The latest Medscape Physician Compensation Report shows that Gastroenterology ranked as the 4th highest-paid specialty in the U.S. in 2025, with average annual compensation reaching $526,000.
Only orthopedics ($573K), cardiology ($552K), and radiology ($544K) ranked higher. The report attributes GI’s continued financial strength to steady procedural demand, particularly as colorectal cancer screening volumes rise and more endoscopic care shifts into outpatient and ASC settings.
The ranking reinforces how gastroenterology remains one of the most economically important procedural specialties in medicine, despite ongoing reimbursement pressure and operational challenges facing GI practices.