Where to travel based on pay, demand, taxes, and lifestyle.
Pay varies by location, setting, and urgency. These states consistently offer the highest total packages:
California — highest pay packages in the country, especially Bay Area and Southern California. But high cost of living and 13.3% top state tax rate. Best for: maximizing gross pay if your tax home is in a no-tax state.
New York — strong pay especially in NYC and surrounding areas. NYC adds city income tax on top of state tax. Upstate NY offers good pay without city tax.
Massachusetts — consistently high pay packages, strong hospital systems. Moderate state tax.
Connecticut, New Jersey — high pay, proximity to NYC metro demand. Moderate-to-high state taxes.
For state-by-state salary data, visit TravelTherapySalary.com.
These states let you keep more of your paycheck — no state income tax withheld:
Texas and Florida are the most popular for travel therapists — strong demand, no state tax, reasonable cost of living, and they're both PT/OT Compact states. Full tax guide at TravelTherapyTax.com.
Texas — massive state, many facilities, consistent demand year-round. California — high demand driven by large population and staffing shortages. Florida — large retiree population drives SNF/home health demand. Ohio, Pennsylvania, Illinois — aging populations, many healthcare systems.
Some travelers prioritize experience over pay. Popular lifestyle assignments include: Colorado (skiing, hiking, Denver food scene), Hawaii (once-in-a-lifetime, lower pay), Oregon/Washington (Pacific Northwest outdoors), Arizona (winter assignments, desert beauty), Carolinas (beaches, mountains, affordability).
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