How much do ob-gyns make in 2026?
Obstetricians and gynecologists earn a national median of $292,910 a year ($140.82 an hour) per BLS OEWS May 2025 (SOC 29-1218), with a P25 of $179,810, a P75 of $369,390 and a P90 of $437,300. The $94,680 tenth percentile represents residents, part-time and partial-year physicians rather than an attending floor, so treat the P25 as the realistic starting point for a board-eligible obstetrician-gynaecologist. Two features define the specialty financially. The first is call: births do not schedule themselves, so obstetric practice carries overnight and weekend obligation that gynaecology-only practice avoids — which is why some physicians deliberately narrow to office gynaecology and accept lower income for a predictable week. The second is malpractice: obstetric premiums are among the highest in medicine and vary sharply by state, so an identical salary can leave very different net income. Employment is projected to grow 1.2% through 2034 with roughly 600 openings a year. → Full ob-gyn career guide, career path, credentials & placement →
Note: $292,910 blends every experience level and every setting in this occupation. For pay by level alone, see Pay by Level below.
- OB-GYNs earn a national median $292,910/yr ($140.82/hr) (BLS OEWS May 2025, SOC 29-1218); the P10 to P90 range is $94,680 to $437,300.
- The $94,680 tenth percentile reflects residents and part-time physicians; the $179,810 P25 is the realistic attending floor for this specialty.
- Call burden is the central trade-off: obstetric practice pays above office-only gynaecology precisely because deliveries generate unpredictable overnight and weekend work.
- Malpractice premiums are among the highest in medicine and vary widely by state, so net income differs more between states than the modeled wage index alone suggests.
US OB-GYN Pay Distribution · BLS OEWS May 2025
Pay by Level · BLS OEWS May 2025
How much do ob-gyns earn at each level?
BLS OEWS publishes one blended wage for the whole occupation and does not break pay out by credential or practice level. The levels below distribute the published percentile range across the credential tiers this role actually hires at.
Level medians are aligned to the BLS OEWS May 2025 percentile distribution for SOC 29-1218; GlobalCybers does not yet publish a verified placement sample for this role, so no verified median is shown.
Methodology & Sources
How the numbers on this page are built
Published (BLS): BLS OEWS May 2025, SOC 29-1218, United States national estimate. Public, methodologically rigorous, but sampled on a rolling 3-year basis and published ~10 months after collection — so it reflects wages that are already 1–2 years old by the time you read them.
Level and certification medians: distributed across the published BLS percentile range for this SOC code (P10 through P90) according to the credential tiers this occupation actually hires at. They are modeled reference points, not separately surveyed wages.
State and metro figures: modeled — the BLS national median multiplied by the GlobalCybers state wage index, and for metros by the published metro index for that state. They are estimates of local pay, not BLS state or metropolitan-area observations, and are labelled as modeled in the tables below.
No verified placement sample:GlobalCybers does not yet publish a placement median for this role, so no "verified" figure appears anywhere on this page.
Pay by Career Level
How much does an ob-gyn earn at each career stage?
Obstetric and gynaecological pay follows call obligation, delivery volume, subspecialty training and practice ownership. Each median is anchored to the BLS OEWS distribution for SOC 29-1218.
By State
Which states pay ob-gyns the most in 2026?
These are modeled state estimates — the BLS national median scaled by the GlobalCybers state wage index — not BLS state observations. This specialty has the sharpest state-level economics in medicine: obstetric malpractice premiums differ by multiples between states depending on tort environment and available insurers, and maternity unit closures have removed obstetric practice from whole rural regions. Licensure runs through state medical boards, with the Interstate Medical Licensure Compact easing additional states.
6 of 51 state guides shown, ranked by median. Bar is relative to California ($336,850), the highest-paying state shown. See all role salary guides →
ob-gyn pay by state — all 6 state guides
By Metro
Which cities pay ob-gyns the most?
Modeled metro estimates: the national median scaled by the state wage index and then by that state's published metro index. They estimate local wage levels and are not BLS metropolitan-area observations.
BLS OEWS MSA estimates, May 2025. Nominal pay — weigh each metro against its cost of living before relocating.
Certification Impact
Which certifications raise an ob-gyn’s pay the most?
Median annual pay before and after each credential, based on GlobalCybers placement data cross-referenced with BLS. License upgrades move the needle most; stackable certs add on top.
Impacts are not additive, the licensing rows share the same career ladder. Browse all 167 certifications →
Trade Comparison
How does ob-gyn pay compare to related roles?
BLS OEWS national median across the closest trades. OB-GYNs sit mid-pack on median but carry one of the widest P10–P90 spreads, licensing and specialization drive the upside.
BLS OEWS May 2025. Verify ob-gyn wages on BLS.gov →
Take-Home Pay
What does an ob-gyn actually take home after taxes?
The medians above are gross base wage.
Estimates use 2026 federal brackets, standard deduction, and 7.65% FICA. Actual take-home varies with filing status, deductions, and local tax.
FAQ
OB-GYN Salary, Frequently Asked Questions
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