A part-time position in Detroit pays $140,000. A full-time role in Springfield, Missouri pays $475,000. The gap between them is $335,000, or roughly what some specialties earn in total. This is the Physiatry market in 2026: 208 active listings spanning more than 40 states, with compensation that ranges from genuinely concerning to quietly exceptional depending on whether you work full-time and where you choose to practice. The data shows that Physiatry is well-compensated nationally, geographically dispersed, and dramatically inconsistent at the state level.
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The Physiatry Job Market at a Glance

Total listings: 208. Listings with salary data: 110. Full salary range: $140,000 to $475,000. National average range: $343,936 to $393,473.

The spread is wide, but most of it lives at the extremes. Strip out part-time roles and the Michigan/Maryland outliers, and the market compresses into a tight $350,000 to $400,000 band. That is where the majority of full-time Physiatry positions actually price. The floor of $140,000 is a part-time artifact. The ceiling of $475,000 is real, available, and located in the Midwest (a sentence that still lands with some surprise). The average range sits comfortably in the mid-$300,000s to low-$400,000s, which makes Physiatry a solidly compensated specialty without the dramatic peaks of procedural fields.

States represented:

• Alabama
• Alaska
• Arizona
• Arkansas
• California
• Colorado
• Florida
• Georgia
• Illinois
• Indiana
• Iowa
• Kansas
• Kentucky
• Maine
• Maryland
• Massachusetts
• Michigan
• Minnesota
• Mississippi
• Missouri
• Montana
• Nebraska
• Nevada
• New Hampshire
• New Jersey
• New Mexico
• New York
• North Carolina
• North Dakota
• Ohio
• Oklahoma
• Oregon
• Pennsylvania
• Rhode Island
• South Carolina
• South Dakota
• Tennessee
• Texas
• Virginia
• Washington
• West Virginia
• Wisconsin

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How States Stack Up

Overperformers: Missouri leads the nation with an average range of $375,000 to $425,000 across three listings, proving that the Midwest can pay like the coasts when it wants to. Illinois averages $348,333 to $416,667 across three listings, with the high end pulling it into elite territory. Ohio averages $339,286 to $407,143 across seven listings, offering both volume and premium pay. Wisconsin averages $358,333 to $408,333 across six listings, combining competitive compensation with meaningful job availability. New Jersey averages $352,800 to $403,200 across five listings, delivering above-average pay in a high-cost-of-living state where that actually matters.

Near-average performers: Texas averages $354,167 to $400,000 across 12 listings, which is competitive but unremarkable given its volume leadership. Florida averages $350,000 to $400,000 across 14 listings, mirroring Texas in both pay and market size. California averages $344,444 to $388,333 across nine listings, landing just slightly below the national midpoint despite its cost of living. Pennsylvania averages $342,857 to $385,714 across seven listings, tracking closely to national norms. New York averages $320,667 to $383,500 across six listings, with a lower floor that reflects downstate market compression. Nevada, Massachusetts, Virginia, Tennessee, and a long tail of single-listing states (Arizona, Alabama, Kentucky, Oregon, Washington, Kansas, New Mexico, North Carolina, Rhode Island, Colorado, Oklahoma, Iowa, Montana, Arkansas) all report the same $350,000 to $400,000 range, suggesting a national consensus on full-time Physiatry compensation. Minnesota reports $330,000 to $335,000 in a single listing, sitting just below average but within reasonable variance.

Underperformers: Michigan averages $245,000 to $280,000 across two listings, a figure distorted by part-time roles but still dramatically below the national floor. Maryland averages $260,000 to $283,333 across three listings, underperforming by more than $60,000 on the low end with no clear geographic or market justification.

Volume leaders: Texas leads with 25 listings, followed by Florida with 23, California with 17, Tennessee with 14, Pennsylvania with 13, and Wisconsin with 11. Texas and Florida dominate on volume but pay right at the national average. California posts high volume and below-average pay. Wisconsin, with the sixth-most listings, pays above average. The volume-pay relationship does not hold in Physiatry.
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What This Means If You’re a Physician

If your priority is maximum compensation: Missouri and Illinois are the clear leaders, with Missouri offering the highest average ceiling ($425,000) and Illinois close behind ($416,667). The single highest-paying listing is in Springfield, Missouri, offering $425,000 to $475,000 for a full-time Physiatrist role. This is the ceiling of the market, and it is located in a mid-sized Midwest city where your dollar will stretch further than in any coastal market.

