Neurosurgery 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$763,908+4.2% vs 2025
Key Compensation Metrics
Median Salary
$746,00090th Percentile
$920,000Sign-On Bonus
$50,000-$150,000Demand Level
Very HighSalary Distribution
25th PercentileMedian75th Percentile90th Percentile
$650,000$746,000$850,000$920,000
Total Compensation Range: $550,000 to $950,000, including base salary, production bonuses (avg. $125,000/year), and benefits.
Top-Paying States
1California
$845,0002New York
$820,0003Texas
$795,0004Florida
$780,0005Illinois
$775,000Top-Paying Cities
1San Francisco, CA
$890,0002New York, NY
$865,0003Los Angeles, CA
$850,0004Houston, TX
$820,0005Chicago, IL
$800,000Factors Affecting Compensation
- Subspecialty training (spine, pediatric, vascular)
- Case volume and complexity
- Academic vs private practice
- Call coverage requirements
- Geographic location
About Neurosurgery
Neurosurgeons are the highest-paid physicians in the United States, performing complex surgeries on the brain, spinal cord, and peripheral nerves. The specialty requires 7 years of residency training and often additional fellowship.
Required Certifications
- ABNS Board Certification
- State Medical License
- DEA Registration
Typical Employers
- Academic Medical Centers
- Large Hospital Systems
- Private Practice Groups
- Specialty Spine Centers
Work Settings
- Hospital OR
- Outpatient Surgery Centers
- Office/Clinic
Market Outlook & Demand
Very High Demand
Severe shortage projected through 2036, with 25% of neurosurgeons approaching retirement
Year-over-Year Change
+4.2%
Avg. Production Bonus
$125,000