Neurologist Salary in the US: 2024 Insights and Factors

Neurologist Compensation Overview

Per AMA/Medscape/Doximity data (2022–2023), neurologist compensation:

  • Median Annual Compensation: $280,000–$320,000 (varies by source).
  • Median Hourly: ~$135–$155 (based on 50–55 hr/wk).
  • Range: $220,000 (academic/early career) → $450,000+ (private practice, high volume, procedural).

Key Determinants

Trends

  • Growing demand (aging pop, stroke/neurodegenerative burden).
  • Tele-neurology expanding access/rural income.
  • Procedural skills (EMG, Botox, DBS programming, thrombectomy) increase value.
  • Burnout driving part-time/locums shift.

Data Sources

  • Medscape Neurologist Compensation Report (annual).
  • Doximity Physician Compensation Report.
  • AMGA/MGMA surveys.
  • State medical society surveys.

Negotiate with data: know your RVUs, call burden, market comparables, and non-salary benefits (CME, retirement, malpractice, PTO, loan repayment).

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FactorImpact
Practice SettingPrivate practice > Hospital-employed > Academic (RVU bonuses, ancillary income)
SubspecialtyNeurocritical care, Stroke, Epilepsy, Neuromuscular, Headache, Neuro-oncology, Movement Disorders, Neuroimmunology – procedural/EEG/EMG boost income
GeographyHigh demand/rural: premiums. High COL metros: higher absolute, lower net.
ExperienceSteady increase first 10–15 yrs; plateau/decline near retirement.
Call BurdenHigh-frequency call (stroke, ICU) → higher pay or time off.
Academic RankAssistant → Associate → Professor (salary bands).