Am I paid fairly? How to compare physician pay
Compare yourself with doctors in your specialty, at your stage of career, in your part of the country. An average for all doctors puts general pediatricians and cardiologists in one number, when cardiologists' mean pay is almost twice as high, so it says little about you.
Check what a figure counts before you hold your own pay up against it. The public figures below come from the Bureau of Labor Statistics, the same survey Compare your pay uses.
Why doesn't the average for all doctors help?
Because pay depends so much on the specialty. Here is the national mean for salaried physicians in six fields, from the Bureau of Labor Statistics.
| Specialty | Mean annual wage |
|---|---|
| Cardiology | $432,490 |
| Orthopedic surgery | $365,060 |
| Dermatology | $347,810 |
| Anesthesiology | $336,640 |
| Family medicine | $256,830 |
| Pediatrics, general | $222,340 |
Salaried cardiologists earn almost twice what general pediatricians do, on average. An average across all doctors lands somewhere in between and describes neither.
What do the BLS figures count?
The Bureau of Labor Statistics surveys employers about the people on their payroll. That makes its figures consistent from state to state and year to year, and it publishes them by specialty, state and metro area. Knowing what they count tells you how to read them against your own pay:
- They cover employees paid a wage or salary, part time as well as full time.
- They don't cover the self-employed, or owners and partners in unincorporated practices, so partners in private practice aren't in them.
- They include base pay and production bonuses, but not year-end or other non-production bonuses, or benefits such as a retirement match.
- They don't record experience, so a first-year attending and a 20-year veteran sit in the same figures.
For many specialists, BLS shows the median only as a floor, so these figures are means: the one number it publishes for every specialty.
A figure isn't a target, and it doesn't tell you what you should be paid. It's a reference point, and the closer the comparison group is to you, the more it says.
Why does where I live change the answer?
The same salary buys more in some states than others. The Bureau of Economic Analysis measures price levels by state against a national level of 100. In 2024, California was highest at 110.7, followed by Hawaii at 110.0 and New Jersey at 108.8. Arkansas was lowest at 86.9, with Mississippi at 87.0.
So a lower offer in a lower-cost state can leave you with as much to spend and save as a higher one somewhere expensive. Pay itself also varies by state, which a national figure hides.
Can I see where my own pay sits?
Compare your pay places an income you enter among doctors in your specialty, at your career stage, in your state. It shows a map of the states shaded by cost of living, and a preview of a fuller score in the app.
It compares income only. It's an estimate from published data, not advice, and not a verdict on your job.
What if my pay looks low?
Treat it as a question, not a verdict. Before you decide you're underpaid, check what you're comparing:
- Is a bonus, call pay or a retirement contribution missing from your number but counted in the other?
- Are you comparing a fixed first-year salary with doctors who are years into a productivity contract?
- Is there a partnership track that changes your pay in a few years?
- Does the cost of living where you work make the gap smaller than it looks?
If the gap is still there, it's worth raising at your next contract renewal, with the figures and their sources in hand. For what to ask before you sign, see Joining a hospital or group: what should I ask before I sign?
Questions to ask about an offer or your current pay
- What is the base salary, and for how long is it fixed?
- How is any productivity bonus worked out, what's the target, and when is it paid?
- Is call paid separately, and at what rate?
- What does the employer put into retirement, and how long until it vests?
- Is there a partnership track? When, at what buy-in, and what do partners earn?
- Which salary survey did you use to set this offer, and which percentile is it at?
alooola.com/guides/physician-pay/
- U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, national mean annual wage for cardiologists (SOC 29-1212), orthopedic surgeons except pediatric (29-1242), dermatologists (29-1213), anesthesiologists (29-1211), family medicine physicians (29-1215) and general pediatricians (29-1221): archived April 2, 2025 release, Table 1.
- U.S. Bureau of Labor Statistics, OEWS frequently asked questions (what the wage figures include and who is covered).
- U.S. Bureau of Economic Analysis, Regional Price Parities by State and Metro Area, 2024 data released Feb 19, 2026; page last modified Apr 6, 2026.
General information, not advice for your situation. Rules and figures change; each source is dated.
Talk it through with an advisor.
- Pick a time that suits you, by video or phone.
- Bring the question and whatever documents you have to hand.
- Leave with a clear next step. What you do with it is up to you.