Radiology stands as one of the most financially rewarding medical specialties in the United States. According to recent compensation data, radiologists earn an average salary of approximately $526,000 annually, making it the third highest-paying medical specialty. This represents a notable increase from previous years, reflecting the growing demand for diagnostic imaging expertise.

I've analyzed current salary data to help you understand what radiologists truly earn across different practice settings and geographic locations. The compensation landscape for radiologists varies significantly based on subspecialty choice, years of experience, practice type, and regional demand. Whether you're a medical student considering radiology, a resident planning your career path, or an established radiologist evaluating your compensation, understanding these salary benchmarks and trends is essential for making informed decisions.

The demand for qualified radiologists continues to strengthen due to an aging population requiring increased diagnostic imaging services and persistent workforce shortages nationwide. This favorable market dynamic, combined with advancing medical imaging technologies and expanding subspecialty opportunities, positions radiology as both a financially stable and professionally rewarding career choice.

Key Takeaways

• Radiologists earn an average salary of $526,000 annually, ranking among the highest-paid medical specialties
• Compensation varies significantly based on subspecialty, geographic location, practice setting, and years of experience
• Growing demand for diagnostic imaging and radiologist shortages create favorable long-term salary prospects

Radiologist Salary Overview

Radiologist compensation ranks among the highest in medicine, with national averages reaching $571,749 in 2024 according to recent physician surveys. The field shows strong salary growth trends and continues to outpace many other medical specialties in both absolute compensation and year-over-year increases.

National Average Radiologist Salary

The average radiologist salary varies significantly depending on the data source and methodology used. U.S. News reports a median salary of $239,200 in 2024, while more comprehensive industry surveys show substantially higher figures.

According to Doximity's survey of over 37,000 full-time physicians, radiologists earned an average of $571,749 in 2024. Another analysis indicates the average annual radiologist salary reaches $529,690, which translates to approximately $255 per hour.

Entry-level radiologists typically see starting salaries between $300,000 and $350,000 per year. This range depends on factors like practice location, subspecialty training, and employment setting.

Geographic location plays a major role in compensation differences. Washington offers the highest radiologist salaries by state, while Florida provides the lowest.

Radiologist Compensation Trends and Growth

I've observed impressive growth in radiologist compensation over recent years. Radiologist salaries jumped 7.5% in just twelve months through 2024, significantly outperforming the broader physician market.

This growth rate more than doubles the 3.7% average raise that all other physicians received during the same period. The acceleration reflects increasing demand for radiological services and the specialized nature of the field.

Radiology continues to see rising salaries due to strong demand and specialized skills required for the profession. Subspecialists and radiologists willing to serve high-need areas can command premium pay ranging from 15% to 25% above standard rates.

The compensation trajectory shows no signs of slowing as healthcare systems continue prioritizing diagnostic imaging services and technological advances create new subspecialty opportunities within radiology.

Comparison of Radiologist Salary to Other Medical Specialties

Radiologists consistently rank among the highest-paid physicians across all medical specialties. My analysis of compensation data shows radiologist earnings substantially exceed most other fields in medicine.

Radiologists remain among the highest-paid physicians in the United States, reflecting both the technical complexity of the work and the critical role diagnostic imaging plays in patient care. The specialty typically places within the top five highest-compensated medical fields.

When compared to primary care physicians, radiologists earn nearly double the average compensation. Even against other high-earning specialties like cardiology and orthopedics, radiologist compensation remains competitive.

The earnings advantage stems from several factors: extensive subspecialty training requirements, liability considerations, technological expertise demands, and the productivity potential through high-volume image interpretation work.

Factors Affecting Radiologist Salary

Radiologist compensation varies widely based on location, experience, work environment, and supplemental income sources. Understanding these variables helps physicians evaluate opportunities and maximize their earning potential.

Geographic Variation by State and Region

Location significantly impacts how much radiologists earn across the United States. Subspecialty fellowship training can increase earnings by $100,000 to $200,000 for interventional radiologists compared to general diagnostic radiologists, but geography plays an equally important role.

States with higher costs of living or physician shortages typically offer higher compensation packages. Rural areas often provide premium salaries to attract specialists, while urban markets may have more competition but better benefits. Regional demand for imaging services also drives salary differences, with underserved areas frequently offering signing bonuses and loan repayment assistance.

