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Neurosurgeon salary
Average neurosurgeon salary
$365,411
Understanding Neurosurgeon Salaries
As of October 2025, the average annual salary for a neurosurgeon is approximately $365,411, translating to about $176 per hour. This compensation reflects the significant expertise and training required in this demanding medical specialty. Factors influencing salary include geographic location, years of experience, and place of employment.
Salary Variations by State
Neurosurgeons in states like California and New York tend to earn higher salaries due to the high demand for specialized medical services. In contrast, states with lower living costs may offer competitive yet lower salaries. For instance:
- California: $420,000
- New York: $400,000
- Texas: $350,000
Additionally, years of experience play a crucial role in salary increments. Entry-level neurosurgeons typically start at around $300,000, with seasoned professionals earning significantly more. Understanding these dynamics helps aspiring neurosurgeons and those considering a career change make informed decisions regarding their future.
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Where can a Neurosurgeon earn more?
Neurosurgeon salary estimates from across the web
Average neurosurgeon salary by state
The highest-paying states for neurosurgeons are North Dakota, Minnesota, and Michigan. The lowest average neurosurgeon salary states are Virginia, Arkansas, and Florida.
- State view
- County view
Highest paying states for neurosurgeons
| Rank | State | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | North Dakota | $224,428 | $107.90 |
| 2 | Maine | $217,094 | $104.37 |
| 3 | Wisconsin | $215,391 | $103.55 |
| 4 | Alaska | $217,783 | $104.70 |
| 5 | Michigan | $218,336 | $104.97 |
| 6 | Minnesota | $219,596 | $105.58 |
| 7 | Nebraska | $211,641 | $101.75 |
| 8 | West Virginia | $206,759 | $99.40 |
| 9 | Pennsylvania | $209,793 | $100.86 |
| 10 | Iowa | $215,360 | $103.54 |
| 11 | Montana | $217,782 | $104.70 |
| 12 | Kansas | $212,290 | $102.06 |
| 13 | Kentucky | $209,438 | $100.69 |
| 14 | Indiana | $206,880 | $99.46 |
| 15 | Ohio | $211,605 | $101.73 |
| 16 | Washington | $212,861 | $102.34 |
| 17 | Idaho | $210,255 | $101.08 |
| 18 | Illinois | $210,981 | $101.43 |
| 19 | South Dakota | $202,658 | $97.43 |
| 20 | New Hampshire | $205,403 | $98.75 |
| 21 | Georgia | $206,424 | $99.24 |
| 22 | Oklahoma | $204,646 | $98.39 |
| 23 | Wyoming | $198,032 | $95.21 |
| 24 | Delaware | $207,858 | $99.93 |
| 25 | Vermont | $198,114 | $95.25 |
| 26 | Missouri | $204,804 | $98.46 |
| 27 | Alabama | $203,105 | $97.65 |
| 28 | Louisiana | $204,980 | $98.55 |
| 29 | New Mexico | $197,425 | $94.92 |
| 30 | Mississippi | $197,829 | $95.11 |
| 31 | Colorado | $209,289 | $100.62 |
| 32 | Utah | $201,919 | $97.08 |
| 33 | North Carolina | $194,716 | $93.61 |
| 34 | Oregon | $195,559 | $94.02 |
| 35 | New Jersey | $205,582 | $98.84 |
| 36 | Tennessee | $190,344 | $91.51 |
| 37 | Connecticut | $193,101 | $92.84 |
| 38 | Rhode Island | $202,437 | $97.33 |
| 39 | South Carolina | $199,770 | $96.04 |
| 40 | Massachusetts | $197,702 | $95.05 |
| 41 | New York | $191,592 | $92.11 |
| 42 | Arizona | $195,026 | $93.76 |
| 43 | Arkansas | $185,566 | $89.21 |
| 44 | Nevada | $184,643 | $88.77 |
| 45 | Texas | $192,616 | $92.60 |
| 46 | Hawaii | $118,487 | $56.96 |
| 47 | Florida | $184,866 | $88.88 |
| 48 | Maryland | $195,211 | $93.85 |
| 49 | Virginia | $187,571 | $90.18 |
| 50 | District of Columbia | $190,048 | $91.37 |
| 51 | California | $181,761 | $87.39 |
Highest paying cities for neurosurgeons
The highest-paying cities for neurosurgeons are Anchorage, AK, Bismarck, ND, and Duluth, MN.
| Rank | City | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | Anchorage, AK | $581,950 | $279.78 |
| 2 | Bismarck, ND | $458,344 | $220.36 |
| 3 | Duluth, MN | $424,987 | $204.32 |
| 4 | Billings, MT | $416,947 | $200.46 |
| 5 | Seattle, WA | $399,453 | $192.04 |
| 6 | Mason City, IA | $386,002 | $185.58 |
| 7 | Detroit, MI | $365,578 | $175.76 |
| 8 | Madison, WI | $364,571 | $175.27 |
| 9 | Omaha, NE | $353,790 | $170.09 |
| 10 | Bangor, ME | $353,233 | $169.82 |
| 11 | Cleveland, OH | $331,926 | $159.58 |
| 12 | Williamsport, PA | $318,159 | $152.96 |
| 13 | Kansas City, MO | $310,782 | $149.41 |
| 14 | Huntington, WV | $300,492 | $144.47 |
| 15 | Atlanta, GA | $291,291 | $140.04 |
| 16 | Springfield, OR | $282,951 | $136.03 |
| 17 | Montgomery, AL | $273,339 | $131.41 |
| 18 | Lawrence, MA | $264,708 | $127.26 |
| 19 | Syracuse, NY | $263,880 | $126.87 |
| 20 | Jackson, MS | $258,082 | $124.08 |
Neurosurgeon salary details
A neurosurgeon's salary ranges from $188,000 a year at the 10th percentile to $709,000 at the 90th percentile.
