Somewhere in Iowa, a single Urology listing is quietly advertising $900,000 a year. It is not a typo. It is not a signing bonus stretched across a decade. It is a plumbing job with a corn field view and a compensation package that would make a Manhattan cardiologist reconsider their life choices. Across the country, PhysEmp is tracking 259 active Urology listings, 32 of which disclose actual salary figures. The full range runs from $300,000 to $900,000 — a spread of roughly $600,000 that reveals just how much the market is willing to pay for a specialty most patients would prefer never to discuss.
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The Urology Job Market at a Glance

Total listings: 259
Listings with salary data: 32
Full national range: $300,000 – $900,000
National average range: $490,502 – $538,454

The spread here is the story. A $600,000 gap between floor and ceiling is not a market — it is three markets wearing a trench coat. The average clusters comfortably in the high $490s to high $530s, but the top-end outliers (Iowa, Washington, Colorado, Missouri) are dragging the ceiling into territory usually reserved for orthopedic spine surgeons and hedge fund managers.

States represented: California, Massachusetts, Colorado, Vermont, New Jersey, New York, Florida, Missouri, Washington, Indiana, Nevada, New Mexico, Pennsylvania, West Virginia, Wisconsin, Georgia, Minnesota, New Hampshire, Texas, Michigan, Oregon, North Carolina, Alabama, Virginia, South Carolina, Iowa, Nebraska, Kentucky, Alaska, Arizona, Oklahoma, Connecticut, Tennessee, Illinois, Arkansas, Mississippi, Maine, Hawaii, Ohio, South Dakota, Wyoming, Rhode Island, Idaho, Montana, Maryland, North Dakota, and Louisiana.
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How States Stack Up

Overperformers

• Iowa: One listing, $900,000, no further questions (we have many further questions).
• Washington: $600,000 – $650,000 with 10 listings, which is the rare combination of pay and pipeline.
• Colorado: $550,000 – $610,000, punching well above its two-listing weight class.
• Missouri: $550,000 – $575,000, anchored by Springfield’s headline number.
• Nevada: $512,000 – $594,500, quietly outperforming its reputation.
• Illinois: $524,379 – $541,046, the closest thing this market has to a Goldilocks number.

Near-average

• California: $466,286 – $530,000, which sounds fine until you remember San Francisco rent.
• New York: $448,562 – $504,769, sitting almost exactly on the national midpoint.
• Hawaii: $480,000 – $500,000 (paradise tax fully priced in).
• Florida: $475,000 – $575,000, wide enough to accommodate both dream jobs and cautionary tales.
• Indiana: A flat $475,000, exactly what you would expect Indiana to pay.

Underperformers

• New Jersey: $420,000 flat across two listings, below the national floor.
• Vermont: $400,000 – $450,000 (the maple syrup discount is real).
• Massachusetts: $400,000 – $450,000, which is a rough number for the Boston metro.

Volume leaders: Florida and Indiana tied at 19 listings each, Pennsylvania at 15, Georgia at 13, Wisconsin at 12, New York and Minnesota at 11, Washington at 10, California and New Mexico at 9. Florida and Indiana lead the country in openings while paying at or near the average — high volume, middling reward.
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What This Means If You’re a Physician

If your priority is maximum compensation: Look at Missouri, Washington, Colorado, and (if you’re feeling adventurous) Iowa. The highest disclosed listing nationally is a CompHealth role in Springfield, Missouri at $700,000 per year. The Iowa outlier at $900,000 is real but singular — one listing does not a market make.

If your priority is maximum optionality: Florida and Indiana each offer 19 openings. Pennsylvania and Georgia round out the volume tier. You will not get top-quartile pay, but you will get choice.

If your priority is balance: Washington is the answer. Ten listings, $600,000 – $650,000, and a state income tax of zero. The Bronx listing at $300,000, meanwhile, deserves scrutiny — it sits nearly $150,000 below the New York state average.
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What This Means If You’re a Recruiter

Salary transparency rate: 32 of 259 listings, or 12.4%. That is not a disclosure rate. That is a rounding error with ambitions.

Candidates increasingly filter by disclosed compensation, and 87.6% of Urology postings are effectively invisible to that filter. If your listing does not show a number, it is competing against listings that do — and losing.

The volume-pay misalignment is stark: Florida and Indiana lead the country in openings but pay at the national average. Recruiters in those markets cannot lead with the number. Lead with call structure, partnership track, robotic volume, or lifestyle. The compensation conversation will not win on its own.
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What’s Driving the Numbers

Scope and scarcity command a premium. The Iowa $900,000 and Washington $600,000+ figures are not accidents. They reflect what happens when a hospital system needs a urologist and the nearest alternative is three hours away. Rural and underserved markets are pricing in scarcity, and the numbers show it.

Part-time and specialized roles are distorting the floor. The $300,000 Bronx listing is almost certainly not a full-scope, full-time offer at market terms. When only 32 listings disclose salary, one part-time or hospital-employed role can drag an entire state’s average down. Read the fine print before drawing conclusions.

High volume does not mean high pay. Florida and Indiana prove it. Nineteen listings each, both hovering near the national average. Markets with abundant supply of positions tend to be markets where employers do not need to compete on price.

Transparency is the real bottleneck. Pennsylvania (15 listings), Georgia (13), Wisconsin (12), and Minnesota (11) disclosed zero salaries between them. That is 51 postings operating entirely on vibes. Candidates notice.

The Bottom Line

The Urology job market is deep, geographically diffuse, and financially generous — if you know where to look and are willing to ignore the 87.6% of listings that refuse to show their hand. The overperformers are in places you would not expect (Iowa, Missouri, Washington), the volume leaders pay average, and the coastal prestige markets are quietly underdelivering on compensation relative to cost of living.

Urology pays extraordinarily well for a specialty no one wants to talk about at dinner — which is, perhaps, exactly why it pays so well.
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Salary data based on 32 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.