Salary, Contracts & Career
for Physicians
Physician salary by specialty, contract negotiation, locums, moonlighting, and side income, with a source for every figure.
Your income drives every other financial decision, and physicians have more say over it than many realize. How a contract is written, how productivity is measured, and where and how you practice can each move pay by tens of thousands of dollars a year.
These guides cover physician salary by specialty and state, how wRVU-based pay works, the contract terms worth negotiating, locum tenens and side income, and owning a practice. Salary figures name their source survey and year, because surveys measure different groups of physicians and don’t always agree.
Start here
- 1Physician Salary by SpecialtyBenchmark your pay against survey data before you negotiate.
- 2What Is a wRVU?How productivity pay is calculated, in plain English.
- 3Physician Contract NegotiationWhich terms are usually negotiable and how to ask.
- 4Physician Contract Red FlagsTen clauses to never sign as written.
- 5Locum Tenens Salary After TaxesWhat locums really pays once you cover taxes and benefits yourself.
- 6How Much Doctors Take Home After TaxesTurn a gross salary into what reaches your bank account.
Run your own numbers
All career & income guides
Infectious Disease Doctor Salary (2026): What ID Physicians Earn
Infectious disease doctors averaged $337,353 in 2026 (Doximity), up 5.2%. Pay by source and setting, per hour, take-home by state, fellowship ROI and PSLF.
Rheumatologist Salary (2026): What Rheumatologists Earn
Rheumatologists averaged $321,778 in 2026 (Doximity), with pay up 10.4% in a year. Pay by source and setting, wRVU rates, infusions, take-home, fellowship ROI.
Endocrinologist Salary (2026): What Endocrinologists Earn
Endocrinologists averaged $309,782 in 2026 (Doximity), below general internists. Pay by source and setting, per hour, take-home by state, fellowship ROI, PSLF.
Allergist Salary (2026): What Allergists Earn
Allergists averaged $335,978 in 2026 (Doximity), $360,000 median (SalaryDr). Pay by setting and region, hours, take-home and fellowship payback.
Sports Medicine Physician Salary (2026): Non-Surgical vs. Surgeon
Non-surgical sports medicine doctors report a $375,000 median (SalaryDr). Pay vs. orthopedic sports surgeons, fellowship payback by residency, take-home.
Physiatrist Salary (2026): What PM&R Doctors Earn
Physiatrists averaged $376,234 in 2026 (Doximity). PM&R pay by source and setting, wRVU rates, take-home in Texas and California, and fellowship math.
Is a Fellowship Worth It Financially? (2026)
Fellows earn $77,593 to $84,744 in the AAMC's 2025 survey. The attending pay a fellowship gives up, after-tax break-even years and lifetime value for 20 internal medicine and pediatric fellowships, and what fellowship does to PSLF, IBR and RAP.
Nocturnist Salary (2026): Pay, Per-Shift Rates and the Night Premium
What night-shift hospitalists earn: survey and contract data, 2026 postings, per-shift and hourly rates, take-home vs. day hospitalists, locum and 1099 rates, and contract terms.
Pay per wRVU by Specialty (2026): Is Your Rate Low?
Compensation per wRVU ran from $50.52 in pediatrics to $99.97 in hematology/oncology in AMGA's 2026 survey. Public rates by specialty, the rate inside your offer, tiers, and the 2026 CMS efficiency adjustment.
Urgent Care Physician Salary (2026): Hourly Rates, Annual Pay and How It Compares
Urgent care physicians averaged $326,447 in Doximity's 2026 report. Hourly rates in current postings, how shifts turn into annual pay, and urgent care vs. family medicine and emergency medicine.
Going to 0.8 FTE as a Physician: What Happens to Pay, Benefits, Retirement and PSLF (2026)
A 20% cut to 0.8 FTE costs a physician about 18% of take-home pay in 2026. What happens to call, benefits, the retirement match, disability insurance and PSLF, and what to get in writing.
