Gastroenterology Salary
Gastroenterology compensation is procedural and, in private practice, often dominated by ambulatory surgery center economics. The endoscopy schedule and any facility ownership stake matter more than the clinical base.
Median total cash compensation for a mid-career attending. Source: Doximity 2024 (publicly cited). Treat figures as medians, not targets. Real compensation varies widely by geography, employment model, and experience.
Live anonymous cohort, Gastroenterology
We display a live Gastroenterology cohort once at least 10 attendings have submitted in the last 24 months. Until then, the published benchmark and regional table below are your reference. Be one of the first to seed it.
Submit your comp anonymouslyGastroenterology pay by region
Directional regional medians, anchored to the Doximity 2024 national figure and US Census region adjustments. The South and Midwest pay more in absolute dollars because physician supply is lower and demand is higher; the Northeast runs lower with a higher cost of living.
| Region | Median total comp | Notes |
|---|---|---|
| National median | $510,000 | Doximity 2024 / Medscape 2024 nationwide median. |
| South | $561,000 | Highest absolute compensation. Houston, Jacksonville, Charlotte, Atlanta lead. |
| Midwest | $550,800 | Indianapolis and St. Louis often top Doximity median tables. |
| West | $520,200 | Wide spread. California pays well but is offset by cost of living. |
| Northeast | $494,700 | Lower in absolute terms (high supply of physicians) and higher cost of living. |
Regional figures are modeled adjustments to the national median, not separately surveyed values. Use them for direction, not as an offer benchmark.
What drives Gastroenterology compensation
- Endoscopy volume, the core wRVU driver in both employed and private models.
- Ambulatory surgery center ownership, frequently the largest single income component in private practice.
- Screening colonoscopy demand and panel referral patterns that keep the schedule full.
- Call and weekend bleed coverage, a negotiable premium.
Model your own number, not the median
Gastroenterology reports a median of about 9,000 wRVUs a year. Your take-home is that volume times your contract rate, above your threshold. Plug your real visit mix into the calculator and see the bonus your specific offer produces, then negotiate against it.
Negotiation levers at offer time
- •Separate clinical compensation from any ASC distribution and evaluate each on its own terms.
- •Confirm block time and scheduling support, since procedural income depends on a full endoscopy calendar.
- •If an ownership track exists, the buy-in and distribution terms are the most consequential numbers in the offer.
Gastroenterology at a glance
ASC ownership drives compensation upside. Strong procedural reimbursement. Typical setting: endoscopy-heavy, often in ascs.
Frequently asked questions
Why is private gastroenterology compensation so high?
Ambulatory surgery center ownership. The facility distribution is often the largest income component in private GI and is separate from clinical wRVU pay.
What matters most in an employed GI offer?
Endoscopy volume and block time. Procedural income depends on a full, well-supported schedule, so scheduling capacity matters as much as the wRVU rate.
Is the ASC buy-in worth it?
It is usually the most consequential part of a private GI decision and should be modeled explicitly, since the distribution can exceed the clinical compensation over time.
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The codes that actually drive this specialty's wRVUs.
30-year cumulative earnings with regional cost adjustment.
Educational reference, not financial, billing, or legal advice. Published medians are publicly cited from Doximity 2024. The live cohort is self-reported and anonymized; individual rows are never exposed and a cohort is shown only at a minimum size. Verify any number against your own contract and market before acting on it.