Otolaryngology Salary in 2025

Otolaryngology—commonly referred to as ENT (ear, nose, and throat) medicine—is a high-demand medical specialty in the United States. With the healthcare landscape evolving and the demand for specialized care increasing, otolaryngologists are seeing shifts in compensation, benefits, and job market opportunities. This article provides a comprehensive breakdown of the otolaryngology salary in 2025, highlighting average salaries, influencing factors, benefits, career outlook, and more.

Average Otolaryngology Salary in 2025

In 2025, the average annual salary for an otolaryngologist in the U.S. ranges between $380,000 and $510,000, depending on factors like geographic location, level of experience, and subspecialization. According to recent healthcare compensation surveys:

Entry-level ENT doctors (0–5 years of experience): ~$330,000–$400,000
Mid-career professionals (6–15 years): ~$420,000–$480,000
Senior otolaryngologists (15+ years): ~$500,000–$600,000+

Factors That Influence Otolaryngologist Salaries

Several variables impact an otolaryngologist’s earnings, including:

1. Experience and Seniority

More experienced physicians often take on leadership roles or complex procedures, increasing earning potential.
Subspecialists like pediatric ENT or neurotology can command higher compensation.

2. Location

Salaries vary significantly by state and region.
ENT doctors in rural or underserved areas may receive higher pay or bonuses as incentives.
States like Texas, Florida, and California offer competitive salaries due to patient volume and demand.

3. Employment Type

Private practice often offers higher income potential, especially for partners or owners.
Hospital-employed otolaryngologists may earn slightly less but gain better job stability and benefits.
Academic roles may have lower salaries but provide research and teaching opportunities.

4. Certifications and Education

Board certification by the American Board of Otolaryngology–Head and Neck Surgery (ABOHNS) often leads to better job offers.
Fellowship training in a subspecialty (e.g., facial plastic surgery, otology) can significantly boost income.

5. Workload and Productivity

Physicians who see a higher volume of patients or perform more surgeries typically earn more due to productivity-based bonuses.

Job Market Trends in Otolaryngology (2025)

The demand for otolaryngologists continues to grow due to:

Aging population needing treatment for hearing loss, balance issues, and sinus conditions.
Rising allergy and chronic sinus cases in younger populations.
Advancements in minimally invasive surgical techniques expanding treatment possibilities.
Telemedicine adoption, especially for consultations and follow-ups, broadening access.

Despite the growing demand, the number of residency spots remains limited, contributing to a favorable job market for ENT specialists.

Benefits and Compensation Packages

Beyond salary, otolaryngologists in 2025 typically receive:

Health insurance (medical, dental, vision)
Malpractice coverage
Paid time off (PTO) and CME (Continuing Medical Education) allowances
401(k) matching and/or pension plans
Relocation assistance or sign-on bonuses for high-need locations

These benefits can significantly enhance total compensation, often adding $30,000–$80,000 in value annually.

Education and Certifications That Boost Salary

To become an otolaryngologist, one must complete:

4-year undergraduate degree
4 years of medical school
5-year otolaryngology residency
Optional 1–2 years of fellowship in subspecialties

Key credentials that enhance salary prospects:

Board certification (ABOHNS)
Fellowship training (e.g., facial plastics, head and neck oncology)
Leadership roles or academic appointments in institutions

Career Outlook: Is Otolaryngology a Good Career in 2025?

Yes—otolaryngology remains a highly rewarding career, both financially and professionally. Factors contributing to strong job outlook include:

Consistent patient demand
Work-life balance, especially in comparison to other surgical specialties
Opportunities in private, academic, and telemedicine practices
Attractive compensation-to-training time ratio

Conclusion

In 2025, otolaryngology continues to be one of the most lucrative and stable medical specialties. With average salaries ranging from $380,000 to over $500,000, strong job market demand, and comprehensive benefits, ENT remains an attractive path for aspiring physicians. Experience, subspecialization, and geographic location are key in determining actual take-home pay, but overall, otolaryngologists enjoy high job satisfaction and financial security in today’s healthcare landscape.