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Urologist Salary 2026: Subspecialty Pay, States, and Practice Economics

AH
Ava Health Team
··7 min read

Urology is one of the most in-demand physician specialties in 2026. Median urologist base salary reached $545,000, among the highest-paid medical specialties. Chronic supply shortage (aging workforce, limited fellowship expansion) combined with growing demand from aging male population keeps pay climbing.

Subspecialty Benchmarks (2026)

SubspecialtyMedian BaseTop Quartile
General Urology$545,000$660,000
Urologic Oncology$585,000$715,000
Endourology / Stones$565,000$685,000
Pediatric Urology$465,000$575,000
Female Pelvic Medicine (FPMRS)$495,000$605,000
Male Infertility / Andrology$535,000$650,000
Academic Urology$420,000$525,000

Top 10 Highest-Paying States for Urology (2026)

RankStateMedian Base
1Wisconsin$635,000+
2Indiana$620,000+
3Oklahoma$615,000+
4Nebraska$605,000+
5Kentucky$600,000+
6Missouri$595,000+
7Florida$585,000+
8Ohio$580,000+
9Texas$575,000+
10Michigan$570,000+

Private Practice vs Hospital Employment

  • Hospital-employed: $530K-$620K base + RVU bonus
  • Private practice associate: $450K-$520K Year 1-2 (buy-in)
  • Private practice partner: $725K-$1.0M+ mature
  • Academic urology: $420K-$525K + teaching time

Urology practices increasingly own ancillary services (pathology, imaging, radiation therapy for prostate cancer). Partners at ancillary-heavy groups earn $1M+.

Sign-On + Loan Repayment

  • Urban general urology: $100K-$200K sign-on
  • Rural/shortage urology: $150K-$300K sign-on + HRSA loan repayment
  • Urologic oncology: $125K-$225K
  • Pediatric urology: $75K-$150K (smaller market)

Ava Health places urologists across subspecialties nationwide. Contact us for openings.

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