What’s the US Spine Surgeon Salary in 2024?

A spine surgeon’s salary is around $558,000 per year, which compensates for the hard work of performing surgery on the spine and the extensive schooling and training needed to get started in this position.

In this article, we’ll share more about the average salary of orthopedic surgeons working in the spine specialty.

We’ll also take a look at multiple data sources and break down salary fluctuations by factors that play a role.

Ultimately, we’ll show you how to make the highest salary possible and the best ways to manage your income as a spine surgeon.

Average Spine Surgeon Salary

The Medscape Physician Compensation Report 2024 named orthopedics (including orthopedic surgery) as the most compensated physician specialty, at $558,000 on average. Keep in mind that this refers to orthopedics in general rather than further specialization in spine surgery.

According to the 2024 Medical Group Management Association (MGMA) Compensation & Production Report, orthopedic surgery also has one of the fastest-growing salary trends among all medical specialties, with a 12.40% climb over the past five years.

Let’s take a look at the average salaries for spinal surgeons across numerous sources:

• ZipRecruiter: $329,222
• Salary.com: $547,450
• Payscale: $405,081

Why is there such a discrepancy between salary averages for the same position? In general, variations in the spine surgeon’s salary happen due to differences in the way data is collected. Different sources tend to vary in factors like:

• Number of years studied
• The source of information (some ask for submissions while others look at physician data, for example)
• The specific job role, as some may include broader roles than others
• Base salary versus total compensation

It’s helpful to compare a range of sources, as we did here. Also, you’ll gain more information by taking a closer look at what’s included in total compensation for this role, as well as various factors that impact salary. We consider these factors in the next section.

Factors That Affect Salary

There are many reasons for salary fluctuations, which include:

Demand

There is expected to be good demand for this type of physician. Merritt Hawkins explains that a shortage of about 5,000 orthopedic surgeons is anticipated by the year 2025, as about 60% of them are at least 55 years of age and expected to retire shortly. Higher demand in this area may help you command a higher salary.

Gender

In orthopedics, in general, women make up only 11% of the physicians in this role, according to Medscape. Among physician specialists overall, women make $327,000 compared to men’s $415,000.

Nonetheless, Medscape notes that the gap has been going down over time. It notes that more women are getting into physician specialties, including high-paying ones, and that organizations are aiming to bring more women into these roles and target gender pay gaps that may be present.

Read More: How Female Physicians Can Counteract the Gender Pay Gap

Practice Location

You could expect to make differing amounts of money in this same occupation depending on where in the country you practice. ZipRecruiter shows that the salary can range from $230,310 to $385,609, depending on your state.

In addition, the highest salary is found in metro areas with less than 250,000 people, with a median salary of $882,502. Areas with a larger population demographic earn less, between $589,540 and $831,366. This range of salaries across the population demographics is often true regardless of specialty, with physicians in the lower populated areas earning higher salaries.

One other location-based factor is the type of practice. Spine surgeons earn about 7% more in multispecialty practices than in single-specialty practices. In addition, a spine surgeon can earn about 5% more if working in physician-owned facilities than if working in a hospital.

Nonetheless, beyond the region of the country, it’s also worth considering the specific state. ZipRecruiter shows that orthopedic spine surgeons earn above the national average in Massachusetts, Washington, Colorado, Delaware, New York, Illinois, Virginia, Vermont, and Maryland.

Related: How Moving Can Help Physicians Pay Off Student Loans

Total Compensation

Depending on the source, the average salary that’s accounted for may only include the base salary offered by an employer or the total compensation. The difference between the two tends to broadly vary. On top of your base salary, you can get bonuses, receive a significant value in benefits, and potentially earn through profit sharing.

Medscape shows the average incentive bonus for orthopedics as $134,000. Payscale says that orthopedic surgeons earn bonuses of up to $150,000 in addition to up to $60,000 in profit sharing.

Years of Experience

In all occupations, you tend to make more money as you gain experience. Payscale shows that an entry-level orthopedic surgeon makes 12% less than the average, while one in their early career makes 1% less. In their late career, they make roughly around average, and experienced ones make 10% more.

Average Loan Debt for Orthopedic Spine Surgeons

For the most part, all physicians incur about the same level of school debt regardless of their specialty. This is because specialization happens after medical school, during paid residencies and fellowships.

School debt varies due to factors like the chosen school, the number of years spent in school, and how much of the cost was initially covered by loans. To give you a general idea, Student Loan Planner says that those who have gone through medical school have an average of about $200,000 in student loan debt.

