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The average salary for a Pain Medicine Physician is $215,230 annually, or about $103 per hour. This figure can vary significantly based on factors such as geographic location, years of experience, and the specific healthcare setting. For example, urban areas with a high demand for pain management specialists often offer higher salaries.
States like California and New York typically report higher average salaries for pain medicine physicians due to increased living costs and demand for specialized care. In contrast, rural areas may offer lower salaries but can present unique opportunities for practitioners looking for a quieter lifestyle.
Cities such as San Francisco and New York City are known for their competitive salaries in this field. Pain Medicine Physicians in these locations not only enjoy higher compensation but also access to a broad patient base and advanced medical facilities.
With an increasing focus on pain management and treatment options, career opportunities in this specialization continue to grow. Whether you're just starting or looking to advance your career, understanding salary trends is essential for making informed decisions.
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The average pain medicine physician salary in Alaska, Oklahoma, and Georgia are the highest in the U.S. The lowest average pain medicine physician salary states are New Mexico, Texas, and Michigan.
| Rank | State | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | North Dakota | $194,629 | $93.57 |
| 2 | Oklahoma | $195,043 | $93.77 |
| 3 | South Dakota | $188,245 | $90.50 |
| 4 | Alaska | $195,896 | $94.18 |
| 5 | West Virginia | $189,732 | $91.22 |
| 6 | Nebraska | $194,293 | $93.41 |
| 7 | Georgia | $194,891 | $93.70 |
| 8 | Nevada | $188,675 | $90.71 |
| 9 | Minnesota | $190,158 | $91.42 |
| 10 | Maine | $186,282 | $89.56 |
| 11 | Oregon | $191,593 | $92.11 |
| 12 | New York | $190,239 | $91.46 |
| 13 | Montana | $187,283 | $90.04 |
| 14 | Wisconsin | $185,179 | $89.03 |
| 15 | Kentucky | $186,004 | $89.42 |
| 16 | Pennsylvania | $184,408 | $88.66 |
| 17 | Iowa | $186,407 | $89.62 |
| 18 | Wyoming | $186,137 | $89.49 |
| 19 | Idaho | $189,106 | $90.92 |
| 20 | Alabama | $186,182 | $89.51 |
| 21 | Washington | $188,304 | $90.53 |
| 22 | Vermont | $185,419 | $89.14 |
| 23 | Rhode Island | $188,554 | $90.65 |
| 24 | North Carolina | $183,944 | $88.43 |
| 25 | Missouri | $185,754 | $89.30 |
| 26 | Delaware | $189,747 | $91.22 |
| 27 | Indiana | $181,453 | $87.24 |
| 28 | New Hampshire | $181,573 | $87.29 |
| 29 | South Carolina | $181,001 | $87.02 |
| 30 | Utah | $186,477 | $89.65 |
| 31 | District of Columbia | $190,556 | $91.61 |
| 32 | Mississippi | $184,675 | $88.79 |
| 33 | Colorado | $187,630 | $90.21 |
| 34 | Ohio | $182,089 | $87.54 |
| 35 | Louisiana | $181,353 | $87.19 |
| 36 | New Mexico | $174,367 | $83.83 |
| 37 | Virginia | $182,853 | $87.91 |
| 38 | Maryland | $182,315 | $87.65 |
| 39 | Connecticut | $179,425 | $86.26 |
| 40 | Arkansas | $179,319 | $86.21 |
| 41 | Arizona | $175,289 | $84.27 |
| 42 | New Jersey | $180,371 | $86.72 |
| 43 | Massachusetts | $181,078 | $87.06 |
| 44 | Illinois | $177,591 | $85.38 |
| 45 | Tennessee | $171,359 | $82.38 |
| 46 | Texas | $173,988 | $83.65 |
| 47 | Michigan | $172,548 | $82.96 |
| 48 | Kansas | $176,535 | $84.87 |
| 49 | Hawaii | $124,627 | $59.92 |
| 50 | California | $179,024 | $86.07 |
| 51 | Florida | $165,291 | $79.47 |
The highest-paying cities for pain medicine physicians are Atlanta, GA, Fargo, ND, and Oklahoma City, OK.
| Rank | City | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | Atlanta, GA | $280,244 | $134.73 |
| 2 | Fargo, ND | $272,971 | $131.24 |
| 3 | Oklahoma City, OK | $269,285 | $129.46 |
| 4 | Parkersburg, WV | $262,439 | $126.17 |
| 5 | Saint Cloud, MN | $262,046 | $125.98 |
| 6 | New York, NY | $253,400 | $121.83 |
| 7 | Oshkosh, WI | $248,420 | $119.43 |
| 8 | Cape Girardeau, MO | $248,331 | $119.39 |
| 9 | Pittsburgh, PA | $247,611 | $119.04 |
| 10 | Tacoma, WA | $245,710 | $118.13 |
| 11 | Burlington, VT | $244,486 | $117.54 |
| 12 | Richmond, VA | $242,091 | $116.39 |
| 13 | Salt Lake City, UT | $241,321 | $116.02 |
| 14 | Spartanburg, SC | $239,419 | $115.11 |
| 15 | Madison, MS | $238,719 | $114.77 |
| 16 | Dayton, OH | $238,699 | $114.76 |
| 17 | Las Vegas, NV | $238,529 | $114.68 |
| 18 | Indianapolis, IN | $235,983 | $113.45 |
| 19 | Baltimore, MD | $234,737 | $112.85 |
| 20 | Salem, NH | $230,695 | $110.91 |
A pain medicine physician's salary ranges from $100,000 a year at the 10th percentile to $460,000 at the 90th percentile.

