10 highest, lowest-paying physician specialties

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While compensation rose roughly 3% across the board in 2025, an April 10 Medscape report found.a stark divide between the highest and lowest-paying specialties. 

The report, which surveyed 5,916 physicians across more than 29 specialties from Sept. 5 to Dec. 17, found that orthopedic surgeons are pulling in $611,000 a year while pediatricians take home less than half that at $266,000. 

Here are the 10 highest-paying physician specialties:

  1. Orthopedics and orthopedic surgery: $611,000
  2. Cardiology: $575,000
  3. Radiology: $571,000
  4. Plastic surgery: $554,000
  5. Anesthesiology: $543,000
  6. Urology: $535,000
  7. Gastroenterology: $530,000
  8. Otolaryngology: $508,000
  9. Oncology and hematology: $464,000
  10. Dermatology: $448,000

Here are the 10 lowest-paying physician specialties:

  1. Pediatrics: $266,000
  2. Public health and preventive medicine: $277,000
  3. Infectious diseases: $282,000
  4. Rheumatology: $284,000
  5. Diabetes and endocrinology: $284,000
  6. Family medicine: $288,000
  7. Internal medicine: $307,000
  8. Allergy and immunology: $310,000
  9. Psychiatry: $331,000
  10. Neurology: $341,000
  11. Nephrology: $359,000

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