Missouri is paying Hematology Oncology physicians $725,000 on average, while Vermont offers $250,000. The gap is $475,000, which is approximately 1.9 Vermonts. The national market contains 307 active listings spanning 47 states, from Hawaii to Maine, from Alaska to Florida. Salary data exists for only 68 of those positions, but the range they reveal is instructive: $250,000 to $870,000, with a national average of $488,677 to $571,427. This is a market where geography determines compensation more than almost any other variable.
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The Hematology-Oncology Job Market at a Glance

Total listings: 307. Listings with salary data: 68. Full national range: $250,000 to $870,000. Average range: $488,677 to $571,427.

The $620,000 spread between floor and ceiling reflects a specialty where scarcity, regional demand, and institutional resources create wildly divergent compensation structures. The average low of $488,677 sits nearly double the floor, suggesting that $250,000 listings represent outliers (or part-time arrangements, or academic positions with undisclosed incentives). The average high of $571,427 undershoots the ceiling by $298,573, indicating that the top 10% of this market operates in a different stratosphere entirely.

States with active listings include:

• New York
• California
• North Carolina
• Florida
• Washington
• Michigan
• Wisconsin
• Ohio
• Texas
• Oregon
• Kentucky
• Colorado
• Massachusetts
• Illinois
• Indiana
• Pennsylvania
• New Mexico
• West Virginia
• Minnesota
• New Hampshire
• Tennessee
• Hawaii
• Maryland
• Nevada
• Wyoming
• North Dakota
• Vermont
• Maine
• Iowa
• Connecticut
• Alaska
• Rhode Island
• New Jersey
• Oklahoma
• Arizona
• Louisiana
• Idaho
• Virginia
• Alabama
• Georgia
• Kansas
• Montana
• Arkansas
• South Carolina
• Mississippi
• South Dakota

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How States Stack Up

Overperformers: Missouri leads the nation with an average of $725,000 (based on two listings), a figure that treats cancer care as a premium export. Massachusetts ranges from $450,000 to $800,000, offering both the flexibility of a wide band and the ceiling of a competitive academic market. Illinois averages $556,250 to $731,250, rewarding physicians willing to work outside the coasts. Hawaii pays $650,000 to $700,000, pricing in island isolation and limited supply. Maryland offers $650,000 flat, a straightforward premium with no negotiation theater. California averages $528,304 to $616,304 and contains the single highest-paying job in the nation. Michigan ranges from $600,000 to $650,000 despite modest listing transparency. Nevada pays $625,000, a figure that reflects desert scarcity. New Mexico offers $600,000, compensating for rurality with cash.

Near-average performers: Ohio averages $491,667 to $512,500, a near-perfect match for the national baseline. Colorado ranges from $491,750 to $557,250, offering predictability in the Rockies. North Dakota pays $500,000 flat (one listing), a clean benchmark in a low-volume state. Wyoming matches at $500,000, similarly sparse but reliable. West Virginia offers $550,000, edging slightly above average with two data points. Minnesota ranges from $541,667 to $555,000, delivering Midwestern stability without fireworks. Washington averages $475,000 to $550,000 but reports salary data for only one of 15 listings, limiting confidence.

Underperformers: Vermont averages $250,000 to $350,000, a figure that falls $238,677 below the national average low and suggests either part-time work or a profound miscalculation. Kentucky pays $290,000 on average (one listing out of 10), underpricing oncology in a state with double-digit job volume.

Volume leaders: New York leads with 32 listings, followed by California (25), North Carolina (19), Florida (16), Washington (15), Michigan (13), and Wisconsin (12). New York’s volume advantage does not translate to pay dominance; its $416,250 to $524,375 average sits below Missouri, Massachusetts, Illinois, Hawaii, Maryland, and California. California combines high volume with above-average pay, a rare pairing. North Carolina, Florida, Wisconsin, and Washington offer double-digit listings but zero salary transparency, rendering them invisible to compensation-driven candidates.
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What This Means If You’re a Physician

If your priority is maximum compensation: Target Missouri, Massachusetts, Illinois, Hawaii, Maryland, and California. The single highest-paying listing is in Redding, California, offering $770,000 to $870,000 annually. No other position approaches that ceiling. Missouri’s $725,000 average reflects consistency at the top, while Massachusetts offers the widest range ($450,000 to $800,000), rewarding negotiation skill or subspecialty leverage.

