board has effectively abolished create a physician-friendly operating environment. The tradeoffs — physician non-competes remain…
Minnesota is a high-demand locum market with a distinctive profile. Long-standing IMLC membership, a non-compete ban that extends to independent contractors, full NP and CRNA practice autonomy, and a deep rural healthcare infrastructure — 77 critical access hospitals across a vast and medically underserved rural landscape — create consistent locum opportunity well beyond the Twin…
Michigan’s locum tenens market got meaningfully better in March 2026. Governor Whitmer signed HB 5455 on March 26, 2026 — Public Act 6 of 2026 — confirming Michigan’s continued participation in the Interstate Medical Licensure Compact in a down-to-the-wire legislative move that preserved the IMLC pathway before a prior sunset-based withdrawal could take effect. Combined…
Colorado is one of the more physician-friendly locum markets in the Rocky Mountain West. Full IMLC membership with SPL eligibility, a near-total non-compete ban now in effect for physicians and APRNs — including a prohibition on liquidated damages and buyout fees — full NP and CRNA practice autonomy, and a flat 4.4% state income tax…
Washington state offers locum tenens physicians a compelling combination: no state income tax on 2026 earnings, full NP and CRNA practice autonomy, strong rural demand across a large and geographically diverse state, and a non-compete landscape heading toward a near-total ban by mid-2027. The tradeoffs are real — no IMLC membership means standard DOH licensing,…
Montana is a frontier locum market with a profile unlike almost any other state in the country. No corporate practice of medicine doctrine, a sweeping new non-compete ban that took effect January 1, 2026, full NP and CRNA practice autonomy, and a vast rural geography with persistent physician shortages combine to create one of the…
Pennsylvania is one of the more physician-friendly locum markets in the country heading into 2026. A flat 3.07% state income tax, full Interstate Medical Licensure Compact membership as of July 2025, and a recently strengthened non-compete law that explicitly protects physicians create a favorable operating environment. Add persistent rural shortages across a large and medically…
New York is one of the largest physician markets in the country, but for locum tenens work it operates differently than almost any other state. High patient volume, dominant health systems, no interstate licensing compact, strict corporate practice rules, and a top marginal tax rate approaching 11% mean that working locum in New York rewards…