Physician Job Market Analysis Report: Endocrinology
PhysEmp Market Intelligence | PhysEmp.com
The Hook
Somewhere in Michigan, a hospital is prepared to pay an endocrinologist $400,000 to manage thyroids, titrate insulin, and quietly outearn most of the coastal specialists who assumed geography was destiny.
Meanwhile, in Cleveland, a locums desk is advertising the same specialty starting at $175,000—a spread of $225,000 for what is, on paper, the same job.
The national job board currently holds 144 open Endocrinology listings across 37 states, from Manhattan tower systems to single-post outposts in North Dakota.
The thesis is simple: Endocrinology is a stable, high-demand specialty where compensation has quietly decoupled from prestige, volume, and ZIP code.
The National Snapshot
- Total listings: 144
- Listings with disclosed salary: 33
- Full national salary range: $175,000–$400,000
- National average salary range: $261,712–$302,280
The spread tells the story before the states do.
A $225,000 difference between the floor and the ceiling in a specialty this narrow is not a rounding error. It is a pricing regime that rewards flexibility and punishes assumption.
Most disclosed roles cluster tightly between $250,000 and $350,000, which is the comfortable middle where hospital systems, private groups, and academic centers converge on what an endocrinologist “should” cost.
States Represented
California, New York, Illinois, Florida, Texas, Ohio, Connecticut, Washington, Massachusetts, New Jersey, Michigan, Missouri, Maryland, Colorado, Wisconsin, Tennessee, New Hampshire, Pennsylvania, North Carolina, Alabama, Arizona, Indiana, Georgia, Idaho, Kentucky, Minnesota, Maine, Nebraska, New Mexico, North Dakota, South Carolina, Utah, Vermont, Virginia, West Virginia, and Arkansas.
State-by-State Analysis
Overperformers
Michigan
Average salary range: $250,000–$400,000
Michigan ties the national ceiling on just two listings. Small sample, large statement.
Missouri
Average salary range: $250,000–$350,000
The Midwest quietly outbids the Northeast, again.
Illinois
Average salary range: $287,500–$314,021
Illinois is the most consistently high-paying market in the data.
New Jersey
Average salary: $300,000
This is what happens when a state stops negotiating with itself.
Connecticut
Average salary range: $260,000–$300,000
A solid premium tier without the drama.
Near-Average Markets
New York
Average salary range: $251,818–$295,455
New York hugs the national midpoint despite dominating the volume board.
California
Average salary range: $257,046–$308,972
California is priced almost exactly to the national mean—which, given the cost of living, is its own comment.
Colorado
Average salary range: $267,000–$297,000
One disclosed listing. Honest and unremarkable.
Washington
Average salary: $268,271
One listing, right on the median.
Maryland
Average salary: $285,000
One disclosed listing—steady, if unspectacular.
Underperformers
Ohio
Average salary range: $237,500–$287,500
Ohio is dragged down by a Cleveland locums post opening at $175,000.
Massachusetts
Average salary: $251,000
That is a lot of Boston rent for a Midwest-adjacent salary.
Florida
Average salary range: $250,000–$270,000
Sunshine included, but not itemized.
Volume Leaders
- New York: 26 listings
- Florida: 11 listings
- Illinois: 10 listings
- California: 9 listings
- Texas: 9 listings
- Wisconsin: 7 listings
- Connecticut: 6 listings
New York offers the most doors and average pay behind them.
Texas posts nine listings and discloses salary on zero of them. Make of that what you will.
What This Means for Physicians
If Your Priority Is Maximum Compensation
Look at Michigan, where one listing reaches $400,000, the national ceiling for this specialty.
Missouri follows with a top-end salary of $350,000.
Both markets require geographic flexibility and a willingness to explain the move at family gatherings.
If Your Priority Is Maximum Optionality
New York’s 26 listings are unmatched, followed by Florida with 11 and Illinois with 10.
Illinois is the rare high-volume market that also pays above average.
If Your Priority Is Balance
Illinois and New Jersey deliver above-average pay with meaningful listing depth.
Massachusetts, at $251,000 against Boston-tier housing costs, presents the cost-of-living mismatch worth scrutinizing.
A Michigan offer at the national ceiling buys roughly twice the square footage—and none of the winter guilt.
What This Means for Recruiters and Healthcare Executives
Salary Transparency Remains Low
Only 33 of 144 listings disclose compensation, producing a transparency rate of approximately 23%.
That means 77% of the market is asking candidates to inquire about pay.
In a specialty this candidate-scarce, that is a self-inflicted pipeline wound.
Texas leads the opacity chart with nine listings and zero salary disclosures. Wisconsin, with seven listings and no disclosures, is not far behind.
In a market where Michigan and Missouri are openly quoting $350,000–$400,000, silence is not neutral. It reads as low.
Recruiters in high-volume, low-disclosure states will need to lead with something other than compensation, including:
- Call-panel size
- Subspecialty focus
- Diabetes technology programs
- Thyroid specialization
- Reproductive endocrinology opportunities
- Clinical autonomy
- Call structure
- Loan-forgiveness programs
- Signing incentives
Ohio recruiters, in particular, will need to explain what a $175,000 offer buys before candidates click away.
Market Forces Shaping Endocrinology Recruitment
Stable Demand, Modest Ceiling
Endocrinology is a chronic-care specialty tethered to diabetes prevalence, meaning patient volume is durable but procedural upside is limited.
That is why the ceiling stops at approximately $400,000, rather than the $700,000-plus compensation sometimes seen in procedural specialties.
The specialty is paid to manage, not to cut.
Locums Pressure on the Floor
The lowest listing in the country—a CompHealth Cleveland post beginning at $175,000—appears to reflect a locums or part-time structure.
It is also single-handedly pulling Ohio’s average below the national floor.
Remove that listing and Ohio begins to look far more average.
Part-time roles can distort the market read. They do not necessarily reflect what a full-time, employed endocrinologist is being offered.
Scarcity Pricing in the Midwest
Michigan and Missouri disclosed compensation on only a small number of listings, but both cleared $350,000 at the top of their ranges.
Underserved markets are pricing in the difficulty of recruitment.
The compensation ceiling is being set by geography rather than academic prestige.
Volume and Pay Have Decoupled
New York posts 26 listings at approximately national-average pay.
Michigan posts two listings and reaches the national ceiling.
In Endocrinology, the biggest markets are not necessarily the best-paying markets. They are simply the loudest.
The Bottom Line
Endocrinology is a specialty of quiet leverage.
Demand is structural, supply is thin, and pricing is fragmented enough that a physician willing to move can potentially add six figures without materially changing the job description.
The coasts offer volume and lifestyle. The Midwest offers money and, allegedly, parking.
In Endocrinology, the highest bidder is not the biggest city—it is the state that needs you most.
Salary data is based on 33 job listings with disclosed compensation. Figures may reflect part-time, locums, or specialized roles. This report is informational and should not replace professional judgment, contract review, or financial planning.