The average radiologist salary of $503,000 represents a national figure, but individual state averages can vary by tens of thousands of dollars. Metropolitan areas with major hospital systems may offer different compensation structures than smaller community practices.

Experience Level and Career Stage

Career progression directly correlates with radiologist pay throughout a physician's working years. The average starting salary ranges from $300,000 to $350,000 for newly trained radiologists entering the workforce.

Mid-career radiologists with five to ten years of experience typically command higher compensation as they build expertise and referral networks. Senior radiologists often reach peak earnings through partnership opportunities, administrative roles, or specialized procedural skills. Years of experience also influence call pay rates and productivity bonuses.

Fellowship training adds another dimension to earning potential, particularly in high-demand subspecialties like interventional radiology, neuroradiology, and breast imaging.

Practice Setting and Employment Type

The work environment substantially affects my earning potential as a radiologist. Private practice versus academic settings create different compensation models, with private groups often offering higher base salaries while academic positions provide research time and teaching opportunities.

Hospital employment typically includes benefits packages, malpractice coverage, and retirement contributions that increase total compensation beyond base salary. Teleradiology companies offer flexible arrangements but may have different pay structures. Partnership track positions often start with lower salaries but provide equity ownership and profit-sharing opportunities.

Leadership roles within any setting can boost income through administrative stipends and bonuses.

Additional Earning Opportunities

Radiologists can supplement their income through various channels beyond standard employment. Locum tenens radiology provides temporary coverage opportunities at premium hourly rates, allowing physicians to earn extra income during vacation time or between positions.

Call coverage represents another revenue stream, with evening, weekend, and holiday shifts commanding additional compensation. Sign-on bonuses ranging from $25,000 to $70,000 provide immediate financial benefits when joining new practices.

Professional activities like consulting, expert witness work, speaking engagements, and medical writing create additional income sources. Some radiologists also earn through equipment partnerships, imaging center ownership, or developing software and AI tools for the specialty.

Radiology Specialties and Their Impact on Salary

Radiologists' earnings vary significantly based on their subspecialty, with interventional radiologists typically commanding higher salaries than diagnostic radiologists due to the procedural nature of their work. Subspecialty training and willingness to serve high-need areas can result in premium pay ranging from 15-25% above standard rates.

Diagnostic Radiology Salary

Diagnostic radiology forms the foundation of the specialty and represents the largest segment of practicing radiologists. I've observed that diagnostic radiologists interpret imaging studies including X-rays, ultrasounds, CT scans, and MRI scans to help physicians diagnose medical conditions.

The compensation for diagnostic radiologists remains strong, with average salaries around $526,000 annually according to recent data. This represents a $28,000 increase from the previous year, demonstrating continued growth in the field.

Diagnostic radiologists who develop expertise in specific areas like neuroradiology, musculoskeletal imaging, or breast imaging may command higher salaries. The work environment also affects earnings, with hospital-based positions typically offering different compensation structures than private practice or teleradiology roles.

Interventional Radiology Compensation

Interventional radiology combines diagnostic imaging with minimally invasive procedures, making it one of the highest-paid radiology subspecialties. I find that interventional radiologists perform procedures like angioplasty, stent placement, tumor ablation, and vascular access procedures using image guidance.

The procedural nature of this subspecialty justifies higher compensation compared to diagnostic radiology. Interventional radiologists often receive additional payment for procedures performed beyond their base salary.

These specialists require extensive fellowship training beyond standard radiology residency. The combination of diagnostic skills and procedural expertise creates significant value for healthcare systems, which translates into premium compensation packages.

CT and MRI Radiologist Salary

Radiologists specializing in advanced imaging modalities like CT and MRI occupy a critical niche in modern healthcare. I've noticed that these specialists develop deep expertise in complex cross-sectional imaging interpretation.

CT radiologists frequently work in emergency settings where rapid interpretation affects patient outcomes. MRI specialists often focus on detailed anatomical assessment for conditions requiring precise imaging.

The demand for specialized CT and MRI interpretation has grown as imaging technology advances and clinical applications expand. Radiologists with focused expertise in these modalities may negotiate higher salaries, particularly in academic medical centers or specialized imaging facilities where complex cases concentrate.