If your priority is maximum optionality: Focus on New York (32 listings) and California (25 listings), which together account for nearly one-fifth of the national market. North Carolina (19), Florida (16), and Washington (15) add volume but lack salary transparency. California edges New York on both volume and pay, making it the most complete market in the country.

If your priority is balance: Consider Ohio, Colorado, Minnesota, or West Virginia, all of which pay near the national average in lower-cost regions. Ohio’s $491,667 to $512,500 range offers predictability. Colorado’s $491,750 to $557,250 adds geographic appeal. Avoid Vermont and Kentucky unless non-financial factors dominate; both pay $200,000+ below the national average low, a gap that no cost-of-living adjustment can justify.
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What This Means If You’re a Recruiter

Salary transparency rate: 22.1% (68 listings with data divided by 307 total listings). This is a low-disclosure market, and it will cost you candidates. Physicians evaluating Hematology Oncology opportunities have access to compensation data in fewer than one in four listings. States like North Carolina (19 listings, zero salary data), Florida (16 listings, zero data), and Texas (10 listings, zero data) are effectively invisible to compensation-driven talent.

Volume-pay misalignments are pronounced. New York offers the most jobs but pays below Missouri, Massachusetts, Illinois, Hawaii, Maryland, and California. Kentucky posts 10 listings but averages $290,000, $198,677 below the national baseline. If you are recruiting in high-volume, low-transparency, or below-average states, you will need to lead with lifestyle, partnership track, research access, or geographic preference. Compensation will not close the deal.

Pipeline implications: Physicians have 307 options and limited patience. If your listing does not disclose salary and your market does not overpay, you are competing with one hand tied. The states winning this market are either paying premiums (Missouri, Massachusetts, Illinois) or publishing numbers (California, New York, Ohio). Do one or both.
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What’s Driving the Numbers

Scarcity pricing dominates in low-volume states. Missouri, Hawaii, Maryland, Nevada, and New Mexico all report above-average compensation despite modest listing counts (one to three jobs each). These are not accident markets. They reflect deliberate overpayment to attract subspecialty talent to regions with limited oncology infrastructure. North Dakota and Wyoming pay exactly $500,000, a suspiciously round number that suggests standardized offers in rural health systems.

High-volume states do not command pricing power. New York leads the nation in listings but pays 24% below Missouri and 11% below the national average high. North Carolina, Florida, and Texas combine for 45 listings and zero salary data, a transparency failure that removes them from competitive consideration. Volume without disclosure is noise.

Geographic arbitrage opportunities are extreme. A physician moving from Vermont ($250,000 low) to Missouri ($725,000) would nearly triple their income. Even moving from New York ($416,250 average low) to California ($528,304 average low) yields a $112,054 raise before cost-of-living adjustments. The Hematology Oncology market rewards mobility more than loyalty.

Part-time roles and academic positions distort the floor. The $250,000 Vermont listing and $290,000 Kentucky listing sit so far below the national average ($488,677) that they likely reflect reduced FTE, research-heavy roles, or fellowship-adjacent positions. The floor is not the floor. It is an outlier that should be excluded from decision-making unless part-time work is the goal.

The Bottom Line

The Hematology Oncology job market is geographically fragmented, inconsistently transparent, and structurally tilted toward physicians willing to move. High-volume states offer jobs but not premiums. Low-volume states offer premiums but not options. California is the only market that delivers both. Missouri pays the most on average. Vermont pays the least. New York has the most listings but ranks mid-tier on compensation. Twenty-two percent of listings disclose salary, meaning 78% are asking physicians to negotiate blind.

There is a lot of money available for treating blood cancers, but you may need to leave your state to find it.
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Salary data based on 68 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.