Somewhere in Kentucky, a single hospital is willing to pay one Cardiology Noninvasive physician $900,000 per year to read echocardiograms and tell people their ejection fraction is fine. That number is not a typo, a signing bonus, or a four-year total. It is one job, one year, one state with exactly one disclosed listing. The broader market — 100 active listings across 29 states — tells a more complicated story, with salaries ranging from $300,000 to that same $900,000 ceiling. The thesis: in noninvasive cardiology, where you practice matters more than how hard you practice, and the data confirms it loudly.
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The Cardiology-Noninvasive Job Market at a Glance

Total listings: 100
Listings with disclosed salary: 13
Full salary range: $300,000 – $900,000
National average range: $547,846 – $576,436
States represented: 29

A $600,000 spread between the floor and ceiling is not a market — it is two markets sharing a CPT code. The average range hovers in the high-$500,000s, but with only 13 of 100 listings showing their cards, the national mean is doing heavy lifting on a thin spreadsheet.

The geographic spread is wide. Listings appear in Illinois, Ohio, Massachusetts, New York, North Carolina, Missouri, Pennsylvania, Florida, West Virginia, Iowa, South Carolina, Indiana, Alabama, Wisconsin, Arizona, Georgia, California, Texas, South Dakota, New Mexico, Kentucky, Oklahoma, Connecticut, Oregon, Minnesota, New Hampshire, Washington, Tennessee, and Michigan.

Most roles cluster in major metros — Chicago, Boston, Pittsburgh, St. Louis — which is unsurprising because that is where the echo machines and the patients who need them tend to live.
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How States Stack Up

Overperformers:

• Kentucky ($900,000) — one listing, top of the national range, and a strong argument for owning a passport-sized map of Appalachia.
• Oregon ($670,000) — one disclosed listing punching well above the average and the rainfall.
• Wisconsin ($620,000) — quietly competitive, no fanfare required.
• Washington ($575,000 – $622,000) — high pay in a high-cost state, but still net-positive on the math.
• Florida ($615,000) — the rare state that offers both volume and a strong number.

Near-average:

• Illinois ($546,000 – $587,500) — sits exactly where the national average says it should.
• New York ($466,667 – $547,222) — three disclosed listings, middle of the pack, hiding extreme intra-state variance.
• California ($500,000) — one disclosed listing at the midpoint, which for California is a story in itself.

Underperformers:

• Massachusetts ($350,000) — eight listings, lowest disclosed average, and Boston rent.
• Ohio ($400,000) — seven listings, also below the floor of the national average range.

Volume leaders: North Carolina (13), Florida (9), Massachusetts (8), Pennsylvania (8), Ohio (7), New Hampshire (5). North Carolina, Pennsylvania, and New Hampshire disclosed nothing. Massachusetts disclosed plenty and the news was not good.
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What This Means If You’re a Physician

If your priority is maximum compensation: Kentucky’s lone $900,000 listing is the headline. Oregon at $670,000 and Wisconsin at $620,000 round out the podium.

If your priority is maximum optionality: North Carolina’s 13 openings, Florida’s 9, and the Massachusetts/Pennsylvania pair at 8 each give you the most doors to knock on (though three of those four states decline to mention what’s behind the door).

If your priority is balance: Florida is the cleanest answer in the dataset — 9 listings, $615,000 average, no state income tax. The highest-paying disclosed individual listing sits in Buffalo, New York at $500,000 – $541,600 for a Non-Invasive Cardiologist role. Worth scrutiny: Massachusetts pairs the lowest disclosed pay ($350,000) with one of the highest costs of living in the country. The math is not subtle.
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What This Means If You’re a Recruiter

Salary transparency rate: 13 ÷ 100 = 13%.

Eighty-seven percent of postings ask physicians to inquire within. In a specialty where the disclosed range spans $600,000, that is not coyness — that is a pipeline problem. Candidates filter on numbers, and missing numbers get filtered out.

The volume-pay misalignment is glaring. North Carolina leads the country in listings and discloses zero salary data. Pennsylvania and New Hampshire follow the same playbook. Massachusetts shows its hand and the hand is $350,000 against eight openings, which suggests oversupply rather than strategy. Recruiters in these markets will need to lead with lifestyle, academic affiliation, call structure, or partnership track — because the compensation conversation is either invisible or unflattering.
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What’s Driving the Numbers

Geography prices in scarcity, loudly. Kentucky, Oregon, and Wisconsin — each with a single disclosed listing — occupy three of the top four salary slots. Low-volume states are not underperforming; they are paying premiums to attract physicians who would otherwise go to Boston or Chicago. The smaller the market, the bigger the check required to land in it.

High volume does not equal high pay. Massachusetts (8 listings, $350,000) and Ohio (7 listings, $400,000) anchor the bottom of the disclosed range. Where supply of positions is dense and the candidate pool is deep, employers do not need to bid up. The labor market is doing exactly what introductory economics says it will.

Transparency is a competitive weapon, not an HR formality. Florida discloses, pays $615,000, and ends up the most attractive market in the report. North Carolina has more openings than anyone and tells candidates nothing. In a 13% transparency environment, the states that disclose effectively skip the line.

Intra-state variance is its own market force. New York simultaneously hosts the highest individual listing (Buffalo, $500,000 – $541,600) and the lowest (Hauppauge, $300,000 – $400,000). Same specialty, same state, $241,600 spread. ZIP code is doing more work than license number.

The Bottom Line

Cardiology Noninvasive is a specialty where the average is a polite fiction and the median is a moving target. The work is similar from Buffalo to Hauppauge to Louisville; the compensation is not. Physicians who are geographically flexible and willing to read the fine print can clear $600,000 with relative ease. Physicians who insist on a coastal metro should bring a spreadsheet and low expectations. Recruiters operating in high-volume, low-disclosure states are quietly losing candidates to states that simply post the number.

In noninvasive cardiology, the heart may be the same everywhere, but the paycheck is decidedly regional.
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Salary data based on 13 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.