Orthopedic Surgeons, Except Pediatric salary
Half of orthopedic surgeons, except pediatric earned more than $358,550 a year in May 2025, and half earned less. The middle half earned between $180,610 and $530,700; the top 10% earned more than $659,290.
- Median / yr
- $358,550
- Median / hr
- $172.38
- Average (mean) / yr
- $373,570
- Bottom 10% earn under
- $84,170
- 25th percentile
- $180,610
- 75th percentile
- $530,700
- Top 10% earn over
- $659,290
- Jobs (wage & salary)
- 14,100
Source: BLS Occupational Employment and Wage Statistics, national, all industries.
How does pay for orthopedic surgeons, except pediatric compare?
- The median is 7.0 times the $50,980 median for all U.S. occupations.
- It ranks 6th of 825 occupations by median annual wage.
- The average (mean) wage is $373,570, above the median, which means a group of high earners pulls the average up.
Occupations with similar pay
- Radiologists — $420,860 (#3)
- Surgeons, All Other — $414,010 (#4)
- Anesthesiologists — $391,490 (#5)
- Oral and Maxillofacial Surgeons — $352,220 (#7)
- Emergency Medicine Physicians — $335,550 (#8)
- Dermatologists — $328,730 (#9)
What does it take to become one?
- Typical entry education
- Doctoral or professional degree
- Related work experience
- None
- On-the-job training
- Internship/residency
“Typical” describes what most entrants need, as assessed by BLS. Licensing and certification rules vary by state and are not shown here.
Is the number of jobs growing?
BLS projects employment of orthopedic surgeons, except pediatric to change by +4.0% from 2025 to 2035, faster than the +3.5% projected for all occupations. It expects about 400 openings a year on average, counting jobs left by people who retire or change occupations.
About 5.5% of people in this occupation were self-employed in 2025. The wage figures on this page do not include them.
Which states pay orthopedic surgeons, except pediatric the most?
Missouri has the highest published median, at $842,800. For 7 states, BLS reports the median only as “$239,200 or more,” so the exact figure is not known. After adjusting for each state’s price level, the highest is Missouri ($928,020 in national-average prices).
| State | Median | Adjusted for prices | Top 10% over | Employed |
|---|---|---|---|---|
| Missouri | $842,800 | $928,020 | $869,540 | — |
| West Virginia | $597,740 | $667,888 | $894,940 | 120 |
| Wisconsin | $572,060 | $607,960 | ≥ $239,200 | 290 |
| Montana | $560,820 | $592,551 | $729,990 | — |
| Arizona | $558,970 | $555,211 | $826,870 | 110 |
| New Hampshire | $555,670 | $533,452 | $676,240 | 80 |
| Washington | $553,310 | $517,049 | $684,080 | 290 |
| Mississippi | $544,130 | $625,775 | $621,270 | — |
| Minnesota | $537,830 | $545,350 | ≥ $239,200 | 320 |
| Oklahoma | $530,070 | $603,429 | $670,540 | 30 |
| Nebraska | $507,770 | $563,544 | $555,800 | 200 |
| Virginia | $478,710 | $473,483 | $623,030 | 170 |
| Georgia | $474,820 | $493,099 | $886,940 | 490 |
| Florida | $473,750 | $458,110 | $545,620 | 580 |
| Illinois | $426,580 | $426,759 | $797,060 | 170 |
| New York | $414,290 | $383,883 | $619,340 | 1,450 |
| Michigan | $413,450 | $429,706 | $732,000 | 200 |
| Massachusetts | $392,300 | $370,945 | $392,380 | — |
| Colorado | $385,410 | $373,996 | $641,130 | 410 |
| Pennsylvania | $354,020 | $362,830 | $587,790 | 240 |
| New Jersey | $341,430 | $313,800 | $593,680 | 420 |
| Tennessee | $325,520 | $354,327 | $472,540 | 180 |
| Alabama | $324,570 | $365,412 | $387,490 | 380 |
| North Carolina | $323,630 | $343,097 | $629,080 | 560 |
| Ohio | $323,480 | $348,675 | $641,190 | 500 |
| Kansas | $311,630 | $345,994 | $492,460 | — |
| Arkansas | $262,470 | $301,908 | $621,020 | 350 |
| California | $253,430 | $228,893 | $457,010 | — |
| Alaska | ≥ $239,200 | — | ≥ $239,200 | 30 |
| North Dakota | ≥ $239,200 | — | ≥ $239,200 | 40 |
| Oregon | ≥ $239,200 | — | ≥ $239,200 | 140 |
| South Carolina | ≥ $239,200 | — | ≥ $239,200 | 100 |
| South Dakota | ≥ $239,200 | — | ≥ $239,200 | — |
| Utah | ≥ $239,200 | — | ≥ $239,200 | 80 |
| Vermont | ≥ $239,200 | — | ≥ $239,200 | 50 |
| Texas | $200,780 | $206,868 | $758,150 | 490 |
| Iowa | $189,410 | $215,822 | $539,990 | 260 |
| Indiana | $177,710 | $190,412 | $518,510 | 500 |
Adjusted figures divide each state’s median by its 2024 regional price parity from the Bureau of Economic Analysis (U.S. = 100), the latest available. “≥ $239,200” means BLS reports the value only as $239,200 a year ($115.00 an hour) or more; those rows are placed at that lower bound and cannot be adjusted for prices. Dashes mean BLS did not publish an estimate.
What these numbers include
- Wages are straight-time gross pay reported by employers: base pay, commissions, production bonuses, tips and similar pay are included; overtime, shift differentials, non-production bonuses and benefits are not.
- Only employees are counted. Self-employed workers and owners of unincorporated businesses are not in the survey.
- Figures cover all industries nationwide. Pay for a single employer, city or experience level can differ widely.
Related rankings
- Highest-paying healthcare jobs
- Ranking for “Doctoral or professional degree”
- All 825 occupations ranked
Sources
- U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025 (national and state files).
- U.S. Bureau of Labor Statistics, Employment Projections 2025–35, Table 1.2.
- U.S. Bureau of Economic Analysis, Regional Price Parities by state, 2024.