Urologist Salary by State (2026)

Urologists earn the most in North Dakota at $454,550 a year and the least in District of Columbia at $77,430 (BLS OEWS, May 2025). The national median is $265,930. All 52 states and territories with reported data are ranked below, with a cost-of-living adjusted column.

Values shown as $239,200+ exceed the BLS publication ceiling; exact figures are not published.

Highest median
$454,550

North Dakota

National median
$265,930

BLS OEWS, May 2025

Lowest median
$77,430

District of Columbia

States reporting
52

of 54 OEWS areas

Top 5 states for Urologists

  1. 1. North Dakota$454,550 median · $510,966 adjusted · 740 employed
  2. 2. Montana$438,850 median · $463,680 adjusted · 580 employed
  3. 3. Maine$419,410 median · $432,159 adjusted · 1,340 employed
  4. 4. Wisconsin$391,740 median · $416,324 adjusted · 6,350 employed
  5. 5. Minnesota$367,320 median · $372,456 adjusted · 5,350 employed

Lowest-paying states for Urologists

  1. 52. District of Columbia$77,430 median · $70,454 adjusted · 1,960 employed
  2. 51. Illinois$132,540 median · $132,596 adjusted · 20,790 employed
  3. 50. Arkansas$136,880 median · $157,447 adjusted · 4,290 employed
  4. 49. Michigan$155,480 median · $161,593 adjusted · 13,150 employed
  5. 48. Puerto Rico$172,230 median · no price parity · 930 employed

Urologist salary in every state

Sort by any column. Employment is the number of urologists OEWS estimates in that state; blank cells are estimates BLS suppressed because the sample was too small.

Annual wages by state, sortable by median, quartiles, employment and cost-of-living adjusted median
#
1North Dakota$454,550$287,540$564,000740$510,966
2Montana$438,850$326,580$438,850580$463,680
3Maine$419,410$312,930$442,7901,340$432,159
4Wisconsin$391,740$280,990$448,4706,350$416,324
5Minnesota$367,320$214,230$392,3605,350$372,456
6Indiana$366,190$213,350$428,2306,760$392,365
7New Hampshire$361,300$236,820$362,8501,000$346,854
8Alaska$355,100$239,720$426,050270$346,916
9Louisiana$350,920$209,810$419,8404,740$397,837
10Oregon$347,180$273,940$381,4804,130$335,891
11Vermont$343,050$247,520$400,490440$350,201
12Wyoming$342,800$256,180$377,870440$369,831
13Hawaii$339,290$248,960$427,5601,830$308,583
14New Mexico$327,670$228,720$397,1401,930$355,344
15Kentucky$327,390$218,540$452,6503,340$363,125
16Arizona$312,490$172,540$432,3406,800$310,389
17Washington$307,170$215,640$363,4706,300$287,040
18Tennessee$301,290$181,200$426,8505,340$327,953
19Idaho$299,340$114,030$387,8101,700$313,465
20Colorado$298,320$229,920$357,4701,990$289,485
21Delaware$297,470$89,130$326,4001,370$298,042
22Ohio$297,440$104,800$432,89021,160$320,607
23Iowa$295,190$160,440$350,4801,440$336,353
24Nebraska$290,470$224,030$379,7901,170$322,376
25New Jersey$285,010$115,930$361,1009,730$261,946
26California$281,590$98,870$340,73025,530$254,326
27Virginia$278,530$183,190$350,5508,480$275,489
28South Carolina$274,480$163,900$427,7604,510$292,782
29Alabama$272,610$139,280$357,0103,980$306,914
30Texas$269,800$108,990$370,99030,720$277,981
31Georgia$266,880$142,420$392,7408,580$277,154
32Florida$262,180$168,060$364,75023,390$253,525
33North Carolina$260,330$77,810$361,25014,080$275,990
34Oklahoma$259,220$65,200$351,7802,520$295,095
35West Virginia$258,020$63,950$326,2301,980$288,300
36Nevada$252,120$141,800$327,7702,400$252,173
37New York$242,500$122,260$352,19016,600$224,701
38South Dakota$239,200+$239,200+$239,200+200N/A
39Massachusetts$236,580$85,550$384,4908,210$223,702
40Rhode Island$228,590$169,860$320,6901,180$223,494
41Mississippi$228,130$61,960$359,250N/A$262,360
42Utah$228,060$82,330$362,4403,510$230,681
43Missouri$227,980$83,340$361,4003,990$251,032
44Kansas$221,540$70,520$382,3605,230$245,970
45Pennsylvania$217,310$78,710$370,14023,800$222,718
46Connecticut$214,990$98,840$373,2104,700$207,499
47Maryland$212,080$144,890$317,14010,340$202,060
48Puerto Rico$172,230$60,420$284,960930N/A
49Michigan$155,480$66,870$318,63013,150$161,593
50Arkansas$136,880$64,330$319,1804,290$157,447
51Illinois$132,540$81,360$372,88020,790$132,596
52District of Columbia$77,430$77,430$253,3801,960$70,454

Values shown as $239,200+ exceed the BLS publication ceiling; exact figures are not published. Those states are ranked at that floor, so their true position may be higher.

How the cost-of-living adjustment works

The adjusted column divides each state median by that state's BEA Regional Price Parity (RPP) and multiplies by 100. RPPs measure how much a fixed basket of goods, services and rents costs in one state relative to the national average, so the result restates local pay in national-average dollars.

For Urologists, that changes the ranking: North Dakota leads on raw pay at $454,550, while North Dakota leads once prices are taken into account at $510,966.

States whose median is shown as $239,200+ have no adjusted figure at all: the published value is a ceiling rather than a measured wage, and dividing a ceiling by a price parity would produce a number that looks exact but is not.

Source: BEA Regional Price Parities by State, 2024 (public domain). The adjustment is NueCareer's calculation, not a BLS or BEA published statistic.

Urologist pay by state: FAQ

Which state pays Urologists the most?

North Dakota reports the highest median wage for Urologists at $454,550 a year (BLS OEWS, May 2025), followed by Montana ($438,850) and Maine ($419,410).

Which state pays Urologists the least?

District of Columbia reports the lowest median for Urologists at $77,430 a year, $377,120 below the highest-paying state (BLS OEWS, May 2025).

Where do Urologists earn the most after cost of living?

Dividing each state median by that state's BEA Regional Price Parity puts North Dakota first at $510,966 in national-average dollars, from a raw median of $454,550. BEA Regional Price Parities, 2024.

← Back to the full Urologist career profile for outlook, skills and how to become one