← 2026 Salary Report / Urology
Surgical specialty with strong demographics-driven demand. Robotic surgery and ancillary services drive higher income.
Training: 5-6 years post-medical school | 5-Year Change: +12% | Range (25th-75th): $370,000-$600,000
Urologists start at $370,000-$430,000. Robotic surgery expertise accelerates income growth. Peak earnings at years 8-15. Subspecialty-trained urologic oncologists and female pelvic medicine specialists earn 10-20% premiums. Aging population ensures growing demand for prostate, bladder, and kidney stone procedures.
Sun Belt states with aging populations (Florida, Arizona, Texas) have the strongest urology demand. Rural communities pay 25-35% premiums for general urologists willing to cover broad scope including endourology and basic oncology.
Employed urologists earn $400,000-$520,000. Private practice urologists with ancillary services (in-office CT, lithotripsy, pathology lab) earn $550,000-$800,000+. The urology ancillary revenue model (in-office diagnostics and procedures) is one of the strongest in medicine.
Three highest-leverage actions: (1) Develop in-office ancillary services - CT, ultrasound, pathology, and lithotripsy can each add $50,000-$100,000 in annual revenue. (2) Build robotic surgery expertise for prostatectomy and partial nephrectomy volumes. (3) Target group practices with existing ancillary infrastructure for the fastest path to high income. Use the PhysicianWealth Salary Benchmark for a personalized comparison.
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