Vascular and Interventional Radiology Earnings

Vascular and interventional radiology represents a highly specialized subset focusing on blood vessel imaging and minimally invasive vascular procedures. I see this subspecialty commanding premium compensation due to its technical complexity and procedural volume.

These specialists perform procedures including angiography, embolization, thrombolysis, and various catheter-based interventions. The ability to both diagnose and treat vascular conditions makes these radiologists essential for stroke centers, trauma centers, and comprehensive cancer programs.

Board certification and fellowship training in vascular and interventional radiology significantly impact earning potential. The procedural component of this work, combined with call responsibilities and emergency coverage requirements, typically results in compensation exceeding that of general diagnostic radiologists.

Role of Medical Imaging Technologies in Compensation

Different imaging modalities command varying salary levels based on technical complexity, required certifications, and specialized training. Technologists who master advanced or multiple imaging technologies typically earn higher compensation than those working with traditional diagnostic equipment.

X-Rays and Ultrasound Salary Influences

I've observed that radiologic technologists specializing in basic X-ray imaging typically earn entry-level salaries in the medical imaging field. These professionals perform standard diagnostic radiography with annual compensation ranging from $50,000 to $65,000 depending on experience and location.

Ultrasound technologists, also known as diagnostic medical sonographers, command higher pay due to specialized training requirements. According to data on high-paying medical imaging careers, sonographers earn between $61,901 and $79,602 annually. The increased compensation reflects the specialized knowledge needed for real-time imaging interpretation and patient interaction during procedures.

Technologists who obtain multiple certifications in both X-ray and ultrasound can negotiate better salaries. Cross-trained professionals offer healthcare facilities greater scheduling flexibility and operational efficiency, making them more valuable employees in the competitive imaging market.

Nuclear Medicine and Emerging Imaging Modalities

Nuclear medicine technologists consistently rank among the highest-paid imaging professionals. These specialists work with radioactive materials and sophisticated imaging equipment, requiring extensive safety training and regulatory knowledge. I've found that their salaries often exceed $75,000 annually, reflecting the technical complexity and specialized certification requirements of this modality.

Advanced imaging specializations demonstrate the strongest earning potential in the field. Data from the 2024 wage and salary survey shows medical dosimetrists earn $136,510 on average, while radiologist assistants receive $126,428. These roles require additional education beyond standard radiologic technology programs and involve advanced treatment planning or extended clinical responsibilities.

MRI and CT technologists also command premium salaries due to the specialized nature of cross-sectional imaging. These professionals must understand complex protocols, contrast administration, and advanced anatomy visualization techniques that go beyond traditional radiography skills.

Locum Tenens and Flexible Opportunities in Radiology

Locum tenens radiology positions offer radiologists temporary assignments at facilities experiencing staffing shortages, with contract durations ranging from several days to multiple months. These roles typically provide higher compensation rates and scheduling flexibility compared to permanent positions.

Benefits and Drawbacks of Locum Tenens Roles

The primary advantage I see in locum tenens work is the flexibility it provides. Radiologists can choose assignment locations, duration, and frequency based on personal preferences. This arrangement allows for better work-life balance and the ability to explore different practice settings before committing to permanent positions.

Locum tenens radiologists serving high-need areas often receive premium pay rates that exceed standard compensation by 15-25%. The variety of cases and exposure to different facilities can also enhance clinical skills and professional networks.

However, drawbacks include lack of employment benefits like health insurance, retirement contributions, and paid time off. Job security is inherently limited since assignments are temporary. I also note that frequent travel requirements and the need to adapt quickly to new electronic medical record systems can be challenging for some physicians.

Income Potential in Temporary and Flexible Positions

Radiologist compensation in locum tenens roles varies based on subspecialty training, geographic location, and assignment urgency. The national average for locum tenens radiologists stands at approximately $344,970 annually, though this figure represents equivalent full-time earnings rather than actual contract values.

Per diem and moonlighting positions offer similar hourly rates to locum tenens work. Subspecialists in interventional radiology, neuroradiology, or other high-demand fields command higher rates than general diagnostic radiologists. I find that radiologists willing to accept assignments in rural or underserved areas consistently earn premium rates due to the acute shortage of specialists in these locations.

