Psychiatrist vs Underwriter Salary
Psychiatrists earn approximately 66.0% more than Underwriters nationally — $250,000 vs $85,000.
Psychiatrist vs Underwriter: salary breakdown
On a national-median basis, Psychiatrists out-earn Underwriters by $165,000 per year — a 66.0% gap. That works out to roughly $13,750/month or $79/hour of difference.
Important context: these are MEDIANS — the middle salary in the country. Real-world variation is wide: entry-level roles in either career may pay 25-35% below median, while senior roles or specialized niches can pay 50-100%+ above. Your specific numbers depend on experience, location, employer, and credentials.
When does the salary gap matter most?
For someone choosing between these careers, the $165,000 annual difference compounds:
- Over 10 years: ~$1,650,000 in raw salary difference
- Over 40 years: ~$6,600,000 (without raises or compounding)
- With 3% annual raises: the gap typically grows because the higher-paid role's raises are also larger in dollar terms
- With investment compounding: the $165,000/year extra invested at 7% over 40 years grows to roughly $32,835,000 — significantly more than the raw difference
But salary isn't everything. Job satisfaction, work-life balance, growth potential, and career switching costs all matter. A career you can sustain for decades beats a higher-paying one you'll burn out on.
By state and city — significant variation
National medians are starting points. Real salaries vary 30%+ by location:
- Psychiatrist in California ≈ $295,000 (1.18× national)
- Psychiatrist in Mississippi ≈ $210,000 (0.84× national)
- Underwriter in California ≈ $100,300
- Underwriter in Mississippi ≈ $71,400
Use our Psychiatrist salary by state pages to drill into specific locations.
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Psychiatrist salary by state — Underwriter salary by state — Best cities for Psychiatrist — Best cities for Underwriter — Paycheck Calculator — Investment Calculator.