← 2026 Salary Report / OB/GYN

OB/GYN Salary 2026

Mixed medical-surgical specialty. GYN-only practices and REI fellowship command the highest incomes.

Training: 4 years post-medical school  |  5-Year Change: +8%  |  Range (25th-75th): $270,000-$440,000

Compensation by Experience Level

OB/GYNs start at $280,000-$330,000 with full-scope practice including obstetrics and call. Mid-career physicians who transition to GYN-only practice often maintain similar income with dramatically better lifestyle. REI (fertility) subspecialists earn $400,000-$600,000+. MFM subspecialists earn $350,000-$450,000.

Top-Paying States

Texas, the Southeast, and Midwest offer the best COL-adjusted OB/GYN compensation. States with low malpractice premiums and tort reform (Texas, Indiana) are particularly attractive given OB's high malpractice costs ($50,000-$200,000/year in some states).

Employed vs Private Practice

Employed OB/GYNs earn $300,000-$370,000. Private practice OB/GYNs earn $350,000-$480,000 but bear significant malpractice costs. GYN-only private practices without OB liability can net higher take-home despite similar gross. REI clinics are the most lucrative OB/GYN private practice model.

How to Maximize Your Compensation

Three highest-leverage actions: (1) REI fellowship offers the highest ROI of any OB/GYN subspecialty. (2) Transitioning to GYN-only eliminates call and cuts malpractice costs 40-60% while maintaining income. (3) Factor malpractice costs into state-by-state comparisons - a $100,000/year malpractice premium erases a $100,000 salary advantage. Use the PhysicianWealth Salary Benchmark for a personalized comparison.

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