Somewhere in Indio, California, a health system is willing to pay a gastroenterologist up to $850,000 a year. Somewhere in Berlin, New Jersey, another is offering $200,000 for what is presumably the same credential set (though almost certainly not the same job description). That is the Gastroenterology market in 2026 — a specialty where the floor and the ceiling occupy entirely different zip codes, tax brackets, and emotional registers. PhysEmp tracked 559 active Gastroenterology listings across 47 states and the District of Columbia. The thesis is simple: GI demand is national, compensation is enormous, and transparency is the exception rather than the rule.
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The Gastroenterology Job Market at a Glance

Total listings: 559
Listings with salary data: 93
Full salary range: $25,000 to $955,000
Average salary range: $489,765 to $543,204

The spread is the story. A $25,000 floor and a $955,000 ceiling describes a market where part-time locums sit on the same listing board as partnership-track endoscopy empires. The average lands comfortably near half a million, which is roughly where Gastroenterology has been parked for a while now (a specialty whose economic value is, essentially, the willingness to spend a career looking at things other physicians would rather not).

States represented in the dataset: New Jersey, Missouri, Maryland, Connecticut, New York, Washington, Ohio, California, Illinois, Colorado, Nevada, Indiana, Pennsylvania, Massachusetts, Florida, Tennessee, Oklahoma, Alabama, Texas, Virginia, South Carolina, Louisiana, North Dakota, Wyoming, Georgia, Mississippi, Arkansas, New Hampshire, Wisconsin, Kansas, Maine, South Dakota, Iowa, Minnesota, Arizona, West Virginia, Michigan, Utah, Kentucky, North Carolina, Hawaii, New Mexico, Nebraska, Oregon, Idaho, Vermont, Montana, and the District of Columbia.
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How States Stack Up

Overperformers:

• Idaho leads the disclosed pack at $750,000 flat, on a single listing that someone in Boise should probably frame.
• Louisiana posts an eye-opening $624,000 to $832,000 range, which is what scarcity pricing looks like in the Gulf South.
• Nevada averages $590,000 to $650,000 across two listings, confirming that desert GI commands a premium.
• Utah reports $600,000 on one listing — quiet, but firmly above the mean.
• Hawaii ranges $515,000 to $714,000, the rare paradise that also pays.
• Missouri averages $575,000 to $575,500, an almost suspiciously tight band.
• Florida averages $550,000 to $578,571 — and does it at scale.
• Indiana averages $550,000 on three listings.
• Illinois averages $542,857 — flat low and high, which is unusual and probably a rounding artifact.
• California averages $499,400 to $611,700, the only true volume-and-pay double threat.

Near-average:

• New York averages $489,561 to $558,296 across 26 disclosed listings, the deepest data well in the country.
• New Jersey averages $483,333 to $496,556, the textbook median.
• Ohio averages $448,333 to $488,333, dependable and unspectacular.
• Washington averages $435,754 to $525,878 — a wide band, but solidly mid-tier.
• Maryland averages $445,000 to $482,500.
• Colorado averages $425,000 to $472,500.

Underperformers:

• Connecticut averages $409,000 to $428,333, lagging its neighbors meaningfully.
• Pennsylvania disclosed one listing at $400,000, well below regional peers (and on 21 total listings, an alarming transparency rate of one).
• Massachusetts averages $262,500 to $287,500 — roughly half the national mean, and almost certainly distorted by part-time roles.
• Alabama reports $100,000 on a single listing, which is either a clerical event or a very specific arrangement.

Volume leaders: Florida (50), New York (44), Texas (36), Indiana (24), Illinois (23), Virginia (22), Pennsylvania (21), California (19), Massachusetts (19), Washington (18), Tennessee (18), Wisconsin (18). Texas, Virginia, and Tennessee — 76 combined postings — disclosed exactly zero salaries. Make of that what you will.
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What This Means If You’re a Physician

If your priority is maximum compensation: The highest-paying listing on the board sits in Indio, California, at $540,000 to $850,000. Louisiana, Idaho, Nevada, and Hawaii also clear the $600,000 mark on disclosed ranges. Cost-of-living mismatch flag: Indio is in the Coachella Valley, not coastal California, which means the dollar travels further than the zip code suggests.

If your priority is maximum optionality: Florida (50), New York (44), and Texas (36) are the three deepest pools. Florida is the cleanest answer — volume and pay both above mean. Texas you take on faith, because Texas isn’t telling you anything.

If your priority is balance: Florida, Illinois, Indiana, and New York combine real listing volume with above-average compensation. Massachusetts, with 19 listings and a $262,500-to-$287,500 disclosed average, is the conspicuous balance trap — high volume, low disclosed pay, and a cost of living that does not forgive either.
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What This Means If You’re a Recruiter

Salary transparency rate: 93 of 559 listings disclosed compensation. That is 16.6%. In a specialty where candidates can clear $750,000 in Idaho, asking them to apply blind is an increasingly hard sell.

Pipeline implications are sharp. Texas (36 listings, zero disclosures), Virginia (22, zero), Tennessee (18, zero), Wisconsin (18, zero), and Georgia (17, zero) are collectively sitting on 111 postings with no public number attached. Candidates with options — and Gastroenterologists have options — will route around silence.

Volume-pay misalignment to flag: Massachusetts and Pennsylvania carry significant listing counts at disclosed numbers well below the national mean. Recruiters in those markets will need to lead with academic affiliation, partnership track, call structure, or endoscopy unit ownership economics. Leading with the base will not work.
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What’s Driving the Numbers

Scope and partnership track command the real premium. The $750,000-plus disclosed averages in Idaho, Louisiana, and Nevada are not employed-physician base salaries in the traditional sense. They reflect ASC ownership, partnership distributions, or scarcity-driven guarantees. The headline number in GI is almost always a compound number.

Part-time and locum roles are distorting the floor. A $25,000 listing and a $100,000 Alabama average do not describe full-time Gastroenterology in any meaningful sense. They describe weekend endoscopy coverage, semi-retirement, or hospital-based locums priced by the shift. Anyone benchmarking off the low end is benchmarking off the wrong job.

Underserved markets are pricing in scarcity, loudly. Idaho, Louisiana, Nevada, Hawaii, and Utah — collectively nine disclosed listings — produce the highest averages in the country. This is not coincidence. It is a specialty-specific labor shortage being resolved with money, which is the only tool that reliably works.

The volume-pay relationship mostly holds, with one major break. Florida and California do volume and pay simultaneously. Massachusetts breaks the pattern entirely — high volume, low disclosed compensation, expensive geography. That is the market’s most interesting anomaly and the one worth scrutinizing before signing anything in Boston.

The Bottom Line

Gastroenterology in 2026 is a specialty with national demand, regional scarcity premiums, and a transparency problem that benefits employers more than candidates. The money is real — the average sits near half a million and the ceiling clears $950,000 — but the highest disclosed numbers cluster in states most physicians do not immediately think to move to. The big-volume coastal markets pay well in Florida and California, fairly in New York, and surprisingly poorly in Massachusetts. Texas, Virginia, and Tennessee are running a combined 76 listings on vibes.

GI pays handsomely to look at what no one else wants to look at — and pays the most in the places no one else wants to move to.
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Salary data based on 93 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.