Long-Term Outlook for Radiologist Salaries

I've observed that radiology compensation shows strong upward momentum, with radiologist salaries increasing by 7.5% in 2024 compared to just 3.7% for physicians overall. The specialty has demonstrated consistent growth over the past decade, positioning radiologists favorably for continued financial advancement.

Projected Demand and Salary Growth

I see compelling evidence that radiologists have experienced a 38% salary increase over the last 10 years, reflecting sustained demand for imaging expertise. Recent data shows radiology is among specialties seeing the greatest year-over-year gains, with a 5.1% uptick following the previous year's 5.8% gain.

The growth trajectory appears stable. Median compensation reached around $509,000 according to recent MGMA data, demonstrating steady increases year after year.

I attribute this growth to the expanding role of medical imaging in diagnosis and treatment. As healthcare technology advances and imaging becomes more sophisticated, the specialized skills radiologists possess become increasingly valuable.

Considerations for Prospective Radiologists

I believe prospective radiologists should understand that compensation varies significantly by subspecialty, experience, and location. Interventional radiologists typically earn at the higher end of the pay scale, while early-career diagnostic radiologists start lower.

The employment type matters considerably. I've found that permanent positions average around $500,000 annually, but the nature of employment—whether academic, private practice, or hospital-based—impacts total compensation.

Geographic location plays a substantial role in earning potential. Different states offer varying salary ranges based on local demand, cost of living, and market competition for radiologists.

Frequently Asked Questions

Radiologist compensation depends on multiple variables including subspecialty training, geographic location, and years of practice. Radiologists earn an average of approximately $500,000 annually in permanent positions, though this figure fluctuates based on several key factors.

What factors influence a radiologist's salary?

I've found that subspecialty choice significantly impacts earning potential. Interventional radiologists typically command higher salaries than general diagnostic radiologists due to their procedural expertise.

Board certification is a key credential in diagnostic radiology and often a requirement for employment. Certified radiologists are more competitive in the job market and frequently command higher salaries.

Practice setting also plays a major role in compensation. Private practice radiologists often earn more than those in academic or hospital-based positions, though academic roles may offer additional benefits like research opportunities and teaching positions.

What is the average starting salary for a radiologist?

Entry-level radiologists typically earn less than the profession's average as they build experience and establish their expertise. The lowest-paid 25% of radiologists made $204,330 in 2024.

New radiologists generally start at compensation levels below the $500,000 average. The specific starting salary depends on location, practice type, and whether the position includes call responsibilities or weekend coverage.

How does radiologist compensation vary by region or state?

Geographic location creates substantial salary variations across the United States. The daily radiologist wage in California is around $609, which is 9 percent more than in the US average.

I've observed that states with higher costs of living or physician shortages typically offer elevated compensation packages. Rural areas often provide higher salaries to attract specialists, while urban markets may have more competitive rates due to higher concentrations of radiologists.

What is the hourly pay rate for a radiologist?

Calculating hourly rates for radiologists requires considering their annual salary and typical work schedules. Based on a standard full-time schedule, radiologists earning $500,000 annually would make approximately $240 per hour.

However, many radiologists work varied schedules including night shifts, weekends, and call coverage. These non-standard hours often come with premium pay rates that exceed the calculated hourly average.

How does experience level affect a radiologist's income?

Years in practice directly correlate with earning potential in radiology. I've seen that radiologists typically reach peak earning years after establishing their reputation and building referral networks within their healthcare systems.

Mid-career radiologists with 10-15 years of experience often earn significantly more than recent graduates. The best-paid 25% of radiologists made $239,200 or more in their positions.

Senior radiologists with decades of experience and specialized expertise can command the highest salaries in the field. Their compensation reflects not only their technical skills but also their value in training younger physicians and consulting on complex cases.

What additional benefits are typically included in a radiologist's compensation package?

Beyond base salary, I know that comprehensive benefit packages add substantial value to total compensation. Most positions include health insurance, malpractice coverage, and retirement contributions that can amount to tens of thousands of dollars annually.

Many radiology practices offer paid time off, continuing medical education allowances, and professional membership dues. Some employers provide signing bonuses, relocation assistance, or student loan repayment programs to attract qualified candidates.

Call pay represents another significant compensation component for radiologists who provide after-hours coverage. This additional income varies by facility but can substantially increase annual earnings beyond the base salary.