How to Make the Most of a Pathologist’s Salary

As a pathologist, your career choice makes you among the most content of all who chose to follow a medical career. Your satisfaction in your work may be great, but what about your compensation?

Therefore, are you satisfied with your salary as a pathologist? Or would you like to see it grow?


In years past, the job market for pathologists was slim, but recently the College of American Pathologists found a change in demand for this specialty.

The new hire numbers outpaced those looking to retire, showing that pathologists weren’t just filling retired pathologists spots, but new positions were becoming available.

With this new demand, you can have more leverage when negotiating your pay. Of course, other factors can affect your expected salary.

This article will break down what these are, how you can adjust your practice to increase revenue, and what you can do to protect that wealth once you’ve acquired it.

Average Pathologist Salary

According to Medscape’s 2023 report, the average annual earnings of a pathologist is $339,000. This is up slightly from last year, which was $334,000.

Furthermore, that report also states that only 51% of pathologists feel fairly compensated for their work. This means almost half of pathologists want to increase their income.

However, it’s essential to note that the average hourly wage for a pathologist is higher than that of many other physicians because their average full-time workweek involves fewer working hours, at 48.2 hours compared to the average of 50 hours per week for physicians.

Related: The Three Biggest Financial Mistakes New Doctors Make

Factors That Affect a Pathologist’s Salary

Many factors contribute to how much a pathologist can earn, whether this means salary, bonuses, or incentive compensation. This section will break these down.

Some of these factors are unavoidable, but if you’re looking to improve your odds of earning a higher salary as a pathologist, you can use it to optimize your career choices.

Years of Experience

As with any specialty in the medical field, you will earn only a fraction of your final salary while in residency. Thereafter your pay increases in increments.

As a general rule, the more years of experience a pathologist banks, the higher their salary gets. Entry-level pathologists will earn the least.

The opposite of this rule also occurs; pay starts to diminish slightly later in your career because with aging comes a decrease in energy used in the work field.

According to the College of Pathologists, this decline in earnings begins after the pathologist has been practicing for about 35-40 years.


Additionally, some regions of the United States have a higher demand for pathologists, causing pathologists to earn more. These areas are the North Central and Southeast states.

Pathologists earn lower pay in the Northeast and Mid-Atlantic.

Physicians of all specialties declared higher earnings in 2019 in Oklahoma, Alabama, and Nevada. Typically, these areas also have a lower cost of living, allowing physicians to live off of less of their annual salary and make financial progress through savings.

Type of Practice

Perhaps the most considerable difference in the average salary range is from practice to practice.

Accordingly, the area where a pathologist earns the lowest compensation is in an academic hospital. A non-academic hospital will pay their pathologists slightly higher.

Moreover, the practice that pays pathologists the most is independent laboratories. They also offer top benefits along with a higher salary. As a pathologist, this would be your best bet for increasing your wealth.

You also have the option of working at a private practice as a solo practitioner or a partner, or in a group practice.

Being part of a group practice would likely increase your take-home income. They declared a much lower percentage of their revenue going to overhead expenses on Medscape’s compensation report.

Whatever type of practice you operate, you need income protection. Read our guide to Disability Insurance for Physicians.

Side Income

According to CAPs 2017 Practice Characteristics Survey, more than half of pathologists claimed that they earned bonuses and incentive compensation on top of their base salary. This extra income reported was an average of almost $70,000.

This is a substantial increase in income and shows that pathologists earn more based on a good performance and employer satisfaction.

Pathologists also have many opportunities to earn extra income doing side jobs. This same survey showed that 16% of pathologists earned an average of $25,859 for doing work beyond their regular job.

See also: How Female Physicians Can Counteract the Gender Pay Gap

Pathologists and Their Student Loan Debt

Pathologists, like any other physician, enter the workforce with considerable student loan debt. Moreover, pathologists can incur even more when seeking certification for a subspecialty.

Making wise decisions on the repayment of these loans can help you save thousands in interest and lower your monthly payment. It may help to consolidate your loans or choose any of the four income-driven repayment options.

These include income-based repayment, pay as you earn, the revised pay as you earn, and income-contingent repayment.

Read our article on The Full Breakdown to Medical School Loans for a full understanding of your payback options. Our experts are always on hand to help you on your financial journey.

Subspecialties for Pathologist Jobs

Pathology subspecialty salaries
A pathologist is trained for either clinical pathology or anatomical pathology. Within these two groups are subspecialties with a wide range of job descriptions.

Depending on your job title, you can expect a different average annual salary. The actual predicted income for these subspecialties is hard to find because they are so specialized.

This list can give you a bit of insight into what a typical workday consists of and the market trends of each subspecialty.

Forensic Pathology

According to PayScale, entry-level forensic pathologists make an average of $97,922 annually.

The best way to consider a mid-range salary in forensic pathology is the same with pay in all subspecialties. Remember that most jobs will be government-related, and the job will be very structured.

To become a forensic pathologist, you would need to enroll in a one-year fellowship after residency. Once you get board certified for forensic pathology, your average base salary will increase.