| Percentile | Annual salary | Monthly salary | Hourly rate |
|---|---|---|---|
| 90th Percentile | $460,000 | $38,333 | $221 |
| 75th Percentile | $321,000 | $26,750 | $154 |
| Average | $215,230 | $17,936 | $103 |
| 25th Percentile | $144,000 | $12,000 | $69 |
| 10th Percentile | $100,000 | $8,333 | $48 |
The highest paying types of pain medicine physicians are physiatrist, physician, and rehabilitation physician.
| Job title | Annual salary | Monthly salary | Hourly rate | Job openings |
|---|---|---|---|---|
| Physiatrist | $305,616 | $25,468 | $146.93 | 10,190 |
| Physician | $238,887 | $19,907 | $114.85 | 46,489 |
| Occupational Medicine Physician | $199,058 | $16,588 | $95.70 | 66,376 |
| Physical Medicine Physician | $196,716 | $16,393 | $94.57 | 111,596 |
Top companies hiring pain medicine physicians now:
Pain medicine physician salaries at Sanford Health and SSM Health are the highest-paying according to our most recent salary estimates. In addition, the average pain medicine physician salary at companies like Highmark and Gundersen Lutheran Medical Foundation Inc. are highly competitive.
| Rank | Company | Average salary | Hourly rate |
|---|---|---|---|
| 1 | Sanford Health | $363,404 | $174.71 |
| 2 | SSM Health | $336,100 | $161.59 |
| 3 | Highmark | $289,862 | $139.36 |
| 4 | Gundersen Lutheran Medical Foundation Inc. | $276,204 | $132.79 |
| 5 | Aurora Health Care | $275,946 | $132.67 |
| 6 | Bon Secours Community Hospital | $273,120 | $131.31 |
| 7 | Northwestern Medicine | $269,780 | $129.70 |
| 8 | Yakima Valley Memorial | $268,609 | $129.14 |
| 9 | Tidelands Health | $266,718 | $128.23 |
| 10 | Banner Health | $263,472 | $126.67 |
| 11 | Geisinger Medical Center | $257,223 | $123.66 |
| 12 | AdventHealth | $252,825 | $121.55 |
| 13 | WellSpan Health | $252,037 | $121.17 |
| 14 | Swedish Hospital | $251,499 | $120.91 |
| 15 | Advanced Pain Management | $250,010 | $120.20 |
| 16 | Multicare Companies Inc. | $248,426 | $119.44 |
| 17 | Cleveland Clinic | $247,263 | $118.88 |
| 18 | Merritt Hawkins | $241,445 | $116.08 |
| 19 | Health Alliance | $232,164 | $111.62 |
| 20 | Integrity Locums | $229,235 | $110.21 |
The average pain medicine physician salary has risen by $25,460 over the last ten years. In 2014, the average pain medicine physician earned $189,770 annually, but today, they earn $215,230 a year. That works out to a 1% change in pay for pain medicine physicians over the last decade.
Compare pain medicine physician salaries for cities or states with the national average over time.
Compare pain medicine physician salaries for individual cities or states with the national average.
| Year | Avg. salary | Hourly rate | % Change |
|---|---|---|---|
| 2025 | $215,000 | $103.48 | +2.4% |
| 2024 | $210,000 | $100.96 | +1.7% |
| 2023 | $206,000 | $99.26 | -5.2% |
| 2022 | $217,000 | $104.45 | +2.1% |
| 2021 | $213,000 | $102.24 | +4.5% |
| Company | Job | Location | Date added | Salary |
|---|---|---|---|---|
| Privia Health | Pain Medicine Physician (Visa Sponsorship Available)-3 Locations | Frederick, MD | 06/30/2025 | $280,000 |
| Vringo | Obesity Medicine Physician-Remote | Nashville, TN | 06/29/2025 | $210,000 |
| Vringo | Obesity Medicine Physician-Remote | Houston, TX | 06/29/2025 | $210,000 |
| Healthcare Recruitment Counselors | Pain Physician Salt Lake City UT | Salt Lake City, UT | 06/13/2025 | $350,000 |
| Lehigh Valley Health Network | Pain Medicine | Hazleton, PA | 06/10/2025 | $30,000 |
| University of Minnesota Physicians | Faculty Physician-Sleep Medicine and Memory Disorders | Edina, MN | 06/04/2025 | $224,380 |
| Healthcare Recruitment Counselors | Pain Physician New York NY | New York, NY | 05/28/2025 | $300,000 |
| Essentia Health | Physician-Interventional Pain Medicine | Brainerd, MN | 05/27/2025 | $494,000 |
| Vringo | Obesity Medicine Physician (Remote/Telehealth) | Orlando, FL | 04/30/2025 | $210,000 |
| Essentia Health | Physician-Interventional Pain Medicine | Brainerd, MN | 04/29/2025 | $494,000 |
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