What is the average Internal Medicine salary in 2026?

The average Internal Medicine salary in 2026 is $273,000, with a range from $210,000 to $360,000 depending on experience, location, and practice setting.

What sign-on bonus can Internal Medicines expect?

Internal Medicines typically receive sign-on bonuses ranging from $15,000 to $45,000, with higher amounts in underserved areas or for hard-to-fill positions.

Which states pay Internal Medicines the most?

The highest-paying states for Internal Medicines are California ($315,000), New York ($300,000), Texas ($285,000).

Internal Medicine Salary Guide 2026

Complete compensation data for healthcare recruiters. Based on the 2025 Medscape Physician Compensation Report, MGMA DataDive Provider Compensation, and Doximity Physician Compensation Report.

Average Salary$273,000+3.8% vs 2025

Key Compensation Metrics

Median Salary

$262,000

90th Percentile

$345,000

Sign-On Bonus

$15,000-$45,000

Demand Level

Very High

Salary Distribution

25th PercentileMedian75th Percentile90th Percentile

$235,000$262,000$305,000$345,000

Total Compensation Range: $210,000 to $360,000, including base salary, production bonuses (avg. $35,000/year), and benefits.

Top-Paying States

1California

$315,000

2New York

$300,000

3Texas

$285,000

4Florida

$280,000

5Massachusetts

$278,000

Top-Paying Cities

1San Francisco, CA

$345,000

2New York, NY

$330,000

3Los Angeles, CA

$320,000

4Boston, MA

$310,000

5San Diego, CA

$305,000

Factors Affecting Compensation

Hospitalist vs outpatient
Panel size
Quality metrics bonuses
Procedure skills
Administrative roles

About Internal Medicine

Internal medicine physicians (internists) treat adult diseases. Hospitalists (inpatient internists) typically earn more than outpatient-focused internists.

Required Certifications

ABIM Board Certification
State Medical License
DEA Registration

Typical Employers

Hospital Systems
Multispecialty Groups
Academic Centers
Private Practice

Work Settings

Hospital
Outpatient Clinic
Long-term Care
Telehealth

Market Outlook & Demand

Very High Demand

General internal medicine expected to be in shortest supply by 2032

Year-over-Year Change

+3.8%

Avg. Production Bonus

$35,000

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