How Much Doctors Make (By Specialty, Location, and More)

Average Salary

The average doctor’s salary is $363,000/year, with primary care physicians earning around $277,000 and specialists making roughly $394,000. These figures apply to attending physicians, not residents.

There are no official numbers differentiating the salaries of doctors with an MD vs. a DO, but most DO physicians work in primary care, meaning their average annual salary would fall more in that range (unless they specialize).

U.S. doctors tend to make more on average than their counterparts in other areas of the world.

These figures are averages that do not reflect experience level or a doctor’s location, both of which can massively change actual salary payouts. Specialists typically earn more than generalists, and MD physicians are more likely to specialize. Also, higher cost-of-living locations yield higher salaries.

How much does a doctor make per hour? According to national averages, doctors earn anywhere from $50-$200 per hour if you break their salaries down in that way. However, doctors are almost never paid by the hour in the U.S., partly based on the way they work and services they provide.

Salary by Speciality (Compensation Table)

Below is a handy list of average physician salaries in 2025, listed alphabetically. Note: Many surgeries are the highest-paid doctor specialties, while pediatrics and primary care physicians tend to be the lowest-paid specialties.

Related Reading: Least Stressful Specialties

These average annual income figures were pulled from Doximity’s most recent income report (2024).

Intraspecialty Variations in Physician Salaries

“Intra-specialty salary range variations” refers to the differences in salaries between doctors within the same specialization.

Variations in pay between same-specialty doctors vary widely from 10th percentile earners to 90th percentile earners. Surprisingly, the income differences within any given specialty tend to be greater than the income differences from one specialty to another.

One reason intra-specialty incomes can vary is due to sub-specialties. For example, on average, a non-invasive cardiologist makes $539,000 a year, while an electrophysiologist earns $672,000 a year.

Another reason for this disparity may be years of experience. For example, some sources report that entry-level dermatologists make around $300,000, while experienced dermatologists may make over $500,000 — possibly over $1 million in top percentile cases.

Location Matters

The cost of living in your location impacts how much you make, as well as how much you have to spend. Urban areas like LA and NYC are more expensive to live in than rural or suburban areas, but urban centers also tend to offer higher salaries.

Below, we detail which cities doctors make the most and the least.

U.S. Cities Where Doctors Make The Most

Here are the U.S. metro areas with the highest average physician compensation, according to Doximity’s Physician Compensation Report:

1. San Jose, California — $474,977
2. Los Angeles, California — $448,121
3. St. Louis, Missouri — $442,576
4. Sacramento, California — $440,004
5. Minneapolis, Minnesota — $438,756
6. San Francisco, California — $437,628
7. Phoenix, Arizona — $436,837
8. San Diego, California — $430,187
9. Charlotte, North Carolina — $429,566
10. Las Vegas, Nevada — $426,727

Adjusted for a city’s cost of living, the list changes. Notice California goes from 50% of the list to 0%. Here are the best cities with the highest physician salaries, adjusted for cost of living: 

1. St. Louis, Missouri
2. Louisville, Kentucky
3. Oklahoma City, Oklahoma
4. Memphis, Tennessee
5. Charlotte, North Carolina
6. Las Vegas, Nevada
7. Indianapolis, Indiana
8. Milwaukee, Wisconsin
9. Jacksonville, Florida
10. New Orleans, Louisiana

U.S. Cities Where Doctors Make The Least

Below are the rankings for the metro areas with the lowest compensation:

• San Antonio, Texas — $371,073
• Denver, Colorado — $371,215
• Washington, D.C. — $371,495
• Boston, Massachusetts — $378,273
• Nashville, Tennessee — $380,533
• Baltimore, Maryland — $382,837
• Philadelphia, Pennsylvania — $387,254
• Providence, Rhode Island — $390,096
• Virginia Beach, Virginia — $390,604
• Birmingham, Alabama — $391,290

But living on the coasts (and Denver) is expensive. Here is the list of cities by lowest physician salary, adjusted for cost of living:

• Washington, D.C.
• Boston, Massachusetts
• Denver, Colorado
• Seattle, Washington
• New York, New York
• Portland, Oregon
• San Francisco, California
• Baltimore, Maryland
• Providence, Rhode Island
• San Diego, California

The Gender Pay Gap in Medicine

The latest Doximity report revealed a slight decrease in the gender pay gap for physicians. Women earn an average of 17%-26% less than their male counterparts — $2 million less over their career lifetime than men.

The Medscape Physician Compensation Report has shown that the specialties with the most significant gender pay gaps include:

• Otolaryngology
• Allergy and Immunology
• Orthopedic Surgery
• Urology
• Ophthalmology

Specialties with the least gender wage inequality include:

• Nuclear Medicine
• Pediatrics
• Hematology
• Colorectal Surgery
• Emergency Medicine

AAMC Faculty Salary Survey confirms that the gender wage gap is the main factor in wage disparities, but also sheds light on race and ethnicity salary gaps in medicine. White men had a higher median salary than men of other races and ethnicities.

