Physician Job Market Analysis Report: Endocrinology

(PhysEmp Market Intelligence | physemp.com)

Somewhere in Michigan, an endocrinologist is being offered $400,000 to manage thyroids. Meanwhile, in Rochester, New York, another endocrinologist is being offered exactly half that to do the same work. Both listings are real. Both are current. This is the state of the Endocrinology job market in August 2026, where 162 openings are scattered across more than 35 states, and the spread between the best and worst offer is wide enough to fund a second career. The data tells a clear story: geography, not credentials, is the variable that moves the number.
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The Endocrinology Job Market at a Glance

Total listings: 162
Listings with disclosed salary: 35
Full national range: $200,000 to $350,000
National average range: $261,313 to $304,980

Only 35 of 162 listings disclose compensation, which means roughly four out of five Endocrinology postings ask candidates to inquire within. For a specialty that manages diabetes, thyroid disease, and the metabolic engine of the American population, that opacity is quietly remarkable.

The core band sits between $250,000 and $350,000, with a national average landing in the $261,313 to $304,980 corridor. The floor is a $200,000 posting in New York. The ceiling, based on state averages, is a $400,000 Michigan listing that skews an otherwise sober dataset.

States represented in the data:

• IL
• MO
• NY
• OH
• CA
• CO
• WA
• FL
• MD
• CT
• NC
• WV
• IN
• WI
• TN
• AL
• MA
• TX
• MN
• AK
• MI
• NH
• AZ
• UT
• ME
• GA
• NM
• KY
• PA
• NE
• VA
• SC
• NJ
• ID
• VT
• ND

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How States Stack Up

Overperformers

Michigan: Two listings, one disclosed, averaging $250,000 to $400,000. A low-volume market pricing at the national ceiling.
Missouri: Five listings, one disclosed, averaging $250,000 to $350,000. Small footprint, strong offer.
Ohio: Four listings, three disclosed, averaging $256,667 to $333,333. Consistent premium pay across multiple postings.
Illinois: Twelve listings, five disclosed, averaging $281,000 to $312,825. The tightest, most reliable high-tier band in the country.

Near-average

Connecticut: $260,000 to $300,000. On-benchmark.
New Jersey: A flat $300,000. Predictable.
Maryland: A flat $285,000. Middle of the road, no surprises.
Colorado: $267,000 to $297,000. Single listing, textbook average.
Washington: $268,271 flat. One data point, but squarely in the middle.

Underperformers

Florida: $250,000 to $270,000. Eleven listings, only one disclosed, and it pays under the national average.
California: $254,133 to $307,980. Twelve listings, and the state with arguably the highest cost of living pays below Illinois and Ohio.
New York: $255,000 to $292,857. The volume leader, offering below-average money.

Volume leaders: New York (23), Illinois (12), California (12), Texas (11), Florida (11), Wisconsin (8), Tennessee (6), Alabama (6), Massachusetts (6), New Hampshire (6). New York leads on postings and lags on pay. Michigan and Missouri lead on pay with a combined seven listings.
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What This Means If You’re a Physician

If your priority is maximum compensation: Go to Michigan. The single highest disclosed listing in the dataset tops out at $400,000, and the state average pushes the national ceiling. Missouri and Ohio follow closely, with multiple CompHealth listings in Saint Joseph, MO, Toledo, OH, and Cleveland, OH reaching $350,000.

If your priority is maximum optionality: New York offers 23 listings, more than any other state. You will interview often. You will earn less than a colleague in Ohio doing identical work. (Consider this the New York tax.)

If your priority is balance: Illinois is the quiet winner. Twelve listings, a tight $281,000 to $312,825 band, and consistent disclosure. Predictable pay in a mid-cost market beats a lottery ticket in a high-cost one.

The compensation gap worth scrutiny: California averages $254,133 to $307,980 while carrying some of the country’s highest housing costs. A Palm Springs, CA CompHealth listing sits at a flat $230,000. Do the math before you sign.
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What This Means If You’re a Recruiter

Salary transparency rate: 35 of 162 listings, or 21.6%. Nearly four-fifths of Endocrinology postings tell candidates nothing about pay upfront.

That is a pipeline problem. In a specialty with concentrated supply and rising diabetes prevalence, candidates increasingly filter by disclosed compensation before they ever click. If your listing is silent, you are competing with the ones that are not.

Volume-pay misalignments are the sharpest signal in the data. New York leads on postings but pays below the national average. Texas posts eleven roles and discloses zero salaries. Florida discloses one and it prints below benchmark. In these markets, recruiters cannot lead with money. Lead with lifestyle, patient mix, subspecialty scope, academic affiliation, or loan forgiveness. Lead with anything measurable that is not the number on the offer letter.
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What’s Driving the Numbers

Scope and setting quietly command the premium. The $400,000 Michigan ceiling and the $350,000 CompHealth clusters in Missouri and Ohio are concentrated in mid-size markets where a single endocrinologist may carry an entire regional service line. Scarcity, not seniority, is what the top of this market is paying for.

Part-time and specialized roles distort the floor. The $200,000 Enterprise Medical Recruiting listing in Rochester, NY and the $220,000 AMN Healthcare role in Columbus, OH almost certainly reflect non-standard scope. They pull the national floor down and make the average range look wider than the reality most full-time candidates will face.

Underserved markets are pricing in scarcity, and it shows. Michigan, Missouri, and Ohio have fewer listings and higher offers. This is a supply-and-demand market operating in plain view. Physicians willing to leave the coasts are being paid to do so.

The volume-pay relationship is broken, not bent. New York, California, Texas, and Florida account for 57 of 162 listings, and none of them clear the national average on the high end. High-listing markets are not high-paying markets. Recruiters and candidates should stop assuming they are.

The Bottom Line

Endocrinology in 2026 is a specialty where the money is real, the disclosure is not, and the geography of opportunity has quietly inverted. Michigan, Missouri, Ohio, and Illinois are paying premium rates while the coasts recycle the same 46 postings at below-average numbers. Candidates who chase volume will find work. Candidates who chase pay will need a map.

The best offer for an endocrinologist in America right now is in a state most endocrinologists are not looking at.
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Salary data based on 35 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.