Pediatric Pathology

Most pediatric pathologists work at academic institutions, and their pay varies widely. shows that pediatric pathologists have annual earnings of about $294,000.

Those with more experience can earn more, with the 90th percentile in the $400,000 range.

Interested in other pediatric subspecialties? Check out How to Make the Most of a Dermatologist’s Salary

Cytopathology *

Listed among the most in-demand pathological careers, cytopathologists can make in the higher spectrum of the annual salary range of all pathologist subspecialties, with an average annual base pay of about $166,000.

Most cytopathologists work in a lab with a team of other medical scientists and require one or more fellowships to be considered specialists in this field.


About a quarter of neuropathologists start out making more than $287,000 per year, according to

That’s a pretty healthy financial start to your career, and your earning will only increase as you gain more experience.

Dermatopathology *

Dermatopathology is very productivity-based when it comes to compensation on top of an annual salary. This opens up the opportunity to increase your earnings.

Dermatopathologist income has been reported as high as $122,000, with the average pay being comparable to MOHS surgeons and the higher end of clinical dermatologists.

* denotes most in-demand pathology subspecialties

Best Path for a Pathologist to Increase Your Wealth

Increase pathologist salary
For a pathologist to use their degree to make the most income, they should acquire subspecialty training. These subspecialties are in high demand.

Even better, choose the subspecialties that are starred since they have more job openings and demand.

Before accepting any job position, you need to look over the contract carefully. There may be some areas outside of your salary that can have a drastic effect on your ability to increase your wealth.

Negotiations depend on several factors, like the setting of your practice.

Consider the following before making any commitments:

  • For private practice, you would want to negotiate a substantial signing bonus and partnership opportunity in the future.
  • In a hospital environment, you can increase your income capabilities by participating in clinical laboratory operations.
  • Finally, in an independent lab, the possibility of bonus pay is based on performance, quality control, and budget targets. If you consistently mark high in these areas, you’ll find that your total compensation ranks way above the national average.

Differing from private practice and hospital settings, independent labs offer competitive salaries with an incremental increase in pay each year between 2-10%. You can expect to continue seeing a higher income each year you stay with the company.

Need a second pair of eyes? Most physicians could benefit from having a team of professional legal and financial professionals  to understand the terms in their employment contract better. We offer that here at Physicians Thrive. Allow us to help with your contract negotiation to ensure that you are getting what you’re worth.

Building a Retirement From Your Annual Salary

A critical area of financial health for any physician is to begin saving for retirement as soon as you can, and with the best options.

A pathologist has different options depending on where they work, whether in private practice or as an employee.

For the Employed Pathologist

Furthermore, qualified retirement plans for the employed pathologist allow them to accumulate tax-free retirement funds. These include a 401k and a 403b.

The 401k is offered by a for-profit company to its employees, while a non-profit employer offers a 403b.

For Private Practice Pathologists

Qualified retirement plans for private practice pathologists allow contributions to these plans to be fully tax-deductible.

These include profit-sharing plans, money purchase plans, and defined benefit plans.

They can be broken down as follows:

Profit-Sharing Plans 

These plans give each private practice employee or partner a portion of the annual profits to add to their retirement fund.

Money Purchase Plans 

Now, these plans are similar to the profit-sharing plan except that each contribution is a fixed number instead of dependent on profit amounts.

Defined Benefit Plans 

Moreover, these plans are created using a predetermined formula by the practice based on several factors. This retirement fund can only be accessed according to the timing determined by the plan.

You can also offer a 401k like other companies.

Non-qualified retirement plans contributions aren’t tax deductible but can hedge against the qualified retirement plans you have. These do not have to be offered to employees.

For Both

Both employed and private practice pathologists can take advantage of retirement plans like the traditional IRA and Roth IRA.

You can also use a life insurance retirement plan and investment opportunities to set you up for financial independence. Some viable investments are HSA and commercial real estate.

Related: Retirement Accounts – Should I or Should I Not Rollover?

Effective Tax Planning

Tax planning pathologists
Your tax payment can get very high if you make hundreds of thousands of dollars annually. Tax planning can help in reducing the amount of money you need to pay in taxes each year.

As a pathologist, you have some options to choose from. You may be eligible for tax exemptions, deductions, or credits. The tax code is complicated, and it’s best to have an expert on your side to help you plan. Contact Physicians Thrive now and Get a Free Tax Return Review.


As the data shows, a pathologist has many options in their career that significantly determine how much they earn. The numbers show that in all respects, pathologists with a subspecialty are not only in higher demand but make more money.

Therefore, each type of practice can offer different pay but also a different lifestyle. When deciding where your career will lead you, think about what you want your typical day to look like.

Would you enjoy a nine to five sitting in a lab, or would you rather have closer patient interaction? There is a demand for pathologists in both hospital settings and private labs, so either choice is formidable.

Whatever path you choose, take us along with you to help you secure the best pay and make wise financial decisions to keep most of it in your pocket.

Finally, whether you’re just starting out or have an established pathology career, we can help you negotiate your salary and benefits, as well as help you plan for your financial future. Contact Physicians Thrive today to learn more.

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