Virginia and Idaho are each advertising Gastroenterology positions at $1,000,000 annually. Not ranges. Not partnership projections. Flat seven figures. The national Gastroenterology market currently features 535 active listings, of which 89 include salary data. The floor is $200,000 (a part-time role in New Jersey). The ceiling is $1,000,000. The national average salary range sits at $530,614 to $590,403, though this figure is heavily influenced by a handful of outlier markets. What the data shows: Gastroenterology compensation is less about geography and more about practice structure, with private practice and partnership tracks commanding premiums that can double hospital-employed baselines.
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The Gastroenterology Job Market at a Glance
Total listings: 535. Listings with salary data: 89. Full compensation range: $200,000 to $1,000,000. Average salary range: $530,614 to $590,403.
The spread is enormous, even for a procedural specialty. The gap between the lowest and highest reported salaries spans $800,000, a delta that reflects not just regional cost-of-living differences but fundamentally different employment models. Most positions cluster in the $450,000 to $600,000 band, which represents the stable middle of hospital-employed and large group practice roles. But the upper tail extends well beyond $700,000, and those positions are concentrated in states that do not traditionally dominate physician compensation headlines.
States with active listings include:
- California
- New York
- Florida
- Texas
- Georgia
- Illinois
- Pennsylvania
- Washington
- Indiana
- New Jersey
- Colorado
- Ohio
- Massachusetts
- Maryland
- Missouri
- Arkansas
- Hawaii
- Louisiana
- Connecticut
- Nevada
- Utah
- Virginia
- Idaho
- South Dakota
- Tennessee
- Mississippi
- North Dakota
- Alabama
- Oklahoma
- North Carolina
- Iowa
- South Carolina
- New Mexico
- Maine
- Wyoming
- Wisconsin
- Oregon
- Kentucky
- West Virginia
- Minnesota
- Michigan
- Arizona
- New Hampshire
- Kansas
- Nebraska
- Montana
- Washington D.C.
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How States Stack Up
Overperformers: Virginia averages $1,000,000 to $1,000,000 based on one listing, representing the national ceiling. Idaho matches that figure exactly, also on one listing, proving that top-tier compensation exists outside major metros. Missouri averages $750,000 to $750,000 across two listings, a strong showing for a Midwest market with moderate cost of living. Arkansas reports $675,000 to $825,000 across two listings, likely reflecting rural scarcity premiums and partnership opportunities. Louisiana averages $624,000 to $832,000 on one listing, outpacing most coastal competitors. Illinois averages $621,429 to $621,429 across seven listings, offering above-average pay with meaningful volume.
Near-average performers: Washington averages $558,856 to $660,027 across five listings, sitting comfortably above the national midpoint. Nevada reports $590,000 to $650,000 on two listings, a solid benchmark for a low-volume state. Indiana averages $583,333 to $583,333 across three listings, clustering tightly at the national average. Utah posts $600,000 to $600,000 on one listing, a respectable figure for a smaller market. Maryland averages $557,500 to $595,000 across four listings, consistent with mid-Atlantic norms. Ohio reports $510,450 to $587,250 across four listings, reflecting stable Midwest compensation. Hawaii averages $515,000 to $714,000 on two listings, though the range suggests variability in practice type. Massachusetts posts $500,000 to $550,000 on two listings, surprisingly restrained for a high-cost market. New Jersey averages $493,750 to $508,625 across eight listings, clustering near the national average despite proximity to New York. California reports $493,778 to $618,556 across nine listings, a wide range that reflects the state’s diverse practice environments. New York averages $478,700 to $542,525 across 28 listings, offering near-average pay despite leading the nation in job volume. Florida posts $487,500 to $512,500 on two listings, underwhelming given its 46 total postings.
Underperformers: Colorado averages $425,000 to $472,500 across two listings, falling well below the national average for a high-cost-of-living state. Pennsylvania reports $400,000 to $400,000 on one listing, the second-lowest average nationally despite 24 total postings. Connecticut averages $376,000 to $405,000 across two listings, the lowest compensation in the dataset and a poor match for the state’s cost of living.
Volume leaders: New York leads with 47 listings, followed by Florida with 46, Georgia with 26, Pennsylvania with 24, California and Washington with 22 each, and Indiana and Texas with 21 each. New York and Florida both post near-average or below-average compensation despite their dominance in volume. Pennsylvania ranks fourth in listings but reports the second-lowest average salary among states with data. Texas and Georgia, despite strong volume, provided zero salary disclosures.
