Pathologist Salary USA:
Pathologists play a crucial role in the medical field, diagnosing diseases through laboratory analysis of tissues, blood, and other bodily fluids. Their expertise is vital for accurate patient treatment plans, making them highly valued professionals. If you’re considering a career in pathology or are curious about earning potential, understanding the Pathologist Salary USA is essential.
Key Takeaways
- The average pathologist salary in the USA ranges between $200,000 and $350,000 annually.
- Experience, specialization, and location significantly impact earning potential.
- Academic and forensic pathologists typically earn less than those in private practice.
- Highest-paying states include New York, California, and Texas.
- Job growth for pathologists remains steady, with increasing demand in diagnostics and research.

Factors Affecting Pathologist Salary USA
Several factors influence how much a Pathologist Salary USA:
1. Experience
Entry-level pathologists earn less than seasoned professionals.
- 0-5 years: $180,000 – $250,000
- 5-10 years: $250,000 – $300,000
- 10+ years: $300,000 – $450,000+
2. Specialization
Some pathology subspecialties command higher salaries:
- Surgical Pathologists: $300,000 – $400,000
- Hematopathologists: $280,000 – $380,000
- Forensic Pathologists: $150,000 – $250,000 (often government-employed)
- Dermatopathologists: $350,000 – $500,000 (highest earners)
3. Employment Setting
- Private Practice: $300,000 – $500,000
- Hospitals: $250,000 – $350,000
- Academic/Research Institutions: $180,000 – $250,000
4. Geographic Location
Pathologist Salary USA vary by state due to demand and cost of living:
- Highest-Paying States:
- New York: $320,000
- California: $310,000
- Texas: $290,000
- Lower-Paying States:
- Mississippi: $220,000
- Arkansas: $230,000
5. Board Certification
Board-certified pathologists earn 10-20% more than non-certified peers.
Pathologist Salary vs. Other Medical Specialties
Pathology is among the top 20 highest-paying medical professions, though some specialties earn more:
- Neurosurgeons: $600,000+
- Cardiologists: $400,000 – $500,000
- Radiologists: $350,000 – $450,000
- Pathologists: $250,000 – $400,000
- Family Physicians: $200,000 – $250,000
Despite not being the highest-paid, pathology offers a better work-life balance with fewer emergency calls than surgical fields.
Job Outlook for Pathologists
The Bureau of Labor Statistics (BLS) projects a 4% growth rate for physicians and surgeons, including pathologists, from 2022 to 2032. Demand is driven by:
- Aging population requiring more diagnostic services.
- Advances in genetic and molecular testing.
- Increased need for forensic pathology in criminal investigations.
How to Increase Your Pathologist Salary USA
- Pursue a Subspecialty (e.g., dermatopathology, hematopathology).
- Relocate to a High-Paying State (e.g., NY, CA, MA).
- Transition to Private Practice (higher earning potential than academia).
- Negotiate Contracts Effectively (understand RVU-based compensation).
- Engage in Consulting or Expert Witness Work (lucrative side income).
FAQs
What is the starting salary for a pathologist?
Entry-level pathologists earn $180,000 – $250,000, depending on location and employer.
Do forensic pathologists earn less than clinical pathologists?
Yes, forensic pathologists typically earn $150,000 – $250,000, as many work in government roles.
Which states pay pathologists the most?
New York, California, Massachusetts, and Texas offer the highest salaries, exceeding $300,000 on average.
How does pathology compare to other medical careers in pay?
Pathology is lucrative but not the highest-paying—specialties like neurosurgery and cardiology earn more.
Can pathologists earn extra income?
Yes, through consulting, expert witness testimony, or private lab ownership, some pathologists make $500,000+.
Final Thoughts
Pathology remains a financially rewarding and stable career in the medical field. While salaries vary based on specialization, experience, and location, most pathologists in the U.S. earn well above the national average income. Whether you’re drawn to diagnostic, forensic, or research pathology, this profession offers both intellectual fulfillment and strong earning potential.