US Physician Salary 2023: Medians by Specialty, Geography & Experience

Medscape 2023 / BLS May 2022 data:

Overall

  • Median: $352,000 (Medscape) / $208,000 (BLS — includes residents, part-time, all specialties).
  • Range: $200K (pediatrics) → $750K+ (neurosurgery, orthopedic surgery, plastic surgery, cardiology).

By Specialty (Medscape 2023 Mean)

HighestMeanLowestMean
Plastic Surgery$619KPediatrics$244K
Orthopedics$573KFamily Medicine$255K
Cardiology$507KPublic Health/Preventive$249K
Urology$500KDiabetes/Endocrinology$257K
Gastroenterology$487KInfectious Disease$260K

Geographic Multipliers

  • Highest: North Central ($370K), Southeast ($360K) — lower cost of living, high demand.
  • Lowest: Northeast ($330K), Northwest ($320K) — saturated markets, academic centers.
  • Rural > Urban (by 10–15%) due to shortages + incentives.

Other Drivers

  • Experience: 0–5 yr: $250K; 10–20 yr: $350K; 20+ yr: $400K+.
  • Employer: Hospital-employed > private practice (overhead 50–60%); academic < community.
  • Ownership: Partners > employees; ASC ownership adds facility fees.
  • Side income: Expert witness, consulting, speaking, medical directorships, telemedicine.

Gender Gap

Female physicians earn ~25% less (adjusted: 15–18%) — specialty choice, hours, negotiation, bias.

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