Is Pathology a Good Career in 2026?

Diagnosing disease through laboratory analysis of tissue, blood, and body fluids.

Based on 52 verified physician submissions + BLS employment projections

SalaryDr Career Intelligence

Based on 52 verified physician submissions + BLS employment projections

0
/ 100
Good

Score Breakdown

Salary
0
Satisfaction
0
Demand
0
Would Choose Again
0
Work-Life Balance
0
Training ROI
0
AI Resilience
0

Demand score powered by BLS Employment Projections (2024-2034): 4.2% projected growth (as fast as average)

$391,000
Median Salary
3.9/5
Satisfaction
4.2%
10yr Growth
90%
Would Choose Again

Pathology Compensation & Earnings

Pathology Compensation

$391,000

$330,000$450,000(P25–P75)

SalaryDr Median · 52 verified reportsBLS National Mean: $266,020
See Full Pathology Salary Data →

Pathology Salary Progression

From medical school to senior attending — based on 52 verified submissions

Training
9 years
Med School Debt
$200,000
Attending Salary
$390,500
Break-Even
~1 years
1
Medical School
4 years
-$200,000
2
Residency
4 years
$70,000/yr

11 submissions

3
Fellowship
1-2 years (optional)
Limited data
4
Early Career
0-5 years experience
$315,000/yr

19 submissions

5
Mid-Career
6-15 years experience
$395,000/yr

23 submissions

6
Senior Attending
16+ years experience
$467,500/yr

10 submissions

+25% salary growth from early career ($315,000) to mid-career ($395,000)

Best States for Pathologists (After Tax)

Kentucky$480,000
Gross: $500,000 (2)Limited
Texas$454,000
Gross: $454,000 (5)High (1,100)
Arizona$409,500
Gross: $420,000 (2)Low (440)
Florida$395,000
Gross: $395,000 (4)Low (450)
Georgia$382,766
Gross: $405,000 (5)Very High (11,800)

Estimate Your Take-Home

Based on median Pathology salary of $391K/yr

Select a state to see your estimated take-home pay

Full Take-Home Calculator

Take-Home Pay by State

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

Highest Take-Home States

1
Alaska
Gross: $391,000 · 30.7% tax
$271,044
+$162,428/yr
2
Nevada
Gross: $391,000 · 30.7% tax
$271,044
+$162,428/yr
3
South Dakota
Gross: $391,000 · 30.7% tax
$271,044
+$162,428/yr
4
Tennessee
Gross: $391,000 · 30.7% tax
$271,044
+$162,428/yr
5
Wyoming
Gross: $391,000 · 30.7% tax
$271,044
+$162,428/yr

Lowest Take-Home States

47
California
Gross: $165,940 · 34.5% tax
$108,616
$162,428/yr
48
Maryland
Gross: $190,370 · 30.8% tax
$131,649
$139,395/yr
49
New York
Gross: $215,740 · 33.4% tax
$143,786
$127,258/yr
50
District of Columbia
Gross: $228,300 · 35.2% tax
$147,893
$123,151/yr
51
Missouri
Gross: $213,430 · 30.5% tax
$148,419
$122,625/yr

Tax impact: A Pathology physician keeps $162,428 more per year in Alaska vs. California — a 41.5% difference on gross income of $391,000.

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.

Median: $391,000/yr
Pathology Physician Salary (2026)

How does your compensation compare?

Benchmark yourself against 52 verified pathology salaries — add yours in 2 minutes and see your percentile instantly.

Benchmark My Salary

Career Lifestyle

Career Reality: By the Numbers

Real data from 52 verified Pathology physicians — not job board estimates.

⏱️-11% vs avg
45hrs
Avg Hours/Week
📟+42% vs avg
85%
Take Call
🌙
~5 days
all-physician avg
Avg Call Days/Mo
🏖️+46% vs avg
41 days
Avg PTO Days/Year
🤝
100%
Partnership Track
🌛
0%
Moonlighting

What Physicians Actually Say

Thematic analysis of career insights from Pathology physicians. Based on 2 anonymized responses.

About the Lifestyle (1 responses)

Call Impact

100%

1 physician mentioned this

On call once a week. One day off a week.Private Practice, 30 yrs
90% would choose pathology again
Physician Satisfaction (2026)
Is Pathology Worth It? →
Detailed ROI analysis, satisfaction deep-dive, and physician perspectives

Job Market & Future Outlook

Job Market Outlook

BLS Employment Projections (2024-2034) for Pathology

4.2%projected growth
as fast as average
Pathology4.2%
All occupations avg4%
12,600
practicing today
+500
new positions by 2034

Source: Bureau of Labor Statistics, Employment Projections 2024-2034. Includes wage/salary and self-employed physicians.

AI & Automation Impact

55/100 · Moderate Resilience
40 FDA-cleared AI devices
30% of core tasks AI-compatible

Computational pathology is advancing rapidly. Pathologists who pivot to molecular and precision medicine are well-positioned; those focused on routine screening face the most change.

How Hard Is It to Match Into Pathology?

Moderate CompetitivenessSource: NRMP 2024 Charting Outcomes

Pathology has moderate competitiveness with a 93.5% match rate for U.S. MD seniors. There were 0.44 applicants per position (275 applicants for 628 spots). Matched applicants had significantly higher Step 2 CK scores (247 vs 232).

93.5%
Match Rate
0.44:1
Applicant Ratio
247
Avg Step 2 CK
628
Positions
275
Applicants

Match Rate by Step 2 CK Score

231-240
91%
241-250
95%
251-260
98%
>260
100%

What Differentiates Matched Applicants

MetricMatchedUnmatched
Step 2 CK247232
Research Experiences3.12.3
Publications84
AOA Members9%0%
Programs Ranked127

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

4.2% projected growth (2024-2034)
Pathology Job Market — Bureau of Labor Statistics

Training & Getting Started

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

Subspecialty Fellowships

DermatopathologyNeuropathologyForensic PathologyMolecular PathologyTransfusion MedicineClinical Informatics

Explore Pathology

Take the Next Step in Your Pathology 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 52 verified Pathologists (as of August 2026), the Physician Career Score for Pathology is 61/100. Median total compensation is $391,000, career satisfaction is 3.9/5, and 90% would choose the specialty again. The BLS reports 12,600 practicing Pathologists nationally with 4.2% projected growth (2024-2034).