Medicare's Ambulatory Specialty Model (2027): What It Means for Cardiology, Spine and Pain Physician Pay
Medicare's mandatory Ambulatory Specialty Model starts Jan 1, 2027 for 5,556 cardiology, spine and pain physicians: who's in, how it scores, and ±9% in dollars.
OB/GYN Salary Without Surgery (2026): What Office Gynecology Pays
Office gynecology with no surgery or OB pays about $260,000 to $320,000. The wRVU math, hours, malpractice savings, board rules and 10 non-surgical paths.
Nephrologist Salary (2026): What Nephrologists Earn
Nephrologists averaged $385,965 in 2026 (Doximity). Starting pay, dialysis capitation, directorships, joint ventures, hours and take-home in every state.
Pathologist Salary (2026): What Pathologists Earn
Pathologists averaged $410,039 in 2026 (Doximity), up 9.8%. Pay by setting and subspecialty, hours, take-home and how caseload drives pay.
Neurologist Salary (2026): What Neurologists Earn
Neurologists averaged $371,087 in Doximity's 2026 report. Pay by source, how wRVU pay works, settings, fellowships and what to check in an offer.
MGMA Physician Compensation Data (2026)
What MGMA's 2026 report found, what is free and what is paywalled, how it compares with AMGA, SullivanCotter, Doximity and Medscape, and free benchmarks by specialty.
2027 Medicare Physician Fee Schedule Proposed Rule
CMS proposes a 2027 conversion factor of $32.8409, down 1.68%, as the one-year 2.5% increase for 2026 expires. The specialty impact table, the same-day E/M cut, and what the November 2026 final rule changed.
Private Equity Physician Practice Deals On Pace to Fall by Half in 2026: What It Means If You’re Selling, Employed, or Weighing an Offer
Private equity physician practice deals are on pace to drop by half in 2026 as new state CPOM laws hit. What it means if you're selling, employed, or weighing an offer.
Will AI Replace Doctors? The 2026 Financial Reality
Few AI billing codes have national Medicare payment in 2026, and one, CPT 92229, pays for a test with no physician read. The real financial mechanics behind the AI fear.
H-1B Physician Financial Guide: Fees, Rules & Planning
H-1B physicians can moonlight, J-1 physicians can't — and a $100K visa fee is unresolved in Congress right now. The financial planning guide nobody's written.
How Much Do Doctors Actually Take Home After Taxes? (2026): Real Numbers by Salary, Specialty, and State
Doctor take-home pay at $250K, $350K, $500K, and $700K in Texas, Georgia, and California — with 2026 brackets, FICA, and the state tax gap quantified.
You Can't Use an LLC: The California Professional Medical Corporation Guide (2026)
California physicians can't use LLCs — it's an unlicensed medical practice. The complete PMC guide: Moscone-Knox rules, real costs, S-corp math, and the 2026 CPOM law.
Physician Net Worth by Specialty (2026): Full Rankings
Which doctors build the most wealth? 39% of radiologists and orthopedic surgeons are worth $5M+ vs 11% of family physicians. The 2026 rankings and the ownership mechanism behind them.
Physicians Are Getting Paid $100–$250/Hour to Train AI: The Complete Guide to the Medical Annotation Side Gig (2026)
AI labs pay board-certified physicians $100–$250/hour to grade medical AI and write clinical cases. Platforms, real rates, contract risks, and 1099 taxes.
Hospital Bankruptcy: A Physician's Guide (2026)
What happens to your paycheck, 403(b), pension, and tail coverage when your hospital goes bankrupt — with the Steward, St. Clare's, and Hahnemann lessons.
Who Gets Paid for the AI Scribe? The wRVU Arbitrage Nobody Is Negotiating (2026)
Every physician publication has covered AI scribes from the burnout angle. What no one has covered is the compensation angle: the arbitrage between what ambient AI documentation saves and who is entitled to the savings.
