U.S. Pain Management Physician Salary 2026: $630K Median

The median pain management physician salary in the United States is $630,000 per year, based on 26 approved salary reports on SalaryDr through February 14, 2026. The average is $640,000. At the average reported workweek of 46 hours, the median works out to about $263 per hour.

The middle 50% of reported pain management physician salaries fall between $465,000 (25th percentile) and $800,000 (75th percentile). The 10th to 90th percentile range is $420,000 to $900,000. Based on 26 reports.

Among states with at least 3 approved reports, the highest median pain management physician pay on SalaryDr is in Florida ($800,000 median, 4 reports), Montana ($800,000 median, 4 reports), and California ($695,000 median, 3 reports). State medians built from a handful of reports can move as new reports arrive.

In SalaryDr's reports, yes: private practice pain management physicians ($724,688 across 16 reports) report a higher average total compensation than hospital-employed pain management physicians ($529,286 across 7 reports).

Pain management physicians who reported their schedule average 46 hours per week (26 reports).

Average total compensation by years of experience in SalaryDr's pain management physician reports: 6–10 years, $608,571 (7 reports); 11–15 years, $770,000 (12 reports).

92% of approved pain management physician reports include bonus or incentive pay. Among those 24 reports, the median bonus is $150,000 and the average is $165,000.

Pain management physicians who rated their job gave it an average of 4.3 out of 5 (26 reports). 92% of the 26 reports that answered say they would choose the specialty again.

These figures come from 26 reports that pain management physicians submitted anonymously to SalaryDr and that were approved before publication; the most recent is from February 14, 2026. Reports are self-reported: approval means a report passed SalaryDr's review checks, not that the submitter's pay was independently verified.