The highest paying job in Texas — cardiologist — earns a cool $361,990 a year on average. ... The five highest paying jobs in Texas are: Cardiologists: $361,990. Ophthalmologists (non-pediatric): $337,120. Dermatologists: $321,600. Orthopedic surgeons, (non-pediatric): $314,970. Obstetricians and gynecologists: $292,560. Sep 23, 2022