Urologist Salary 2026: Subspecialty Pay, States, and Practice Economics
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)
| Subspecialty | Median Base | Top 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)
| Rank | State | Median Base |
|---|---|---|
| 1 | Wisconsin | $635,000+ |
| 2 | Indiana | $620,000+ |
| 3 | Oklahoma | $615,000+ |
| 4 | Nebraska | $605,000+ |
| 5 | Kentucky | $600,000+ |
| 6 | Missouri | $595,000+ |
| 7 | Florida | $585,000+ |
| 8 | Ohio | $580,000+ |
| 9 | Texas | $575,000+ |
| 10 | Michigan | $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.