Only two of 46 Nephrology employers are willing to tell you what they’ll pay. The ones who did disclosed a salary spread of just $24,998 between the floor and ceiling, a remarkably tight band for a specialty that manages dialysis schedules, transplant protocols, and the slow-motion complexity of chronic kidney disease. The national dataset spans 23 states, but compensation visibility hovers at 4.3 percent. The takeaway: Nephrology is hiring steadily, paying competitively where disclosed, and keeping most of its cards face-down.
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The Nephrology Job Market at a Glance

Total listings: 46
Listings with salary data: 2
Full salary range: $275,000 to $299,998
Average range: $287,499 to $287,499

The disclosed range is narrow enough to suggest either tight market consensus or coincidentally similar offers. Either way, the visible floor sits at $275,000 and the ceiling at $299,998, a difference of less than nine percent. For a specialty that requires fellowship training and manages some of medicine’s most complex longitudinal care, this is a compressed band. The real story is what’s missing: 44 listings declined to share numbers, meaning the true market could be wider, higher, or segmented in ways this data can’t capture.

The 46 listings span New York, Nevada, Tennessee, Hawaii, Missouri, Virginia, Kentucky, Texas, Wisconsin, New Mexico, South Carolina, Maryland, Louisiana, Arizona, California, Ohio, Illinois, Pennsylvania, Florida, Indiana, Georgia, New Jersey, and North Carolina.
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How States Stack Up

New York posted the only listing at the top of the range ($299,998), making it the highest-paying disclosed market despite contributing just one job. Tennessee disclosed the floor at $275,000, placing it at the bottom of visible compensation but still well within competitive territory for the specialty. Virginia leads in volume with five listings but discloses nothing, leaving its true pay position unknown. Kentucky and California each posted four listings with zero salary transparency, so their competitiveness remains speculative. Texas and Maryland each contributed three listings without compensation data, meaning high activity doesn’t guarantee visibility. Nevada, Hawaii, Missouri, South Carolina, Ohio, Florida, and New Jersey each posted two listings with no disclosed pay. Wisconsin, New Mexico, Louisiana, Arizona, Illinois, Pennsylvania, Indiana, Georgia, and North Carolina each posted one listing, none with salary data.

Volume leaders: Virginia (5 listings), Kentucky (4), California (4), Tennessee (3), Texas (3), Maryland (3).
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What This Means If You’re a Physician

If your priority is maximum compensation: New York, NY is the only disclosed top-tier market at $299,998 for a full-time Nephrology role. It’s a single listing, so competition may be steep, but the number is real and it’s the highest visible.

If your priority is maximum optionality: Virginia offers five listings, Kentucky and California each offer four, and Tennessee, Texas, and Maryland each offer three. None of these states disclosed salary except Tennessee (at the lower end), so you’ll need to negotiate in the dark or wait for offers to surface.

If your priority is balance: Tennessee offers three listings and one disclosed salary at $275,000, which is below the New York figure but may come with lower cost of living and less competitive applicant pools. It’s a trade-off worth modeling if you value transparency and livability over top-dollar compensation.
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What This Means If You’re a Recruiter

Salary transparency rate: 4.3 percent (2 of 46 listings disclosed compensation). This is among the lowest visibility rates across physician specialties, meaning candidates will expect clarity early in the interview process and recruiters will need to lead with scope, partnership track, call burden, and practice culture rather than published salary figures. The candidate pipeline will favor organizations that disclose early or offer competitive packages upfront, as Nephrologists have limited public benchmarks to anchor expectations.

Virginia, Kentucky, and California are high-volume states with zero disclosed pay, creating a visibility gap that may slow candidate interest or increase time-to-fill. Tennessee disclosed at the low end of the range despite posting three listings, which may signal cost containment or market saturation. Recruiters in Tennessee will need to emphasize non-compensation differentiators to compete with higher-paying or higher-volume markets.
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What’s Driving the Numbers

Salary transparency is the exception, not the rule. With only 4.3 percent of listings disclosing pay, the Nephrology market operates largely on private negotiation. This benefits employers who want flexibility and disadvantages candidates who need benchmarks. The two disclosed figures suggest a narrow band, but the 44 undisclosed listings could easily include outliers, part-time roles, or leadership positions that would widen the range significantly.

Volume and pay do not visibly correlate. Virginia leads in listings but discloses nothing. Tennessee posts three jobs and discloses the lowest salary. New York posts one job and discloses the highest. There’s no evidence that high-volume states pay more or less, which means candidates should treat each market independently rather than assume volume signals competitiveness.

Geographic spread is wide, but opportunity is thin. Twenty-three states are represented, but only six states posted more than two listings. This suggests a fragmented market with pockets of activity rather than concentrated hiring in major metros or health systems. Nephrologists willing to relocate will have more leverage than those tied to a single region.

The disclosed range is tight, but the sample is too small to trust. A $24,998 spread across two listings is not a market consensus. It’s a data point and a data point. The real range is likely wider, shaped by practice setting, call expectations, transplant involvement, and whether the role includes inpatient dialysis management or outpatient-only care.

The Bottom Line

The Nephrology job market is moderately active, geographically dispersed, and almost entirely opaque on compensation. The two disclosed salaries suggest a competitive floor above $275,000 and a visible ceiling just shy of $300,000, but with 96 percent of listings keeping pay private, the real market is anyone’s guess. Candidates should expect to negotiate in the dark, and employers should expect candidates to walk if clarity doesn’t come early.

There is work available for people who manage kidneys, but you will have to ask what it pays.
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Salary data based on 2 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.