Contract Diagnostics vs. Physicians Thrive (2026): An Independent Comparison
What does each service actually include, what does each actually cost, and which one is the right choice for your specific contract.
Direct Primary Care and Concierge Medicine Economics (2026): The Real Panel Size, Overhead, and Break-Even Math
The exact financial model that allows primary care physicians to dramatically reduce their panel size while maintaining or exceeding their traditional fee-for-service income.
Pharma and Biotech Consulting for Physicians (2026): What MSL, Advisory Board, and Expert Network Income Actually Look Like
A deep dive into pharmaceutical consulting: what advisory boards actually pay, why 'MSL' is the wrong search term, and the anti-kickback rules governing every engagement.
Medical Director and CMO Compensation (2026): How Physicians Get Paid for Administrative Time — and the Federal Law That Governs Every Dollar of It
Explore what medical directors and CMOs earn in 2026, the strict liability of the Stark Law, and how fair market value and commercial reasonableness actually work.
How to Negotiate a Physician Signing Bonus (2026): The Money Most Doctors Leave on the Table
A physician signing bonus is usually a forgivable loan. Learn how to negotiate the amount, the repayment terms, and avoid the tax trap.
Otolaryngology (ENT) Salary (2026): How Allergy Testing and Hearing Aids Quietly Built a Second Practice Inside the First
The median otolaryngologist salary in 2026 is $525,000. Learn how allergy testing, audiology, and in-office procedures generate a second practice inside the first.
Hematology/Oncology Salary (2026): Why the Hospital, Not the Oncologist, Keeps the Chemotherapy Margin
The median hematologist/oncologist salary in 2026 is $490,000 to $560,000. Learn how the 340B program and buy-and-bill economics dictate your compensation.
Urologist Salary (2026): How Much Urologists Make and How Urology Compensation Works
The median urologist salary in 2026 is $590,000 on SalaryDr. Starting and hourly pay, pay by setting and state, take-home, ASC ownership, ancillaries and private equity.
Pulmonology and Critical Care Salary (2026): The ICU Shift Model vs. Outpatient Practice
The median pulmonologist salary on SalaryDr is $455,000 per year (86 reports, October 2026) — but that number combines two physician populations whose daily professional lives look almost nothing alike.
Physician Salaries Around the World (2026): How the US Compares to Australia, UK, Canada, UAE, and 6 Other Countries
The average U.S. physician earned $386,000 in 2025, according to Medscape. How that compares with official pay figures, taxes and licensing in 10 other countries.
The 20 Highest-Paying Medical Specialties in 2026 (Ranked by Real Physician Data)
In Doximity's 2026 data, the gap between the highest- and lowest-paid specialties tops $600,000 a year. See the rankings by average pay and by income per hour.
Physician vs. PA vs. NP Salary (2026): The Lifetime Earnings Model That Changes the Comparison
The salary gap between a physician and a PA looks enormous on a single pay stub. But the pay stub comparison is the wrong calculation. Here is the lifetime earnings model that changes the comparison between MD/DO, PA, and NP careers.
Ophthalmology Salary (2026): How Premium IOLs and LASIK Double What Insurance Alone Pays
The median ophthalmologist salary in 2026 is $670,000 per year — but that figure misses the variable that separates ophthalmologists at SalaryDr's 10th percentile ($413,200) from those at the 90th ($950,000).
Gastroenterology Salary (2026): The Endoscopy Center Model That Creates Millionaires
The Doximity 2026 average gastroenterologist salary is $531,345 and SalaryDr's median is $550,000 — but that number conceals the most powerful ancillary income engine in all of non-surgical medicine.
Plastic Surgery Salary (2026): The Cosmetic vs. Reconstructive Gap Nobody Talks About
The median plastic surgeon salary is $740,000 across 74 SalaryDr reports — but that figure blends two career models with almost nothing in common financially.