What is a neurosurgeon's salary?
| Percentile | Annual salary | Monthly salary | Hourly rate |
|---|---|---|---|
| 90th Percentile | $709,000 | $59,083 | $341 |
| 75th Percentile | $518,000 | $43,167 | $249 |
| Average | $365,411 | $30,451 | $176 |
| 25th Percentile | $257,000 | $21,417 | $124 |
| 10th Percentile | $188,000 | $15,667 | $90 |
Highest paying neurosurgeon jobs
The highest paying types of neurosurgeons are foot and ankle surgeon, podiatric surgeon, and thoracic surgeon.
| Job title | Annual salary | Monthly salary | Hourly rate | Job openings |
|---|---|---|---|---|
| Orthopaedic Surgeon | $233,519 | $19,460 | $112.27 | 3,563 |
| Orthopedic Surgeon | $137,571 | $11,464 | $66.14 | 5,046 |
| Hand Surgeon | $327,248 | $27,271 | $157.33 | 22,502 |
| Thoracic Surgeon | $437,281 | $36,440 | $210.23 | 3,460 |
| Plastic Surgeon | $172,466 | $14,372 | $82.92 | 3,906 |
| Dental Surgeon | $279,537 | $23,295 | $134.39 | 32,596 |
Top companies hiring neurosurgeons now:
Which companies pay neurosurgeons the most?
Neurosurgeon salaries at Billings Clinic and OSF HealthCare are the highest-paying according to our most recent salary estimates. In addition, the average neurosurgeon salary at companies like Altru Health System and Sanford Health are highly competitive.
| Rank | Company | Average salary | Hourly rate |
|---|---|---|---|
| 1 | Billings Clinic | $545,471 | $262.25 |
| 2 | OSF HealthCare | $494,383 | $237.68 |
| 3 | Altru Health System | $439,133 | $211.12 |
| 4 | Sanford Health | $427,075 | $205.32 |
| 5 | Rochester Regional Health | $416,089 | $200.04 |
| 6 | Bay Regional Medical Center | $414,699 | $199.37 |
| 7 | Covenant HealthCare | $412,137 | $198.14 |
| 8 | Mayo Clinic | $406,035 | $195.21 |
| 9 | Overlake Medical Center & Clinics | $401,984 | $193.26 |
| 10 | Houston Methodist | $400,382 | $192.49 |
| 11 | CentraCare Health | $399,522 | $192.08 |
| 12 | Susquehanna Health | $393,557 | $189.21 |
| 13 | CHI Mercy Health | $390,479 | $187.73 |
| 14 | Lee Regional Health System | $388,748 | $186.90 |
| 15 | Geisinger Medical Center | $380,302 | $182.84 |
| 16 | The Mary Lanning Memorial Hospital Association | $379,184 | $182.30 |
| 17 | Good Shepherd Rehabilitation Network | $372,063 | $178.88 |
| 18 | Western Maryland Health System Rehab | $371,202 | $178.46 |
| 19 | Catholic Health Initiatives - Colorado | $367,937 | $176.89 |
| 20 | S M D C St Mary's Duluth Clinic Health System Hospice & Palliative Care | $367,937 | $176.89 |
Wage gap by gender, race and education
Neurosurgeon salary trends
The average neurosurgeon salary has risen by $47,260 over the last ten years. In 2014, the average neurosurgeon earned $318,151 annually, but today, they earn $365,411 a year. That works out to a 5% change in pay for neurosurgeons over the last decade.
Compare neurosurgeon salaries for cities or states with the national average over time.
Average neurosurgeon salary over time
Compare neurosurgeon salaries for individual cities or states with the national average.
Neurosurgeon salary by year
| Year | Avg. salary | Hourly rate | % Change |
|---|---|---|---|
| 2025 | $365,000 | $175.68 | +2.4% |
| 2024 | $357,000 | $171.41 | +1.7% |
| 2023 | $351,000 | $168.52 | +1.3% |
| 2022 | $346,000 | $166.39 | -0.4% |
| 2021 | $348,000 | $167.07 | +2.1% |
Recently added neurosurgeon salaries
| Company | Job | Location | Date added | Salary |
|---|---|---|---|---|
| Catholic Health Initiatives | Neurosurgeon Academic Physician-General & Spine | Omaha, NE | 06/30/2025 | $747,501 |
| Scpmg | Neurosurgeon Spine-SAN Bernardino County | Fontana, CA | 06/09/2025 | $199,560 |
| Rutgers University | PER-Diem Dual-Trained Neurosurgeon | Newark, NJ | 06/02/2025 | $75,000 |
| University of Minnesota | Neurosurgeon-Professor | Minneapolis, MN | 05/28/2025 | $55,000 |
| MASC Medical | Neurosurgeon | Hamden, CT | 05/26/2025 | $42,000 |
| MASC Medical | Neurosurgeon | Orlando, FL | 05/26/2025 | $42,000 |
| Catholic Health Initiatives | Neurosurgeon Academic Physician-General & Spine | Omaha, NE | 05/25/2025 | $747,501 |
| Intermountain Healthcare | Neurosurgeon PRN | Wheat Ridge, CO | 05/22/2025 | $834,800 |
| Scpmg | Neurosurgeon-SAN Bernardino County | Fontana, CA | 04/30/2025 | $136,164 |
| Physician Affiliate Group of New York | Pediatric Neurosurgeon | New York, NY | 03/28/2025 | $600,000 |
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