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Otolaryngologist (ENT) Salary 2026: Subspecialty Pay and State Breakdown

AH
Ava Health Team
··7 min read

Otolaryngology is one of the most procedurally diverse specialties in medicine. Median ENT base salary reached $525,000 in 2026, with fellowship subspecialists routinely exceeding $650,000 at ASC-owning private practices.

ENT Subspecialty Benchmarks (2026)

SubspecialtyMedian BaseTop Quartile
General Otolaryngology$515,000$620,000
Head and Neck Oncology$560,000$685,000
Pediatric Otolaryngology$445,000$545,000
Facial Plastic & Reconstructive Surgery$585,000$775,000
Rhinology / Sinus Surgery$535,000$645,000
Otology / Neurotology$555,000$665,000
Laryngology$475,000$580,000
Sleep Medicine (ENT)$485,000$585,000
Academic Otolaryngology$395,000$485,000

Top 10 Highest-Paying States for ENT (2026)

RankStateMedian Base
1Wisconsin$610,000+
2Indiana$595,000+
3Nebraska$585,000+
4Oklahoma$580,000+
5Missouri$575,000+
6Kentucky$570,000+
7Florida$565,000+
8Iowa$560,000+
9Ohio$555,000+
10Texas$550,000+

Private Practice Partnership Economics

ENT private practice remains one of the most financially attractive specialties:

  • Associate Year 1-2: $400,000-$480,000
  • Partner (Year 3+): $625,000-$900,000
  • Partner with ASC ownership: $800,000-$1.2M+
  • Partner with audiology + allergy ancillary: $850,000-$1.3M

Sign-On + Loan Repayment

  • Urban ENT: $75,000-$175,000 sign-on
  • Rural / shortage: $125,000-$275,000 sign-on + HRSA loan repayment
  • Head and neck onco: $100,000-$200,000 at NCI-designated centers
  • Pediatric ENT: $75,000-$150,000 (smaller market)

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

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