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Pain Management Physicians play a critical role in the healthcare system, focusing on diagnosing and treating chronic pain conditions. As of October 2025, the average annual salary for these professionals is $253,724, translating to around $122 per hour. This salary can vary significantly based on factors such as geographical location, level of experience, and the type of healthcare facility.
For instance, states like California and New York tend to offer higher salaries due to the cost of living and demand for specialized medical professionals. In contrast, regions with lower living costs may present lower salary figures. Pain Management Physicians can find lucrative opportunities in hospitals, private practices, and rehabilitation centers.
Additionally, as the healthcare landscape evolves, the demand for Pain Management Physicians continues to grow, particularly with an increasing emphasis on holistic and patient-centered care. Job seekers can maximize their earning potential by considering advanced certifications and specialized training within pain management.
Understanding these salary trends and factors will aid prospective Pain Management Physicians in making informed career decisions and negotiating their compensation effectively.
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The highest-paying states for pain management physicians are Nebraska, California, and Nevada. The lowest average pain management physician salary states are South Carolina, Rhode Island, and Alabama.
| Rank | State | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | New Mexico | $192,697 | $92.64 |
| 2 | Nevada | $195,912 | $94.19 |
| 3 | Utah | $184,586 | $88.74 |
| 4 | Arizona | $186,115 | $89.48 |
| 5 | Nebraska | $197,444 | $94.92 |
| 6 | Arkansas | $191,648 | $92.14 |
| 7 | Texas | $187,610 | $90.20 |
| 8 | North Carolina | $185,993 | $89.42 |
| 9 | Alaska | $184,814 | $88.85 |
| 10 | California | $196,495 | $94.47 |
| 11 | Missouri | $190,248 | $91.47 |
| 12 | Minnesota | $186,444 | $89.64 |
| 13 | Illinois | $183,219 | $88.09 |
| 14 | West Virginia | $176,070 | $84.65 |
| 15 | Mississippi | $184,675 | $88.79 |
| 16 | Florida | $184,207 | $88.56 |
| 17 | Georgia | $184,623 | $88.76 |
| 18 | Kentucky | $178,823 | $85.97 |
| 19 | Oklahoma | $180,239 | $86.65 |
| 20 | Colorado | $185,396 | $89.13 |
| 21 | Wyoming | $180,220 | $86.64 |
| 22 | Massachusetts | $180,945 | $86.99 |
| 23 | Vermont | $175,713 | $84.48 |
| 24 | South Dakota | $168,827 | $81.17 |
| 25 | Kansas | $177,734 | $85.45 |
| 26 | Michigan | $176,972 | $85.08 |
| 27 | Washington | $176,793 | $85.00 |
| 28 | Wisconsin | $170,973 | $82.20 |
| 29 | Connecticut | $176,902 | $85.05 |
| 30 | North Dakota | $168,920 | $81.21 |
| 31 | Oregon | $174,372 | $83.83 |
| 32 | Indiana | $171,293 | $82.35 |
| 33 | Tennessee | $174,109 | $83.71 |
| 34 | Iowa | $173,238 | $83.29 |
| 35 | Hawaii | $172,156 | $82.77 |
| 36 | Virginia | $173,555 | $83.44 |
| 37 | Maryland | $177,388 | $85.28 |
| 38 | Maine | $160,471 | $77.15 |
| 39 | Montana | $174,544 | $83.92 |
| 40 | District of Columbia | $181,612 | $87.31 |
| 41 | Louisiana | $167,170 | $80.37 |
| 42 | New Jersey | $175,497 | $84.37 |
| 43 | Ohio | $170,518 | $81.98 |
| 44 | Pennsylvania | $161,896 | $77.83 |
| 45 | Delaware | $167,205 | $80.39 |
| 46 | New York | $156,613 | $75.29 |
| 47 | South Carolina | $159,154 | $76.52 |
| 48 | New Hampshire | $147,610 | $70.97 |
| 49 | Rhode Island | $158,498 | $76.20 |
| 50 | Alabama | $158,402 | $76.15 |
| 51 | Idaho | $158,241 | $76.08 |
The highest-paying cities for pain management physicians are Grand Island, NE, Springfield, MO, and Las Vegas, NV.
| Rank | City | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | Grand Island, NE | $322,515 | $155.06 |
| 2 | Springfield, MO | $283,754 | $136.42 |
| 3 | Las Vegas, NV | $283,198 | $136.15 |
| 4 | Burbank, CA | $280,606 | $134.91 |
| 5 | Duluth, MN | $272,346 | $130.94 |
| 6 | Carbondale, IL | $268,751 | $129.21 |
| 7 | Dallas, TX | $253,754 | $122.00 |
| 8 | Fayetteville, NC | $251,880 | $121.10 |
| 9 | Macon, GA | $248,106 | $119.28 |
| 10 | Jacksonville, FL | $241,275 | $116.00 |
| 11 | Enid, OK | $239,824 | $115.30 |
| 12 | Grand Rapids, MI | $233,519 | $112.27 |
| 13 | Norwood, MA | $233,217 | $112.12 |
| 14 | Salisbury, MD | $223,994 | $107.69 |
| 15 | Greenwood, IN | $220,891 | $106.20 |
| 16 | Dayton, OH | $218,850 | $105.22 |
| 17 | Freehold, NJ | $217,988 | $104.80 |
| 18 | Charlottesville, VA | $216,539 | $104.11 |
| 19 | Bangor, ME | $194,185 | $93.36 |
| 20 | Lancaster, PA | $189,681 | $91.19 |
A pain management physician's salary ranges from $129,000 a year at the 10th percentile to $497,000 at the 90th percentile.

