Is Otolaryngology a Good Career in 2026?

Treating diseases of the ear, nose, throat, and head & neck through surgical and medical management.

Based on 44 verified physician submissions

SalaryDr Career Intelligence

Based on 44 verified physician submissions

0
/ 100
Very Good

Score Breakdown

Salary
0
Satisfaction
0
Demand
0
Would Choose Again
0
Work-Life Balance
0
Training ROI
0
AI Resilience
0
$525,000
Median Salary
4.2/5
Satisfaction
98%
Would Choose Again

Otolaryngology Compensation & Earnings

Otolaryngology Compensation

$525,000

$475,000$565,000(P25–P75)

SalaryDr Median · 44 verified reports
See Full Otolaryngology Salary Data →

Otolaryngology Salary Progression

From medical school to senior attending — based on 44 verified submissions

Training
8 years
Med School Debt
$200,000
Attending Salary
$525,000
Break-Even
~1 years
1
Medical School
4 years
-$200,000
2
Residency
3-5 years
Limited data

3 submissions

3
Early Career
0-5 years experience
$467,500/yr

16 submissions

4
Mid-Career
6-15 years experience
$545,000/yr

25 submissions

5
Senior Attending
16+ years experience
Limited data

3 submissions

+17% salary growth from early career ($467,500) to mid-career ($545,000)

Estimate Your Take-Home

Based on median Otolaryngology salary of $525K/yr

Select a state to see your estimated take-home pay

Full Take-Home Calculator

Take-Home Pay by State

How much a Otolaryngology physician actually keeps after federal, state, and FICA taxes

Highest Take-Home States

1
Alaska
Gross: $525,000 · 32.4% tax
$354,995
+$48,300/yr
2
Florida
Gross: $525,000 · 32.4% tax
$354,995
+$48,300/yr
3
Nevada
Gross: $525,000 · 32.4% tax
$354,995
+$48,300/yr
4
New Hampshire
Gross: $525,000 · 32.4% tax
$354,995
+$48,300/yr
5
South Dakota
Gross: $525,000 · 32.4% tax
$354,995
+$48,300/yr

Lowest Take-Home States

47
California
Gross: $525,000 · 41.6% tax
$306,695
$48,300/yr
48
Oregon
Gross: $525,000 · 41.4% tax
$307,745
$47,250/yr
49
District of Columbia
Gross: $525,000 · 41.3% tax
$308,270
$46,725/yr
50
Hawaii
Gross: $525,000 · 41.2% tax
$308,795
$46,200/yr
51
Minnesota
Gross: $525,000 · 40.6% tax
$311,945
$43,050/yr

Tax impact: A Otolaryngology physician keeps $48,300 more per year in Alaska vs. California — a 9.2% difference on gross income of $525,000.

Assumes single filer, standard deduction, W-2 employment. State rates from Tax Foundation 2025. Gross salaries from BLS OEWS May 2024. FICA includes Social Security (6.2% up to $168,600) and Medicare (1.45% + 0.9% above $200K). Actual take-home varies with deductions, filing status, and local taxes.

Negotiation Intel

Anonymized advice from Otolaryngology physicians who recently negotiated contracts.

💡 What to Negotiate

💡

Interview with a nearby job to the one you want the most and then let the job you want know in a subtle way. That way, if they want you, they will fight a little more fiercely.

1 yrs experience · Private Practice

Median: $525,000/yr
Otolaryngology Physician Salary (2026)

How does your compensation compare?

Benchmark yourself against 44 verified otolaryngology salaries — add yours in 2 minutes and see your percentile instantly.

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Career Lifestyle

Career Reality: By the Numbers

Real data from 44 verified Otolaryngology physicians — not job board estimates.

⏱️avg
49hrs
Avg Hours/Week
📟+67% vs avg
100%
Take Call
🌙
~5 days
all-physician avg
Avg Call Days/Mo
🏖️+71% vs avg
48 days
Avg PTO Days/Year
🤝
100%
Partnership Track
🌛
0%
Moonlighting

What Physicians Actually Say

Thematic analysis of career insights from Otolaryngology physicians. Based on 6 anonymized responses.

