← 2026 Salary Report / Gastroenterology
Procedure-heavy specialty with endoscopy volume driving compensation. One of the highest-paid non-surgical specialties.
Training: 6 years post-medical school | 5-Year Change: +11% | Range (25th-75th): $400,000-$650,000
Starting GI salaries are $380,000-$450,000, rising steadily as endoscopy volume builds. Peak earnings at years 8-15. Advanced endoscopists (ERCP, EUS) earn 15-25% above general GI. Hepatology-focused physicians earn somewhat less due to lower procedure volume.
Southeast and Midwest states offer the best COL-adjusted GI compensation. Florida has high demand due to aging population. Endoscopy center ownership is more feasible in states with favorable certificate-of-need laws.
Employed GI physicians earn $430,000-$550,000. Private practice GI with ASC/endoscopy center ownership routinely generates $600,000-$900,000+. The endoscopy center is the primary wealth-building asset - facility fees can double or triple a GI practice's revenue compared to hospital-based procedures.
Three highest-leverage actions: (1) Pursue ASC/endoscopy center ownership - this is the single largest income multiplier in GI. (2) Build ERCP/EUS expertise if procedurally inclined. (3) Negotiate colonoscopy screening contracts with large employers or health systems. Use the PhysicianWealth Salary Benchmark for a personalized comparison.
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