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As of October 2025, the average annual salary for a nephrologist stands at $252,156, translating to approximately $121 per hour. This profession focuses on the diagnosis and treatment of kidney diseases, making it essential in the healthcare system. Salaries may vary based on several factors including geographic location, years of experience, and type of practice.
Nephrologists in states like California, New York, and Texas typically earn higher salaries due to demand and cost of living adjustments. For instance, California often leads with salaries reaching upwards of $300,000.
Nephrologists are in high demand, with opportunities in hospitals, private practices, and outpatient centers. The profession is expected to grow, driven by an increasing prevalence of kidney diseases. With the right qualifications and experience, nephrologists can secure lucrative positions and contribute significantly to patient care.
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The average nephrologist salary in Alaska, North Dakota, and Montana are the highest in the U.S. The lowest average nephrologist salary states are Louisiana, Delaware, and South Carolina.
| Rank | State | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | North Dakota | $223,835 | $107.61 |
| 2 | Alaska | $238,880 | $114.85 |
| 3 | Wisconsin | $213,676 | $102.73 |
| 4 | Wyoming | $215,402 | $103.56 |
| 5 | Nebraska | $204,880 | $98.50 |
| 6 | Washington | $218,904 | $105.24 |
| 7 | Minnesota | $212,113 | $101.98 |
| 8 | Maine | $201,247 | $96.75 |
| 9 | South Dakota | $208,663 | $100.32 |
| 10 | Montana | $220,835 | $106.17 |
| 11 | Oregon | $201,632 | $96.94 |
| 12 | Iowa | $202,937 | $97.57 |
| 13 | Utah | $211,923 | $101.89 |
| 14 | Nevada | $198,522 | $95.44 |
| 15 | West Virginia | $195,731 | $94.10 |
| 16 | North Carolina | $197,892 | $95.14 |
| 17 | Indiana | $196,570 | $94.50 |
| 18 | Kentucky | $199,039 | $95.69 |
| 19 | Ohio | $192,806 | $92.70 |
| 20 | Pennsylvania | $188,429 | $90.59 |
| 21 | Vermont | $185,991 | $89.42 |
| 22 | Idaho | $197,033 | $94.73 |
| 23 | Michigan | $193,326 | $92.95 |
| 24 | New Mexico | $186,778 | $89.80 |
| 25 | Missouri | $193,814 | $93.18 |
| 26 | Rhode Island | $195,736 | $94.10 |
| 27 | Colorado | $199,362 | $95.85 |
| 28 | Massachusetts | $194,726 | $93.62 |
| 29 | New Jersey | $195,888 | $94.18 |
| 30 | Arizona | $185,006 | $88.95 |
| 31 | Illinois | $187,071 | $89.94 |
| 32 | Kansas | $190,506 | $91.59 |
| 33 | Tennessee | $180,126 | $86.60 |
| 34 | New York | $181,048 | $87.04 |
| 35 | Connecticut | $180,972 | $87.01 |
| 36 | Georgia | $183,540 | $88.24 |
| 37 | New Hampshire | $178,007 | $85.58 |
| 38 | California | $185,876 | $89.36 |
| 39 | Virginia | $185,360 | $89.12 |
| 40 | Florida | $181,041 | $87.04 |
| 41 | Arkansas | $179,523 | $86.31 |
| 42 | Maryland | $183,001 | $87.98 |
| 43 | Alabama | $181,145 | $87.09 |
| 44 | Delaware | $176,832 | $85.02 |
| 45 | Texas | $181,002 | $87.02 |
| 46 | Hawaii | $136,694 | $65.72 |
| 47 | Mississippi | $168,996 | $81.25 |
| 48 | Louisiana | $177,341 | $85.26 |
| 49 | District of Columbia | $185,024 | $88.95 |
| 50 | South Carolina | $171,883 | $82.64 |
| 51 | Oklahoma | $170,096 | $81.78 |
The highest-paying cities for nephrologists are Spokane, WA, Fargo, ND, and Minneapolis, MN.
| Rank | City | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | Spokane, WA | $335,388 | $161.24 |
| 2 | Fargo, ND | $324,695 | $156.10 |
| 3 | Minneapolis, MN | $279,340 | $134.30 |
| 4 | Sioux Falls, SD | $267,594 | $128.65 |
| 5 | Grand Island, NE | $258,443 | $124.25 |
| 6 | Des Moines, IA | $251,153 | $120.75 |
| 7 | Las Vegas, NV | $236,255 | $113.58 |
| 8 | Bowling Green, KY | $232,350 | $111.71 |
| 9 | Kansas City, MO | $230,848 | $110.98 |
| 10 | Muncie, IN | $229,163 | $110.17 |
| 11 | Grand Rapids, MI | $228,679 | $109.94 |
| 12 | Huntington, WV | $226,064 | $108.68 |
| 13 | Kansas City, KS | $223,256 | $107.33 |
| 14 | Cleveland, OH | $222,612 | $107.03 |
| 15 | Chicago, IL | $212,515 | $102.17 |
| 16 | Pittsburgh, PA | $212,143 | $101.99 |
| 17 | Phoenix, AZ | $209,678 | $100.81 |
| 18 | Buffalo, NY | $205,090 | $98.60 |
| 19 | Midland, TX | $202,754 | $97.48 |
| 20 | Baltimore, MD | $200,420 | $96.36 |
A nephrologist's salary ranges from $147,000 a year at the 10th percentile to $432,000 at the 90th percentile.

