Medicare Surtax & NIIT Calculator 2026

Calculate the 3.8% Net Investment Income Tax (NIIT) and 0.9% Additional Medicare Tax for 2026. Enter your filing status, MAGI, net investment income, and wages to see exactly what you owe — or how much headroom you have before the surtax kicks in. Based on IRS Form 8960 and IRS Topic 559. Free, private, all calculations run in your browser.

Total 2026 Surtax
$0
NIIT (3.8% — Form 8960)
$0
Additional Medicare Tax (0.9% — Form 8959)
$0
This calculator provides an estimate for planning purposes. Actual NIIT is calculated on IRS Form 8960 and Additional Medicare Tax on Form 8959. Consult a tax professional for filing advice.
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What Is the NIIT and Who Pays It in 2026?

The Net Investment Income Tax (NIIT) is a 3.8% federal surtax introduced by the Affordable Care Act (ACA) in 2013, codified under IRC Section 1411. It applies to individuals, estates, and trusts whose Modified Adjusted Gross Income (MAGI) exceeds a fixed threshold. In 2026, these thresholds remain: $200,000 for single filers and heads of household, $250,000 for married filing jointly, and $125,000 for married filing separately. Critically, these thresholds are not adjusted for inflation — the same dollar amounts have applied since 2013, meaning an ever-growing share of taxpayers faces this tax each year. The NIIT is calculated on IRS Form 8960 and reported on your Form 1040. Source: IRS Topic 559.

NIIT vs Additional Medicare Tax: Understanding Both Surtaxes

High-income taxpayers often owe two separate surtaxes that are frequently confused. The NIIT (3.8%) applies to investment income — dividends, interest, capital gains, passive rental income, and annuities — when your MAGI exceeds the threshold. The Additional Medicare Tax (0.9%) applies to earned income — wages, salaries, tips, and net self-employment income — above the same MAGI thresholds. It is calculated on IRS Form 8959. These two surtaxes are independent: you can owe NIIT but not the 0.9% surtax (if you have investment income but low wages), or vice versa. Most high-income taxpayers who have both wages and investments owe both. The combined maximum exposure is 3.8% + 0.9% = 4.7% in additional tax on top of regular marginal rates. Note: employers withhold 0.45% Medicare surcharge (half of 0.9%), so you may only owe the remaining 0.45% at filing if your employer did not withhold the full amount. Source: IRS Form 8959 Instructions.

What Counts as Net Investment Income?

Net Investment Income (NII) includes: interest income, ordinary dividends, qualified dividends, short-term and long-term capital gains, rental income from passive activities, royalties, passive business income, and taxable annuity payments. It does not include: wages or self-employment income, Social Security benefits, tax-exempt municipal bond interest, qualified distributions from IRAs or 401(k)s, active business income where you materially participate, or gains on the sale of your primary residence that are excluded under IRC Section 121 (up to $250,000 single / $500,000 MFJ). The distinction between passive and active business income is critical — if you are a non-passive partner or materially participating S-corp shareholder, your pass-through income is excluded from NII. Source: IRS Publication 550.

Legal Strategies to Reduce Your NIIT Exposure

There are several IRS-compliant approaches to minimize NIIT liability: (1) Tax-exempt bonds — municipal bond interest is excluded from NII and does not increase MAGI; (2) Tax-deferred accounts — maximizing Traditional IRA and 401(k) contributions reduces MAGI, potentially keeping you below the threshold; (3) Real estate professional status — spending 750+ hours/year and >50% of working time in real estate converts rental income from passive to active, removing it from NII; (4) Installment sales — spreading capital gain recognition across multiple years can keep annual MAGI below the threshold; (5) Tax-loss harvesting — offsetting capital gains with realized losses reduces NII directly. Note that Roth IRA conversions, while tax-efficient long-term, can spike MAGI in the conversion year and trigger NIIT on investment income that would otherwise be below threshold. Last updated May 2026.

Frequently Asked Questions

What is the Net Investment Income Tax (NIIT)?

The Net Investment Income Tax (NIIT) is a 3.8% surtax imposed on the lesser of your net investment income or the amount by which your Modified Adjusted Gross Income (MAGI) exceeds a threshold: $200,000 for single filers, $250,000 for married filing jointly, $125,000 for married filing separately, and $200,000 for head of household. It was enacted by the Affordable Care Act in 2013 and applies to investment income including dividends, interest, capital gains, rental income, and passive income. Source: IRS Form 8960.

Who pays the NIIT in 2026?

In 2026, individuals, estates, and trusts whose MAGI exceeds the applicable threshold owe the 3.8% NIIT. For individuals, the thresholds are $200,000 (single/head of household) and $250,000 (married filing jointly). These thresholds are NOT indexed for inflation, so more taxpayers are subject to the tax each year as incomes rise. If your MAGI is below the threshold, you owe no NIIT regardless of how much investment income you earn.

What counts as Net Investment Income?

Net Investment Income includes: interest, dividends, capital gains (short-term and long-term), rental income from passive activities, royalties, passive business income, and annuity income. It does NOT include wages, self-employment income, Social Security benefits, tax-exempt municipal bond interest, or distributions from IRAs and 401(k)s. Active business income (where you materially participate) is also excluded. Source: IRS Form 8960 instructions.

Can you avoid the NIIT?

There are legal strategies to reduce NIIT exposure: investing in tax-exempt municipal bonds (interest excluded from NII), maximizing contributions to tax-deferred accounts (Traditional IRA, 401k) to lower MAGI, converting passive rental income to active income by qualifying as a real estate professional, tax-loss harvesting to reduce capital gains, and installment sales to spread gain recognition across multiple years. Roth IRA conversions can be counterproductive if done in a year where they push MAGI above the threshold.

Is rental income subject to the NIIT?

Generally yes, if rental activity is passive (you do not materially participate). Net rental income from passive activities is included in Net Investment Income for NIIT purposes. However, if you qualify as a real estate professional under IRC Section 469(c)(7) — spending more than 750 hours per year and more than 50% of your working hours in real estate — your rental income is treated as active income and excluded from NII. Self-rental income may also have different treatment.

Does NIIT affect Roth IRA withdrawals?

No. Qualified distributions from Roth IRAs are not included in gross income and are not subject to NIIT. Similarly, Traditional IRA and 401(k) distributions are not considered Net Investment Income (though they do increase your MAGI, which can push other investment income over the NIIT threshold). This is one reason Roth conversions can be valuable for high-income investors — building a tax-free income source that does not trigger NIIT.