| Percentile | Annual salary | Monthly salary | Hourly rate |
|---|---|---|---|
| 90th Percentile | $497,000 | $41,417 | $239 |
| 75th Percentile | $361,000 | $30,083 | $174 |
| Average | $253,724 | $21,144 | $122 |
| 25th Percentile | $177,000 | $14,750 | $85 |
| 10th Percentile | $129,000 | $10,750 | $62 |
The highest paying types of pain management physicians are obstetrics gynecology physician, physician extender, and general surgery physician assistant.
| Job title | Annual salary | Monthly salary | Hourly rate | Job openings |
|---|---|---|---|---|
| Physician Extender | $244,719 | $20,393 | $117.65 | 73,599 |
| Obstetrics Gynecology Physician | $253,219 | $21,102 | $121.74 | 47,501 |
Top companies hiring pain management physicians now:
Pain management physician salaries at HealthPartners and Medical Associates, Plc are the highest-paying according to our most recent salary estimates. In addition, the average pain management physician salary at companies like Cigna and TJ Regional Health are highly competitive.
| Rank | Company | Average salary | Hourly rate |
|---|---|---|---|
| 1 | HealthPartners | $321,139 | $154.39 |
| 2 | Medical Associates, Plc | $320,816 | $154.24 |
| 3 | Cigna | $319,430 | $153.57 |
| 4 | TJ Regional Health | $317,880 | $152.83 |
| 5 | Oregon Medical Group | $312,782 | $150.38 |
| 6 | Comprehensive Spine and Sports Center | $295,893 | $142.26 |
| 7 | Pikeville Medical Center | $295,062 | $141.86 |
| 8 | Benefis Health System | $294,337 | $141.51 |
| 9 | Surgery Partners | $290,603 | $139.71 |
| 10 | Summit Health Oregon | $288,808 | $138.85 |
| 11 | Jackson Physician Search | $288,762 | $138.83 |
| 12 | Advanced Pain Management | $285,006 | $137.02 |
| 13 | Wps Health Insurance | $284,233 | $136.65 |
| 14 | Easton Hospital | $271,231 | $130.40 |
| 15 | Virginia Mason Institute | $260,682 | $125.33 |
| 16 | Centra | $259,029 | $124.53 |
| 17 | Yakima Valley Memorial | $257,473 | $123.79 |
| 18 | Private Practice | $256,774 | $123.45 |
| 19 | Summit Health | $255,211 | $122.70 |
| 20 | Lee Regional Health System | $254,651 | $122.43 |
The average pain management physician salary has risen by $58,775 over the last ten years. In 2014, the average pain management physician earned $194,949 annually, but today, they earn $253,724 a year. That works out to a 14% change in pay for pain management physicians over the last decade.
Compare pain management physician salaries for cities or states with the national average over time.
Compare pain management physician salaries for individual cities or states with the national average.
| Year | Avg. salary | Hourly rate | % Change |
|---|---|---|---|
| 2025 | $254,000 | $121.98 | +2.7% |
| 2024 | $247,000 | $118.67 | +3.3% |
| 2023 | $239,000 | $114.82 | +3.5% |
| 2022 | $231,000 | $110.85 | +3.2% |
| 2021 | $223,000 | $107.28 | +3.3% |
| Company | Job | Location | Date added | Salary |
|---|---|---|---|---|
| Healthcare Recruitment Counselors | Pain Management Physician/Neurologist | Manassas, VA | 06/29/2025 | $521,750 |
| Healthcare Recruitment Counselors | Interventional Pain Management Physician Wilmington de | Wilmington, DE | 06/29/2025 | $415,000 |
| Department of Veterans Affairs | Physician-Pain Management | Tuskegee, AL | 06/26/2025 | $200,000 |
| City of Hitchcock | Pain Management Physician/Anesthesiologist | Bennington, VT | 06/26/2025 | $520,000 |
| Commonspirit Health Mountain Region | Physician Pain Management | Lakewood, CO | 06/26/2025 | $37,566 |
| Private Practice | Interventional Pain Management Physician | Wasilla, AK | 06/25/2025 | $300,000 |
| MCM & Associates | Pain Management Physician | Eureka, CA | 06/21/2025 | $477,125 |
| Dartmouth Health | Pain Management Physician/Anesthesiologist | Bennington, VT | 06/19/2025 | $545,134 |
| Healthcare Recruitment Counselors | Interventional Pain Management Physician Birmingham AL | Birmingham, AL | 06/15/2025 | $415,000 |
| Catholic Health Initiatives | Pain Management APP | Bardstown, KY | 06/14/2025 | $112,948 |
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