Somewhere in Las Vegas, a neurologist is being offered $500,000 a year to interpret EEGs, and somewhere in Baton Rouge, another neurologist is being offered $225,000 to do broadly the same thing. Both listings are live. Both are real. The 1,100-mile gap between them contains most of what you need to know about the current market. Across the country, 433 Neurology listings are open, spanning nearly every state and a $275,000 salary chasm. The data shows a specialty in high demand, priced with wild inconsistency, and rewarding geography at least as much as expertise.
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The Neurology Job Market at a Glance

Total listings: 433
Listings with salary data: 56
Full national range: $225,000 to $500,000
Average range: $336,900 to $371,587
Most full-time roles cluster: $270,000 to $450,000
Midpoint concentration: $300,000 to $375,000

The spread is unusually wide for a specialty this established. A $275,000 delta between floor and ceiling is not a rounding error — it reflects genuine variance in scope, subspecialty, call burden, and how badly a given health system needs to fill the seat.

States represented: TX, NY, FL, NC, GA, IL, WA, PA, VA, KY, CT, NH, MO, OH, TN, NV, NJ, AZ, MN, MD, MA, WI, SC, IN, MI, CO, LA, KS, VT, NM, OK, OR, ME, ND, SD, WV, NE, AK, MS, ID, RI, WY, AL, CA, AR.

Only 56 of 433 listings disclose pay. Which means most of what neurologists see when they browse the market is a job description, a location, and a phone number.
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How States Stack Up

Overperformers:

• Illinois: $395,000–$410,625 across eight listings — the deepest high-paying data pool in the country.
• Georgia: A flat $400,000 average that punches well above regional expectations.
• North Carolina: Also $400,000, and paired with the second-highest listing volume nationally.
• Nevada: $381,850–$383,333, buoyed by the CompHealth ceiling listing.
• Kansas: A single listing at $385,000 (a lonely, well-compensated data point).
• Maryland: $347,000–$417,000, the widest upside band among leaders.

Near-average:

• Washington: $313,975–$383,491 — a near-perfect mirror of the national mean.
• New York: $318,923–$358,648 across 13 listings, the most statistically reliable read in the country.
• Connecticut: $306,667–$341,667, solidly mid-market.
• New Hampshire: $320,000–$360,000, respectable for its size.
• Missouri: $360,000–$371,250, quietly outperforming its Midwest peers.
• Vermont: $330,000–$375,000.
• Minnesota: $340,000–$370,000.
• Colorado: A flat $370,000.

Underperformers:

• Louisiana: $225,000–$385,000 — the widest single-state spread and the lowest floor in the country.
• Arizona: $260,000–$350,000, meaningfully below the national midpoint.
• Tennessee: $290,000–$310,000, the tightest and lowest band with more than one data point.
• Florida: $300,000–$325,000 on 24 listings — a lot of demand, not a lot of money.
• Ohio: $300,000–$335,000.
• Massachusetts: $300,000–$350,000 (Boston prestige, not Boston pay).
• New Jersey: $300,000–$350,000.

Volume leaders: Texas (40), North Carolina (26), Florida (24), New York (22), Missouri (18), Georgia (18), Illinois (17), Pennsylvania (16), New Hampshire (15), Washington (14). Texas leads the country in listings and reports just two salaries, averaging $350,000–$362,500 — below average despite dominant volume. Florida has 24 listings and one of the lowest disclosed pay bands in the dataset.
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What This Means If You’re a Physician

If your priority is maximum compensation: The ceiling listing is a Las Vegas, Nevada role posted by CompHealth at $495,550 to $500,000. Illinois offers the deepest concentration of high-pay data, and Maryland offers the most upside within a single listing ($417,000 high). Georgia and North Carolina both average $400,000 — a strong number in states with reasonable cost of living.

If your priority is maximum optionality: Texas (40), North Carolina (26), Florida (24), and New York (22) are where the volume lives. New York is the only one of the four with a robust salary pool to match.

If your priority is balance: Illinois and North Carolina are the rare states offering both depth of listings and above-average pay. Massachusetts pays $300,000–$350,000 in one of the highest cost-of-living markets in the country — scrutinize accordingly. Florida’s 24 listings at $300,000–$325,000 deserve the same suspicion.
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What This Means If You’re a Recruiter

Salary transparency rate: 56 of 433, or 12.9%.

Which means 87.1% of Neurology listings are asking candidates to inquire, apply, or otherwise operate on faith. In a specialty with a $275,000 range between floor and ceiling, faith is a hard sell.

The pipeline implication is direct: candidates cross-shopping five listings will anchor to the two that disclose numbers and ignore the three that don’t. Texas and Florida — the volume leaders — are the clearest volume-pay misalignments in the dataset. Texas posts 40 roles and averages $350,000–$362,500. Florida posts 24 and averages $300,000–$325,000. Recruiters in those markets will need to lead with something other than compensation: lifestyle, patient mix, subspecialty scope, loan forgiveness, or the absence of a state income tax. Something.
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What’s Driving the Numbers

Scarcity pricing is real, and it is loudest in the mountain west. Nevada and Kansas — two of the lowest-volume states with salary data — post some of the highest averages. When a hospital system has one neurologist opening and a two-hour drive to the nearest colleague, the number goes up. Illinois is the exception: high pay and high volume, likely reflecting Chicago’s academic-medical concentration and its stroke-network buildout.

The volume-pay relationship does not hold. Texas leads the nation in listings and pays below average. Florida is worse. North Carolina is the only high-volume state that also pays at the top of the market. Volume is a proxy for demand, not for compensation — a distinction that recruiters understand and candidates often learn the hard way.

The floor is being distorted by wide-range listings. The Louisiana posting at $225,000–$385,000 is almost certainly a single job description covering multiple experience levels or FTE configurations. Strip that outlier, and the effective national floor moves closer to $270,000 — still low, but no longer alarming.

Transparency is a competitive weapon that most employers are declining to pick up. At 12.9% disclosure, the market is dark by default. The employers who post numbers are the ones getting first look at candidate attention. The other 87% are competing for what’s left.

The Bottom Line

The Neurology market in mid-2026 is active, geographically distributed, and priced with the kind of inconsistency that rewards candidates who do their homework and punishes those who don’t. The ceiling is generous. The floor is soft. The middle is wide enough to drive a stroke unit through. Volume lives in the Sun Belt; money lives in the Midwest and the Mountain West; transparency lives almost nowhere.

Neurology pays well to think carefully — which is exactly the skill you’ll need to read this market.
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Salary data based on 56 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.