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What This Means If You’re a Physician
If your priority is maximum compensation: Target Virginia, Idaho, Missouri, and Arkansas. The highest-paying listing in the dataset is $1,000,000 annually, appearing in both Virginia and Idaho (specific cities not disclosed in state-level data). Missouri and Arkansas both exceed $675,000 on average, and these markets likely feature partnership tracks or physician-owned practices with procedural volume upside.
If your priority is maximum optionality: Focus on New York (47 listings), Florida (46 listings), or Georgia (26 listings). These states offer the most opportunities to compare practice settings, though compensation in New York and Florida hovers near the national average. Georgia provided no salary data, which may signal either confidentiality in competitive markets or reliance on negotiation over posted ranges.
If your priority is balance: Washington, Illinois, Maryland, and Nevada offer above-average pay with reasonable job volume and geographic appeal. Washington averages $558,856 to $660,027 across five listings. Illinois provides $621,429 average compensation across seven listings, pairing strong pay with Midwest cost of living. A cost-of-living mismatch exists in Connecticut, where average pay of $376,000 to $405,000 falls far short of the state’s housing and tax burden.
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What This Means If You’re a Recruiter
Salary transparency rate: 16.6% (89 listings with salary data divided by 535 total listings). This is low, even by physician recruitment standards, and suggests that most organizations are either deferring compensation discussions to later stages or operating in markets where partnership income variability makes posted ranges misleading.
The candidate pipeline will be shaped by this opacity. High-volume states like Texas (21 listings, zero salary disclosures) and Georgia (26 listings, zero salary disclosures) will need to lead with lifestyle, geography, or partnership potential rather than base compensation. Meanwhile, states like Illinois (seven salary listings) and New York (28 salary listings) are signaling transparency as a competitive advantage.
Volume-pay misalignment is pronounced. New York leads in listings but pays near the national average. Florida ranks second in volume but offers below-average compensation. Pennsylvania ranks fourth in volume but reports one of the lowest average salaries in the dataset. Recruiters in these states will need to emphasize practice environment, subspecialty procedural volume, or academic affiliation rather than raw compensation. Conversely, low-volume states like Virginia, Idaho, and Missouri are competing almost exclusively on salary, and they are winning that fight decisively.
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What’s Driving the Numbers
Partnership and ownership structures command a significant premium. The $1,000,000 listings in Virginia and Idaho, the $750,000 average in Missouri, and the $675,000 to $825,000 range in Arkansas all suggest equity participation or procedural fee-sharing models. These figures are not attainable in hospital-employed or academic roles, where compensation tends to compress into the $450,000 to $550,000 band. Gastroenterology is a procedural specialty with significant ancillary revenue potential, and the pay gap between employed and independent models reflects that reality.
Part-time roles distort the floor but not the overall market. The $200,000 listing in Cherry Hill, New Jersey is explicitly part-time, and it pulls the national minimum downward without reflecting the true entry point for full-time Gastroenterologists. Excluding this outlier, the effective floor is closer to $375,000, which aligns with academic or early-career hospital-employed positions.
Underserved and rural markets are pricing in scarcity. Idaho, Arkansas, and Missouri are not high-cost-of-living states, yet they are offering compensation that rivals or exceeds coastal markets. This is a textbook scarcity premium: fewer Gastroenterologists are willing to relocate to these regions, so health systems and private practices are competing with seven-figure offers. The strategy works, but it also reveals the limits of geographic preference in a supply-constrained specialty.
The volume-pay relationship is broken. States with the most listings are not paying the most. New York, Florida, and Pennsylvania dominate in volume but underperform on compensation. This inversion suggests that high-volume markets are saturated with hospital-employed roles, while low-volume markets are disproportionately private practice or partnership-driven. For physicians, this means that chasing the most job postings may actually lead to lower lifetime earnings.
The Bottom Line
The Gastroenterology job market is geographically broad, structurally bifurcated, and heavily skewed toward private practice and partnership models at the top end of compensation. Hospital-employed roles in high-volume states offer stability and predictability in the $450,000 to $550,000 range, but physicians willing to consider smaller markets and ownership structures can access compensation that exceeds $700,000 or even reaches $1,000,000. The market rewards flexibility, procedural skill, and a willingness to look beyond the coasts.
There is a lot of money available for looking inside people with cameras. Choose your practice structure wisely.
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Salary data based on 89 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.