General Surgery Salary (2026): The Private Practice Premium Most Surgeons Leave Behind
The complete guide to general surgery salary in 2026. Learn what general surgeons actually earn by practice setting, subspecialty, geographic market, and career stage.
Cardiology Salary (2026): Why Interventional Cardiologists Earn $200,000 More
The complete guide to cardiology salary in 2026. Learn what cardiologists actually earn by subspecialty, practice setting, geographic market, and career stage.
Locum Tenens Salary After Taxes (2026): The Real Take-Home and How to Keep More of It
Learn how self-employment taxes, S-Corp elections, and Solo 401(k)s impact locum tenens take-home pay, and calculate the true value of $200/hr.
Physician Side Income (2026): 10 Ways Doctors Earn $50,000+ Outside Clinical Practice
Explore 10 proven ways physicians generate side income outside clinical practice, from expert witness work to pharmaceutical consulting.
Physician Divorce: What Happens to Your Retirement Accounts, Practice, and Net Worth
A financial guide for physicians navigating divorce. Understand what happens to your medical practice, retirement accounts, QDROs, PSLF, and malpractice tail coverage.
A Private Equity Group Wants to Buy Your Practice: What the Numbers Actually Mean
Understand the financial reality of private equity physician practice acquisitions, rollover equity risks, and what you actually keep after the sale.
EHR Costs for Private Practice Physicians (2026): How to Avoid Overpaying by $30,000 a Year
Learn how to avoid overpaying for your EHR by comparing athenahealth, AdvancedMD, Tebra, and others. We break down the true total cost of ownership.
Dermatology Salary (2026): The $625,000 Median and the Cosmetic vs. Medical Split
Break down the $625,000 median dermatology salary (SalaryDr) by medical vs. cosmetic practice, Mohs surgery, and the suburban premium.
Neurosurgery Salary (2026): The Academic vs. Private Practice Gap
Break down SalaryDr's $900,000 median neurosurgery salary (August 2026 snapshot) by subspecialty, practice setting, and years of experience.
Buying a Medical Practice vs. Starting From Scratch: What the 5-Year Numbers Actually Show
Compare the true 5-year financial outcomes, startup capital requirements, and hidden costs of buying an existing medical practice versus starting from scratch.
Trapped by a Physician Non-Compete? Here's How to Get Out (2026)
The 2026 legal landscape for physician non-competes. Learn which states have banned them, how to leverage without-cause terminations, and the 6 steps to getting out.
How Much Do Hospitalists Make Per Shift? (2026 Rate Guide)
A breakdown of every hospitalist pay model by shift — with real per-shift rates, overnight differential math, per-diem structures, and locum tenens rates.
Pediatrician Salary (2026): What Pediatricians Actually Earn
The median pediatrician salary in 2026 is $305,000 — but subspecialty choice, setting, and PSLF transform the financial reality.
Hospitalist Salary (2026): What Hospital Medicine Physicians Actually Earn
The median hospitalist salary on SalaryDr is $345,000 (70 reports, October 2026), and in contract data nocturnist offers average about $49,000 more than other hospitalist offers. Learn what hospitalists actually earn by schedule model, setting, and geography.
Medical Billing and Coding for Physicians: The Complete 2026 Guide
Master the U.S. physician billing system. Learn CPT codes, MDM documentation, E/M levels, modifiers, and revenue cycle management to optimize your practice income.
Physician Burnout and Finances: The Hidden Cost Nobody Quantifies
The total financial cost of physician burnout regularly exceeds $3 million to $5 million in lifetime wealth destruction. Here is the exact calculation and how to protect yourself.
How to Negotiate a Physician Salary: What the Data Says Works in 2026
The complete 2026 framework: market data, exact language, signing bonus strategy, wRVU negotiation, non-compete, and mid-career renegotiation.
What Is a wRVU? A Physician's Plain-English Guide (2026)
Learn exactly what a wRVU is, how it translates to your physician paycheck, 2026 MGMA benchmarks by specialty, and how to negotiate your contract rate.