If your priority is maximum optionality: Texas and Florida offer the most listings by a wide margin (25 and 23, respectively), with California third at 17. All three pay competitively but not exceptionally. Tennessee and Pennsylvania round out the top five in volume. If you want options, you will find them in these states, but you will not find a pay premium for the privilege.

If your priority is balance: Wisconsin offers the best combination of above-average pay ($358,333 to $408,333) and meaningful job volume (11 listings). Ohio is a close second, with seven salary-confirmed listings averaging $339,286 to $407,143. Both states deliver competitive compensation without the cost-of-living burden of the coasts. New Jersey pays well ($352,800 to $403,200) but comes with the cost structure of the Northeast. Michigan and Maryland should be avoided unless you have non-financial reasons to be there.
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What This Means If You’re a Recruiter

Salary transparency rate: 52.9% (110 listings with disclosed compensation out of 208 total listings). That is just over half, which means nearly half of your candidate pipeline is operating without clear compensation expectations. In a market this geographically distributed, that opacity creates friction. Candidates will default to the known data points, and the known data points cluster tightly around $350,000 to $400,000. If your organization is paying below that range, you are competing with incomplete information. If you are paying above it, you are leaving money on the table by not disclosing.

Candidate pipeline implications: Texas and Florida will generate the most inbound interest based on volume alone, but neither state offers a pay premium to close candidates who are weighing multiple offers. Missouri and Illinois have the compensation advantage but lack the volume to sustain a large pipeline. Michigan and Maryland will struggle to attract candidates unless they are willing to address the $60,000 to $80,000 gap between their averages and the national norm. For recruiters in those states, you will need to lead with geography, lifestyle, or institutional reputation, because compensation is a disqualifier.

Volume-pay misalignment: California posts 17 listings and pays below the national average. Texas posts 25 listings and pays right at the average. Florida posts 23 listings and mirrors Texas. High-volume states are not paying a premium, which suggests that demand is being met by supply without upward wage pressure. Conversely, Missouri posts only three listings but pays $30,000 to $50,000 above the national average on the high end. Low-volume states with premium pay are either pricing in scarcity or competing aggressively for a limited candidate pool.
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What’s Driving the Numbers

Part-time roles distort the floor but do not define the market. The $140,000 listing in Michigan is a part-time position, and it pulls the state average down by more than $100,000. The same dynamic appears to affect Maryland, though the data does not specify employment status for all listings. Strip out part-time roles and the national floor rises closer to $300,000, which is a more accurate reflection of full-time Physiatry compensation. Recruiters and physicians alike should treat any listing below $300,000 as either part-time, incomplete, or an outlier requiring additional scrutiny.

Geographic scarcity commands a premium in select markets, but not consistently. Missouri pays the most and has only three listings. Illinois pays the second-most and has five listings. Both are low-volume states where employers appear to be pricing in difficulty attracting candidates. But the inverse is not true: high-volume states like Texas, Florida, and California are not paying below-average wages despite having more supply. The scarcity premium exists, but it is narrow and concentrated in the Midwest.

The Midwest outperforms the coasts on a cost-adjusted basis, and increasingly on a nominal basis. Missouri, Illinois, Ohio, and Wisconsin all pay above the national average, and all four offer a lower cost of living than California, New York, or Massachusetts. The traditional coastal pay premium has eroded in Physiatry, replaced by a Midwest premium that reflects both demand and purchasing power. A $400,000 salary in Wisconsin or Ohio is worth more in real terms than $390,000 in California or New York, and the data shows that Midwest employers are pricing accordingly.

The volume-pay relationship is broken. Texas leads in volume but pays at the average. Florida is second in volume and also pays at the average. California is third and pays slightly below average. Wisconsin is sixth in volume but pays above average. The traditional assumption that high-volume markets pay more due to competition does not hold in Physiatry. Volume reflects demand. Pay reflects market structure, cost of living, and institutional willingness to compete. The two are not correlated.

The Bottom Line

The Physiatry market is geographically broad, financially consistent, and quietly rewarding for physicians who avoid the two low-paying outliers and understand that the Midwest now competes with the coasts on compensation. The majority of full-time positions pay between $350,000 and $400,000, the highest-paying opportunities are in Missouri and Illinois, and the highest-volume markets are in Texas and Florida. Michigan and Maryland are statistical outliers that should be treated as such.

If you are a Physiatrist, you have 208 options, and most of them pay well.
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Salary data based on 110 listings with disclosed compensation. Figures may reflect part-time or specialized roles. This report is informational and should not replace professional judgment or financial planning.