A 2024 study found that Asian men, Asian women, Black women, and white women are more likely to enter academic medicine but less likely to be promoted than white men.

Other Factors That Impact Earnings

Below are the significant factors that affect physician salary:

• Ownership: When you’re a partner in your practice, your physician income can be much higher. But the tradeoff is all the risks and costs of running your own business.
• Performance: This may be very obvious, but how well you do your job impacts your income potential, just like any career. Better patient outcomes, more satisfactory reviews, and fewer malpractice cases equate to higher income.
• Inflation: Doctors are not immune to rising costs. Patients, governments, and employers race to make cuts. About 44% of physicians pursue a side gig, putting a strain on our healthcare workers and accelerating burnout.
• School Debt: This factor is another tradeoff. You may spend more on a high-quality medical school or pre-med degree. However, success at prestigious institutions may also increase your likelihood of landing a high-end entry-level doctor’s salary.
• Reimbursements: In recent years, Medicare, Medicaid, and the Affordable Care Act have not adjusted their reimbursements for inflation or other factors. Unless a doctor sees more patients or spends less time with each one, this lack of adjustment typically leads to a pay decrease. Explore the Physician Fee Schedules on the CMS Services website.
• Location: As discussed above, the cost of living in your local area determines each provider’s salary and patient fees. A place with a lower cost of living means a lower wage and a lower cost of eating, transportation, and real estate; so it may be worth the pay cut you see on paper.
• Specialty: As you can see from earlier in this article, your chosen specialty significantly impacts your future income potential.
• Years of experience: As mentioned earlier, how long you have worked in a specialty impacts your salary. The longer you practice and develop clients and your reputation, the higher your salary will be.

Read Next: Is a 3-Year Medical School Right for You?

6 Reasons Why Money Isn’t Everything

While salary is an essential factor, there are other considerations as you make your medical journey toward becoming a physician. Doctors need a work-life balance, too.

Below are key aspects to consider when selecting a specialty that will impact your work-life balance, from when your career starts as an intern to your life as an attending physician.

Medical Training Requirements

Specific residencies, such as pediatrics (a lower-salary specialty), only require a three-year residency. Other specialties, such as neurosurgery (a top-paying specialty), require a seven-year training program.

During residency, you’ll work long hours and days, committing many of your prime years to medical education on a resident’s salary (which is significantly less than a practicing physician’s salary). Consider the costs and benefits of longer or shorter residencies.

Competitiveness of Medical Specialties

Fill ratios are used to determine the number of applicants per position available. The closer that ratio is to 1, the closer there is to 1 spot for every applicant. The further you deviate upwards from that number, the harder it is to land a spot.

Take interventional radiology as an example. There are 1.86 applicants for every 1 position available, and only 136 openings are available per year. In contrast, anesthesiology has 1.09 applicants for each position open and 1,804 openings per year.

Do you have the grades, experience, and MCAT score to be a competitive applicant? Find out your odds of getting into your preferred medical school with our Free Medical School Chance Predictor.

Your Patience for Patients

Most physicians practice some form of clinical medicine. A lot of that time is spent seeing and charting patients. You often think about patient cases after you leave work, impacting your work-life balance.

There is also the consideration of being “on-call.” A specialty like dermatology is largely outpatient-based without much on-call activity. However, specialties like cardiology may be tied to the hospital and demand regular “on-call” hours. Consider whether you want to think about patients and always wear a pager.

The Job Site

Medical practice environments differ. There are excellent, cozy office settings in rural clinics and busy hospitals in major medical centers.

Medical doctors working in critical care units, endocrinology, internal medicine, oncology, or infectious diseases will often be in a higher-stress position. Medical doctors who work in private practice, psychiatry, or orthopedics will usually feel less stressed.

Ask yourself: Would you rather work full-time in a high-stress operating room or a quiet exam room?

Academic Interest

Solid academic pursuits in research will impact the number of publications, presentations, conferences, and research you do throughout your career. Do you want a career in academic medicine or healthcare research, instead of other less academia-centric specialties?

Figure out if academic or research work excites you as much as patient work.

Keep Your Finances in Check

Many applicants have undergraduate debt and medical school debt. They may be deferring that debt while they’re still studying. The salaries you earn in residency generally range between $50,000-$75,000. (Average resident salary is around $64,000.)

Residency takes a lot of years to make a relatively small amount of money (for a physician) while simultaneously having so much debt to pay back. However, specialties with longer residencies tend to also be the highest-paying once you’re an attending physician. Think about whether you’d rather defer your earnings to pursue a high-paying specialty or whether you’d rather make a reasonable income sooner by choosing a shorter residency.

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