You must consider that when you factor in the interest to repay the loan, you end up paying far more than the initial amount of the debt. This introduces one way to save on expenses and thereby maximize your physician salary once you become an orthopedic surgeon.

You can pay less throughout repaying your loan by lowering your interest rate, which cuts down your loan payments and the cost of your repayment overall. Take a look at the discount rates we offer to help physicians refinance student loan debt and save money.

You may also want to consider loan forgiveness or other strategies to repay your medical school loans.

Ways to Increase Salary

As a spine surgeon, you have many opportunities to increase your salary from the lower ranges. An important option is to relocate. Moving to one of the states with the highest incomes, such as Massachusetts, or the top regions, such as the eastern or midwestern U.S., could significantly improve your income prospects.

You could also earn more by switching to a single-specialty or hospital-owned facility if you’re not already working in one.

In addition, you could consider hiring a PA or other type of assistant to help with some of the less advanced tasks, freeing up your time for direct patient hours that are more financially rewarding. Orthopedic physicians spend 14 hours on paperwork and administrative tasks each week, according to Medscape, so this is time you could potentially free up.

For example, you could potentially work locum tenens by filling in for other physicians or taking on extra hours at a hospital.

Another way to increase your spine surgeon salary is by negotiating your contract. For instance, you can potentially negotiate a large signing or production bonus that could greatly add to your overall income.

Read More: The Definitive Guide to Physician Compensation Review

Spine Surgeon Salary Negotiations

As we previously mentioned, negotiating your salary provides an opportunity to significantly increase your annual salary and your lifetime financial gain. Don’t believe the myth that contracts cannot be negotiated. Negotiating a signing bonus gives you an instant boost that can help with student loans or otherwise improve your finances.

You can also negotiate for an incentive package or other type of bonus structure. The sources we looked at showed that bonuses could increase a spine surgeon salary by over $100,000, which is why it’s such an important factor.

Negotiations should help set the right starting salary by considering the demand for your role and what you have to offer, such as top schooling and certain skills, credentials, and experience.

In addition to bonuses, negotiations should include a good benefit package, including paid time off. You may even be able to negotiate profit sharing or more patient-focused time rather than administrative work.

Salary negotiations are not a one-time event. Ideally, they should happen at the start of your career and also any time you switch positions or employers and as you gain experience, skills, or credentials.

Since your specialty is medicine rather than salary negotiations, it may be wise to hire a professional in contract review and negotiation to help in this area. We use our expertise in physician salary expectations and contract negotiations to ensure you get what you’re worth each time a contract review is relevant.

Protect Your Profession

Once you are making a large salary as a spine surgeon, think about ways to protect and maximize your finances. Your state and employer will likely ensure you obtain malpractice insurance, and we want to point out the importance of having it just in case.

Being sued for malpractice takes the majority of physicians by surprise; it’s best to be prepared in the case of a lawsuit. There are many aspects to take into account when considering malpractice insurance. You should ensure you have sufficient coverage in case anything should go wrong with a patient.

You will also want to consider if your coverage is occurrence or claims-based and what, if any, tail insurance you may need.

As your work is with the spine, it’s essential to have the right coverage, as a problem during surgery could have major consequences. This important insurance will protect you and your ability to practice if a situation like this arises at some point.

Protect Your Spine Surgeon Salary

While you want malpractice insurance in case something happens to a patient, disability insurance is there if something happens to you. While one can hope that you will never need to use disability insurance, one in four of today’s 20-year-olds is likely to be disabled and out of work for at least a year before retiring.

When it comes to disability insurance, physicians have a few options for managing their income protection. They can use a 1) group plan through their employer, 2) an individual own occupation plan, or 3) both.

You shouldn’t solely rely on an employer’s group plan. While a group plan can provide some protection, the scope of the plan is very limited. There are four major problems we share with physicians about group plans, we have summed them up in the chart below.

In case an event occurs that interferes with your ability to work, an individual own occupation disability policy is a backup plan to protect your spine surgeon’s salary and full financial picture for the future.

Contact Physicians Thrive today for a free disability quote. We’ll do the legwork to find you the best policy for your unique needs.

Conclusion

Spine surgeons will continue to be in high demand; there’s no doubt about that.

By the year 2040, approximately one in five Americans will be age 65 or older. An aging population comes with an increased need for healthcare, and spine surgeons should expect the demand for their expertise to increase over time.

Spine surgeons can use the information above to position themselves in the right location and in the right practice setting to not only increase their salary but also to ensure they will be protected in the event they are not able to work.

Contact Physicians Thrive to learn more about how you can make the highest salary and strategies to maximize your earnings throughout your career.

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