Medical Practice Partnership Buy-In Guide: What Physicians Need to Know Before Signing (2026)
How practice valuations work, what a fair buy-in costs across specialties, and the critical terms you must evaluate before becoming a partner.
Orthopedic Surgery Salary (2026): What Orthopedic Surgeons Actually Earn — and the ASC Ownership Gap Nobody Talks About
A complete breakdown of orthopedic surgeon salaries in 2026 by setting, subspecialty, and career stage — with the ASC ownership income fully explained and quantified.
OB/GYN Salary (2026): What Obstetricians and Gynecologists Actually Earn
A complete breakdown of OB/GYN salaries in 2026 by practice setting, subspecialty, geography, and how malpractice premiums impact net income.
Psychiatrist Salary (2026): How Much Psychiatrists Make by Setting, Subspecialty and State
What psychiatrists earn in 2026: survey averages, hourly and starting pay, child and adolescent psychiatry, telepsychiatry, cash-pay practice, pay by state and take-home.
Radiology Salary (2026): What Radiologists Actually Earn — By Subspecialty, Setting, and the Teleradiology Factor
A complete breakdown of radiologist salaries in 2026 by subspecialty (IR vs Diagnostic), practice setting, geography, and how teleradiology has changed the market.
SBA Loan vs. Conventional Loan for Medical Practices: Which Is Better in 2026?
A complete guide comparing SBA 7(a) loans versus conventional practice loans for medical practices in 2026, including rates, terms, and the specific scenarios where each loan type is best.
Internal Medicine Salary (2026): General IM vs. Every Fellowship Subspecialty
A complete breakdown of internal medicine salaries in 2026, comparing general IM and hospitalist medicine to every major fellowship subspecialty.
Anesthesiologist Salary (2026): Average, Starting and Hourly Pay
What anesthesiologists earn in 2026: average, starting and hourly pay, pay by setting, subspecialty and state, take-home pay, and how it compares with CRNAs and anesthesiologist assistants.
Physician Salary by State (2026): Which States Pay Doctors the Most
Discover the top-paying states for physicians in 2026, including data on state income taxes, cost of living, rural premiums, and what actually determines your take-home pay.
Emergency Medicine Physician Salary (2026): Hourly Rates, Shift Pay, and What CMG Employment Does to Your Income
The median emergency medicine physician salary in 2026 is $398,990 (SalaryDr) — but employer type is the single biggest driver of EM income. Learn hourly rates, CMG vs. independent group economics, and where EM pays the most.
Family Physician Salary (2026): What Family Medicine Doctors Earn
What family physicians earn in 2026: average, median and hourly pay, starting salary, pay by setting and state, take-home pay, and practice ownership and DPC.
What Is a Good Salary for a Physician in 2026?
Benchmark your income correctly using real data broken down by specialty, career stage, and geography.
Medical Practice Business Plan Guide (2026)
The complete guide to writing a business plan that healthcare lenders expect. Master your projections, market analysis, and DSCR for loan approval.
Physician Contract Negotiation: The Complete 2026 Guide to Getting What You're Worth
Learn how to negotiate your physician employment contract. Covers leverage, preparation, 15 key terms to negotiate, scripts that work, and costly mistakes to avoid.
The Attending Playbook
Your first year as an attending determines your financial future. Navigate it correctly.
2026 Medicare Reimbursement Updates
Key changes to the Physician Fee Schedule, Part B premiums, and telehealth rules.
Physician Salary by Specialty (2026)
What physicians earn in every specialty, from Doximity's and Medscape's 2026 reports and SalaryDr, with after-tax pay in Texas and California.
Physician Contract Red Flags (2026): 10 Clauses to Catch in the First Draft
Ten clauses to catch in a first-draft physician employment contract, with the sample language, what each costs you, and the terms to ask for instead.