OBGYN The PhysEmp Physician Salary Report, March 2026
PhysEmp Job Market Index — Based on physician job listings posted on PhysEmp. This analysis is part of the PhysEmp Physician Salary Report series.
OVERVIEW
The current ObGyn physician job market is robust, which is a polite economic way of saying: everyone is hiring and mildly panicking.
There are 1,072 active listings spread across the country, which means that if you are an OB/GYN, you currently have more options than someone ordering at Cheesecake Factory.
We analyzed 233 listings with salary data (233 listings) and found that compensation ranges from $125,000 to $750,000, which is a gap so wide it suggests:
- Some jobs involve delivering babies
- Others involve delivering babies while also running the hospital, fixing the HVAC system, and possibly fighting a bear
The national average salary range lands between $316,845 and $750,000, with most jobs clustering in the $275K–$400K range, also known as:
“Enough money to feel successful, but still not enough to ignore your email.”
HIGHEST-PAYING STATES
Let’s start with Texas, which has clearly decided to solve its OB/GYN shortage by backing up a truck full of money.
With salaries ranging from $450,000 to $648,667, Texas is basically saying:
“How much would it take for you to move here? No, seriously. Name a number.”
Other notable high-paying states include:
- Oregon at $490,000
- Iowa at $425,000
- Kentucky at $412,500
- Alabama at $390,000
These numbers often occur in rural or underserved markets (rural compensation drivers), which is economist-speak for:
“We will pay you a lot, but you may need to learn where this town is.”
LOWEST-PAYING STATES
At the other end, we have states like:
- New Jersey : $286K–$320K
- New York: $289K–$345K
- Maryland : $305K–$328K
- California: $308K–$348K
These are still very good salaries, unless you attempt to spend them in Manhattan, at which point you will need a second job as a doorman in your own building.
These markets reflect coastal dynamics, meaning:
- Higher cost of living
- More physicians
- And apartments described as “charming,” which means “small enough to touch all four walls at once”
NEAR-AVERAGE STATES
Then we have the normal, emotionally stable states, including:
- Illinois: $322K–$357K
- Ohio: $318K–$352K
- Indiana: $318K–$357K
- Florida: $317K–$357K
- Massachusetts: $325K–$355K
- Missouri: $325K–$348K
These are what experts call mid-tier markets, meaning:
“You will be well-paid and moderately comfortable, with only occasional existential questioning.”
JOB VOLUME LEADERS
If you enjoy having choices, consider:
- New York – 97 listings
- California – 91 listings
- Texas – 63 listings
- North Carolina – 57 listings
- Illinois – 54 listings
Interestingly, job volume does not equal higher pay (volume vs compensation analysis).
For example:
- New York: many jobs, moderate pay
- Texas: many jobs, aggressively enthusiastic pay
This is what economists refer to as:
“Texas doing Texas things.”
NOTABLE LISTINGS
The highest-paying role is in San Angelo, TX, offering $500K–$650K, which is enough money to make you briefly forget what sleep is.
Meanwhile, the lowest listing is a per diem role in Santa Clarita, CA at $220K–$254K, which sounds reasonable until you realize it may also include:
- Traffic
- Parking
- And a latte that costs $11
This demonstrates the importance of employment type and market dynamics, or as physicians call it:
“Reading the fine print.”
MARKET TAKEAWAY
If you are an OB/GYN, here is the situation:
- You are in demand
- You have leverage
- People are willing to pay you a lot of money
Especially in Texas, which continues to wave cash like it’s in a parade.
Meanwhile:
- Oregon, Iowa, Kentucky = high pay, fewer jobs
- Illinois, Indiana, Florida, New York = lots of jobs, solid pay
FINAL THOUGHT
Overall, the ObGyn job market is strong, flexible, and slightly chaotic—in the sense that babies continue to arrive on their own schedule, ignoring all economic indicators.
This is considered highly inconvenient, but also excellent for job security.
