A single Breast Surgery position in Spokane, Washington pays $550,000 annually. A single position in New Jersey pays $200,000. The difference between them is $350,000, or roughly the entire median salary of a family medicine physician. The national market contains 24 total listings across 14 states, with only 6 disclosing compensation. The data reveals a specialty with high earning potential, profound geographic disparity, and an opacity problem that forces most candidates to negotiate in the dark.
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The Breast Surgery Job Market at a Glance
Twenty-four Breast Surgery listings were identified nationally, with salary data disclosed in 6 positions. Compensation ranges from $200,000 to $550,000, with an average salary range of $374,448 to $398,615. The $350,000 spread between floor and ceiling is one of the widest in surgical subspecialties, reflecting the fragmented nature of breast surgery employment models and regional demand imbalances.
The clustering pattern tells the real story. Most disclosed positions sit between $350,000 and $475,000, with $400,000 emerging as a psychological anchor point. The $200,000 New Jersey outlier distorts the low end, while the $550,000 Washington figure pulls the top range into rarified territory. The 75% opacity rate means three-quarters of the market operates without public pricing signals.
States with active Breast Surgery hiring include New York, Washington, Connecticut, Indiana, Arizona, New Jersey, Kentucky, New Hampshire, Maine, West Virginia, Florida, Virginia, South Carolina, and Pennsylvania.
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How States Stack Up
Overperformers:
Washington leads nationally with an average salary range of $475,000 to $550,000, driven by a single disclosed listing in Spokane that sets the market ceiling. Connecticut posts $441,688 (flat range), placing it $67,240 above the national average low despite representing just one data point in a one-listing state.
Near-Average Performers:
New York delivers $376,667 to $400,000 across three disclosed salaries, tracking within $2,219 of the national average low and establishing itself as the most statistically reliable benchmark in the dataset.
Underperformers:
New Jersey reports $200,000 (flat range), landing $174,448 below the national average low and representing the only disclosed salary that falls beneath $300,000 nationally (one of two total listings in the state disclosed compensation).
Volume Leaders:
New York, Washington, Indiana, and Florida each posted three listings, tying for the highest state-level job counts. Washington pairs volume with top-tier pay. New York pairs volume with average pay. Indiana and Florida pair volume with zero salary transparency, a recruiter liability in competitive markets.
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What This Means If You’re a Physician
If your priority is maximum compensation: Washington is the only answer. The Spokane listing at $550,000 annually represents the national peak, and the state’s three-listing presence suggests sustained demand. Connecticut offers a secondary option at $441,688, though with only one listing, optionality is limited.
If your priority is maximum optionality: focus on the four three-listing states: New York, Washington, Indiana, and Florida. New York provides the added advantage of full salary transparency across all three roles, eliminating guesswork. Indiana and Florida require direct salary negotiation but offer geographic diversity (Midwest and Southeast, respectively).
If your priority is balance: New York delivers competitive pay at $376,667 to $400,000, multiple opportunities, and complete transparency. The cost-of-living mismatch is real (New York metro areas command premium housing costs), but the $400,000 ceiling provides workable margin. Avoid New Jersey unless the $200,000 figure reflects part-time scope or academic trade-offs not disclosed in the listing.
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What This Means If You’re a Recruiter
Salary transparency in the Breast Surgery market sits at 25% (6 listings with disclosed compensation divided by 24 total listings). This is a candidate pipeline problem. Physicians evaluating offers in Indiana, Florida, New Hampshire, and nine other states are operating without competitive intelligence, which benefits neither speed-to-hire nor offer acceptance rates.
The volume-pay misalignment is stark. Indiana and Florida tie for the highest listing counts but disclose zero salary data, forcing recruiters to lead with location, lifestyle, or partnership track instead of compensation. Meanwhile, low-volume Connecticut leads with a $441,688 figure that immediately establishes credibility. In a market where the top and bottom differ by $350,000, silence is a strategic disadvantage.
Executives should note that New York is the only high-volume state with full transparency. This is either exceptional recruiting discipline or a signal that New York employers understand the competitive set. Either way, it sets the standard other markets will be measured against.
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What’s Driving the Numbers
Scope and leadership details are absent from the dataset, making it impossible to assess whether administrative roles, fellowship training requirements, or oncologic vs. benign case mix command a premium. The $350,000 range suggests they do, but without role-level metadata, the drivers remain speculative.
Part-time roles could explain the New Jersey floor. A $200,000 salary is defensible at 0.5 FTE or in a purely clinical model with no call or procedural volume targets. Without hours or scope clarification, the figure reads as either a part-time opportunity or a significant undervaluation. Both scenarios distort the low end of the national range.
Underserved markets may be pricing in scarcity, particularly in Washington. Spokane is not a major metro, yet it commands the national salary peak. This is the classic rural premium at work: fewer surgeons, higher patient need, and compensation that reflects replacement difficulty. Connecticut may be operating on a similar logic, though proximity to New York and Boston complicates the underserved designation.
The volume-pay relationship does not hold. High-volume states (Indiana, Florida) disclose nothing. Low-volume states (Connecticut) disclose premium figures. Washington breaks the pattern by combining volume and pay. The takeaway: listing count is not a proxy for compensation competitiveness in this specialty.
The Bottom Line
The Breast Surgery job market is small, well-compensated, and geographically uneven. Physicians with geographic flexibility can access $550,000 in the Pacific Northwest or $441,688 in New England. Those prioritizing volume and transparency should focus on New York, where three roles and three salaries create a legible market. The 75% of listings without disclosed pay represent either opportunity or inefficiency, depending on your negotiation tolerance.
There is a quarter-million-dollar difference between the best and worst disclosed offers, and 18 listings that decline to show their hand.
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Salary data based on 6 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.
