Gastroenterology Salary Map by State (2026)
Median gastroenterology pay across 10 states from real job listings — switch views to adjust for cost of living or overlay burnout scores. Medians blend permanent salaries with annualized locums/contract rates. National median: $500,000.
Highest median
Virginia
$640,000
Best real purchasing power
Virginia
$633,012 adjusted
Best lifestyle score
Massachusetts
6.0/10 avg burnout score
Gastroenterology pay by state
| State | Median | COL-adjusted | Take-home, COL-adj. | Burnout score | Listings |
|---|---|---|---|---|---|
| Virginia | $640,000 | $633,012 | $596,613 | 4.2/10 | 9 |
| California | $588,060 | $531,124 | $481,729 | 3.6/10 | 26 |
| Illinois | $565,000 | $565,237 | $537,258 | 4.9/10 | 25 |
| Massachusetts | $483,000 | $456,707 | $433,872 | 6.0/10 | 8 |
| New Jersey | $461,000 | $423,694 | $396,704 | 4.9/10 | 17 |
| Washington | $460,000 | $429,854 | $429,854 | 2.9/10 | 5 |
| Minnesota | $458,084 | $464,489 | $418,737 | 4.1/10 | 15 |
| New York | $437,500 | $405,389 | $377,620 | 3.6/10 | 31 |
| Colorado | $394,450 | $382,768 | $365,926 | 3.4/10 | 12 |
| Maryland | $300,000 | $285,826 | $269,391 | 4.3/10 | 33 |
Which state pays gastroenterology physicians the most?
Virginia currently has the highest median gastroenterology salary at $640,000, based on 9 real job listings.
Which state offers the best after-tax gastroenterology pay?
Virginia currently leads the take-home view at $596,613 — the state median after its state income tax (Tax Foundation state income tax rates (2025)), divided by the local cost-of-living index. No-income-tax states like Texas, Florida and Tennessee often outrank nominally higher-paying states here.
Why adjust gastroenterology salaries for cost of living?
Prices differ across states. The adjusted view divides each state's pay benchmark by its regional price index (U.S. average = 100). Source: BEA Regional Price Parities (2024). This is a state-level comparison, not a personal budget or a city-level cost estimate. Missing price data is shown as unavailable.
Which state has the best gastroenterology lifestyle scores?
Massachusetts currently has the highest average WeekdayDoc burnout score (6.0/10, higher is better) for gastroenterology listings — a measure of call burden, weekend requirements, and schedule flexibility across postings.
Medians computed from real WeekdayDoc job listings after outlier removal; states with fewer than 5 qualifying listings are excluded. Cost-of-living adjustment uses BEA Regional Price Parities (2024). The take-home view additionally deducts state income tax at each state's marginal rate for ~$300k single-filer income (Tax Foundation state income tax rates (2025)); federal tax is omitted since it's uniform across states, and local/property taxes are not modeled. Burnout scores are WeekdayDoc's proprietary 0–10 lifestyle rating (higher is better).
More salary maps
See the full percentile breakdown on the Gastroenterology salary page.