The gastroenterologist pay gap

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Gastroenterologists are among the highest-paid physicians in the country, pulling in an average of $530,000 in 2025, but a new Medscape survey suggests the paycheck doesn’t always match the pressure. 

Nearly half of gastroenterologists say they don’t feel fairly compensated for their demanding work, and nearly two-thirds believe most physicians in their specialty are underpaid.

Here’s a breakdown of how gastroenterologists feel about their pay, according to Medscape’s “Gastroenterologist Compensation Report 2026,” published May 27.

How aggressively gastroenterologists negotiated their last contract

  • Very aggressive: 6%
  • Aggressive: 8%
  • Moderately aggressive: 17%
  • Slightly aggressive: 14%
  • Not at all aggressive: 29%
  • Negotiation was not an option: 25%

Do gastroenterologists feel fairly paid for their demanding jobs?

  • Yes: 54%
  • No: 46%

How gastroenterologists feel about their profession’s pay in the U.S. generally:

  • Underpaid: 61%
  • Paid about right: 36%
  • Overpaid: 3%

How gastroenterologists described 2025 when it came to paychecks

  • Increased by 11%-25%: 8%
  • Increased by 1%-10%: 30%
  • Remained same: 44%
  • Decreased by 1%-10%: 17%
  • Decreased by 11%-25%: 1%

How well their paycheck covers gastroenterologists’ family needs

  • More than I need: 30%
  • Matches what I need: 45%
  • Less than I need: 25%

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

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