About the Career (3 responses)

Procedural Work

33%

1 physician mentioned this

It’d be nice to have a scribe to minimize the charting burden. It’d be nice to have newer equipment in the operating room and clinic—most academic centers where training occurs get you acclimated to fancy/expensive stuff.Private Practice, 1 yrs

Patient Relationships

33%

1 physician mentioned this

I like the mix of acuity and the patient relationshipsHospital Employed, 5 yrs

Administrative Burden

33%

1 physician mentioned this

It’d be nice to have a scribe to minimize the charting burden. It’d be nice to have newer equipment in the operating room and clinic—most academic centers where training occurs get you acclimated to fancy/expensive stuff.Private Practice, 1 yrs

Training Length

33%

1 physician mentioned this

It’d be nice to have a scribe to minimize the charting burden. It’d be nice to have newer equipment in the operating room and clinic—most academic centers where training occurs get you acclimated to fancy/expensive stuff.Private Practice, 1 yrs

About the Lifestyle (3 responses)

Call Impact

67%

2 physicians mentioned this

I work in a busy, but not life consuming, private practice. I am happy and excited to go to work both on operative and clinic days. Rarely do I miss family dinner. With advanced notice, I can plan to attend any family event. I have one in 4 call for nights and weekends, but it is light call. Not ...Private Practice, 1 yrs
Clinic 3.5d, OR 1.5d. Predictable 8-5 schedule during clinic. OR days 7-3. 3-4 hours a week of after hours charting. 8-9k wRVUs annually. Rare but heavy call weekends. Limited day call.Hospital Employed, 5 yrs

Predictable Schedule

33%

1 physician mentioned this

Clinic 3.5d, OR 1.5d. Predictable 8-5 schedule during clinic. OR days 7-3. 3-4 hours a week of after hours charting. 8-9k wRVUs annually. Rare but heavy call weekends. Limited day call.Hospital Employed, 5 yrs

Family Time

33%

1 physician mentioned this

I work in a busy, but not life consuming, private practice. I am happy and excited to go to work both on operative and clinic days. Rarely do I miss family dinner. With advanced notice, I can plan to attend any family event. I have one in 4 call for nights and weekends, but it is light call. Not ...Private Practice, 1 yrs
98% would choose otolaryngology again
Physician Satisfaction (2026)
Is Otolaryngology Worth It? →
Detailed ROI analysis, satisfaction deep-dive, and physician perspectives

Job Market & Future Outlook

How Hard Is It to Match Into Otolaryngology?

Very High CompetitivenessSource: NRMP 2024 Charting Outcomes

Otolaryngology is one of the most competitive specialties to match into, with only 81.9% of U.S. MD seniors successfully matching. There were 1.08 applicants per position (414 applicants for 382 spots). Students scoring >260 matched at 94%, compared to 60% for those scoring 231-240.

81.9%
Match Rate
1.08:1
Applicant Ratio
256
Avg Step 2 CK
382
Positions
414
Applicants

Match Rate by Step 2 CK Score

231-240
60%
241-250
77%
251-260
89%
>260
94%

What Differentiates Matched Applicants

MetricMatchedUnmatched
Step 2 CK256251
Research Experiences7.15.5
Publications2016
AOA Members34%17%
Programs Ranked147

Data from Charting Outcomes in the Match, National Resident Matching Program (NRMP), 2024. U.S. MD seniors. Used with permission. All rights reserved.

Training & Getting Started

4 years of post-medical-school training, with subspecialty fellowship options

Subspecialty Fellowships

Head & Neck Surgical OncologyNeurotology/OtologyPediatric OtolaryngologyRhinologyLaryngologyFacial Plastic & Reconstructive Surgery

Explore Otolaryngology

Take the Next Step in Your Otolaryngology Career

Real compensation data from verified physicians. Know your market value before your next contract negotiation.

Powered by SalaryDr Career Intelligence

Data sources: SalaryDr verified physician submissions • BLS Occupational Employment Statistics (May 2024) • BLS Employment Projections (2024-2034)
Career Score methodology: salarydr.com/methodology

According to SalaryDr Career Intelligence data from 44 verified Otolaryngologist (ENT)s (as of August 2026), the Physician Career Score for Otolaryngology is 71/100. Median total compensation is $525,000, career satisfaction is 4.2/5, and 98% would choose the specialty again.