| Percentile | Annual salary | Monthly salary | Hourly rate |
|---|---|---|---|
| 90th Percentile | $432,000 | $36,000 | $208 |
| 75th Percentile | $334,000 | $27,833 | $161 |
| Average | $252,156 | $21,013 | $121 |
| 25th Percentile | $189,000 | $15,750 | $91 |
| 10th Percentile | $147,000 | $12,250 | $71 |
The highest paying types of nephrologists are cardiologist, rheumatologist, and oncologist.
| Job title | Annual salary | Monthly salary | Hourly rate | Job openings |
|---|---|---|---|---|
| Doctor | $208,582 | $17,382 | $100.28 | 14,571 |
| Pulmonary Physician | $220,773 | $18,398 | $106.14 | 57,339 |
| Resident Physician | $164,598 | $13,717 | $79.13 | 43,775 |
| Resident Physician In Radiology | $206,948 | $17,246 | $99.49 | 45,469 |
| Otolaryngologist | $276,134 | $23,011 | $132.76 | 2,652 |
| Gastroenterologist | $242,804 | $20,234 | $116.73 | 19,604 |
Top companies hiring nephrologists now:
Nephrologist salaries at Mayo Clinic and Freeman Health System are the highest-paying according to our most recent salary estimates. In addition, the average nephrologist salary at companies like University of Maryland, Baltimore and Memorial Hospital of Sweetwater County are highly competitive.
| Rank | Company | Average salary | Hourly rate |
|---|---|---|---|
| 1 | Mayo Clinic | $365,345 | $175.65 |
| 2 | Freeman Health System | $365,240 | $175.60 |
| 3 | University of Maryland, Baltimore | $344,660 | $165.70 |
| 4 | Memorial Hospital of Sweetwater County | $338,023 | $162.51 |
| 5 | OSF HealthCare | $323,356 | $155.46 |
| 6 | Trinity Health | $321,039 | $154.35 |
| 7 | Appalachian Regional Healthcare | $319,666 | $153.69 |
| 8 | Beaumont Health | $318,472 | $153.11 |
| 9 | Rehoboth McKinley Christian Hospital | $312,545 | $150.26 |
| 10 | Saint Luke's Health System | $311,288 | $149.66 |
| 11 | Dayton Children's Hospital | $310,470 | $149.26 |
| 12 | Hays Medical Center | $308,581 | $148.36 |
| 13 | Maine Health/maine Mental Health Partners | $304,171 | $146.24 |
| 14 | Pikeville Medical Center | $303,634 | $145.98 |
| 15 | Phoenix Children's | $302,167 | $145.27 |
| 16 | Tampa General Hospital | $301,625 | $145.01 |
| 17 | Providence Health & Services | $301,360 | $144.88 |
| 18 | MaineGeneral Health | $296,692 | $142.64 |
| 19 | Lake Norman Regional Med Ctr | $295,212 | $141.93 |
| 20 | Valley Medical Center | $292,943 | $140.84 |
The average nephrologist salary has risen by $29,827 over the last ten years. In 2014, the average nephrologist earned $222,329 annually, but today, they earn $252,156 a year. That works out to a 1% change in pay for nephrologists over the last decade.
Compare nephrologist salaries for cities or states with the national average over time.
Compare nephrologist salaries for individual cities or states with the national average.
| Year | Avg. salary | Hourly rate | % Change |
|---|---|---|---|
| 2026 | $252,000 | $121.23 | +2.4% |
| 2025 | $246,000 | $118.29 | +1.7% |
| 2024 | $242,000 | $116.29 | -5.2% |
| 2023 | $255,000 | $122.37 | +2.1% |
| 2022 | $249,000 | $119.78 | +4.5% |
| Company | Job | Location | Date added | Salary |
|---|---|---|---|---|
| South Texas Renal Care Group | Nephrologist | San Antonio, TX | 06/22/2025 | $40,000 |
| Coloradophysicianpartners | Nephrologist-Summit Medical Clinic-Colorado | Colorado Springs, CO | 06/17/2025 | $250,000 |
| Msccn | Nephrologist-Cedars-Sinai Medical Group-Beverly | Beverly Hills, CA | 06/15/2025 | $291,771 |
| Cedars-Sinai | Nephrologist-Cedars-Sinai Medical Group | Beverly Hills, CA | 06/14/2025 | $291,771 |
| Scpmg | Nephrologist | Downey, CA | 06/14/2025 | $32,544 |
| AMN Healthcare | Pediatric Nephrologist | Syracuse, NY | 06/13/2025 | $300,000 |
| Commonspirit Health Mountain Region | Nephrologist | Garden City, KS | 06/12/2025 | $286,088 |
| Essenmed | Nephrologist | New York, NY | 06/10/2025 | $200,000 |
| Greenlife Healthcare Staffing | Nephrologist | New York, NY | 06/10/2025 | $200,000 |
| Postjobmatches | Pediatric Nephrologist for Hospital In Beautiful Scenic | Philadelphia, PA | 06/10/2025 | $180,000 |
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