A urologist in Springfield, Missouri can earn $700,000 a year. A urologist in the Bronx can earn $300,000. Same specialty, same board certification, same kidney stones. More than double the pay for trading the Hudson for the Ozarks.

The national Urology market currently shows 268 active listings, scattered across more than forty states and a compensation band wide enough to drive a lithotripter through. Demand is national. Pricing is not.

The data shows a specialty in quiet demand, generously compensated at the top, geographically scrambled in the middle, and refusing to reward volume with dollars.
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The Urology Job Market at a Glance

Total listings: 268
Listings with salary data: 36
Full national range: $300,000 to $700,000
National average range: $479,335 to $516,737

Thirty-six disclosed salaries out of 268 listings is a thin sliver of transparency, but the sliver is informative. The floor sits at $300,000 (Bronx, for the curious), the ceiling at $700,000 (Springfield, Missouri, for the relocating), and the bulk of disclosed pay clusters between $400,000 and $600,000.

The spread between floor and ceiling is $400,000, which is itself a respectable urologist salary in several states. Geography is doing real work here, and not always the work you would expect.

States represented: FL, NY, CA, WA, IN, PA, GA, NC, KY, MN, NH, WI, TX, WV, MA, VA, AZ, NM, OR, TN, SC, NV, CT, AL, MI, VT, NJ, OH, MO, IL, NE, WY, MT, MS, IA, MD, OK, RI, SD, ID, CO, HI, ME, AR, AK.
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How States Stack Up

Overperformers:

• Idaho averages $637,000 on a single disclosed listing, which is what scarcity pricing looks like in a state with two total openings.
• Tennessee posts $624,000, also off a single listing, suggesting Nashville-adjacent demand is willing to pay up.
• Washington shows $600,000 to $650,000, pairing high pay with high volume — a rare combination.
• West Virginia lands at a flat $600,000, the scarcity premium working as advertised.
• Colorado reports $550,000 to $610,000, comfortably above the national midpoint.
• Connecticut sits at $573,000 to $600,000, which is what Fairfield County does to a salary band.
• Missouri averages $550,000 to $575,000 and hosts the single highest listing in the country.

Near-average:

• Illinois at $524,379 to $541,046, slightly above the national mean and reasonably honest about it.
• New York at $448,562 to $504,769, straddling the national low across seven listings.
• California at $458,000 to $520,000, near average despite San Francisco rents (the market is unbothered).
• Hawaii at $480,000 to $500,000, paradise priced at par.
• Indiana at $475,000, a single listing parked at the national midpoint.

Underperformers:

• New Jersey averages $420,000 with no upside disclosed, which is a sentence, not a range.
• Florida averages $400,000 flat across two disclosures, despite leading the country in volume.
• Massachusetts, Nevada, and Vermont each land at $400,000 to $450,000, all beneath the national floor.

Volume leaders: Florida (23), New York (14), Indiana (13), Pennsylvania (13), Georgia (13), California (12), Washington (12), and a five-way tie at 11 listings between North Carolina, Kentucky, Minnesota, New Hampshire, and Wisconsin. Florida leads the nation in volume and trails most of it in pay. Idaho and Tennessee, with two and five listings respectively, lead in pay.
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What This Means If You’re a Physician

If your priority is maximum compensation: the single highest-paying listing is in Springfield, Missouri at $700,000 annually. Beyond that, look at Idaho ($637,000), Tennessee ($624,000), Washington ($600,000 to $650,000), and West Virginia ($600,000). The pattern is unsubtle: smaller markets, bigger checks.

If your priority is maximum optionality: Florida, New York, California, Indiana, Pennsylvania, and Georgia all offer double-digit listings. Just understand that Florida volume comes with Florida pay ($400,000 flat).

If your priority is balance: California, New York, and Illinois offer near-average pay with above-average listing counts. California’s $458,000 to $520,000 looks fine on paper and worse once you’ve toured a starter home in Palo Alto.
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What This Means If You’re a Recruiter

Salary transparency rate: 36 of 268, or 13.4%. Roughly seven of every eight Urology listings publish no compensation at all.

That number is a pipeline problem. Urologists are a finite population, and the ones evaluating six listings at once will skim past the five that say “competitive” and click the one with a dollar figure. Florida posts 23 listings and discloses two, both at $400,000. Pennsylvania, Georgia, North Carolina, Kentucky, Minnesota, New Hampshire, and Wisconsin disclose zero across 80-plus combined listings.

Where volume and pay misalign — Florida being the headline example — recruiters cannot lead with the number. Lead with call structure, partnership track, robotics access, or lifestyle. Because the number, when it surfaces, is not the pitch.
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What’s Driving the Numbers

Scarcity pays, and pays well. Idaho, Tennessee, and West Virginia each have a handful of listings and each clear $600,000. Rural and underserved markets are pricing in the difficulty of getting a fellowship-trained urologist to move there, and they are doing so without subtlety.

Volume does not equal value. Florida’s 23 listings average $400,000. Washington’s 12 listings average $600,000 to $650,000. The relationship between job density and physician pay has not just weakened — it has inverted. High-volume states appear to be high-volume because the pay is low, not despite it.

Transparency is a competitive weapon nobody is using. At 13.4% disclosure, the Urology market is operating on a “call us” basis. The handful of employers publishing real numbers will dominate top-of-funnel attention by default, regardless of whether their offer is the strongest.

The disclosed floor is suspiciously low. A $300,000 listing in the Bronx pulls down every average it touches. Whether it reflects a part-time role, an academic appointment, or a W-2 with heavy benefits is unclear from the listing alone — which is itself the point.

The Bottom Line

Urology is a high-demand specialty in a market that has decided geography matters more than headcount. The biggest checks are in the smallest markets. The biggest listing counts are in the cheapest states. And seven of eight employers would rather you ask than tell. Physicians willing to relocate to Boise, Springfield, or Charleston will out-earn their coastal peers by margins large enough to fund a second mortgage — or skip one entirely.

In Urology, the money is where the people aren’t.
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Salary data based on 36 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.