Embarking on a career as a pediatric radiologist is not only a path to making a profound impact on children's health but also a highly respected and financially rewarding profession. These specialized physicians are at the forefront of medical imaging, providing critical diagnoses for the youngest patients. If you're considering this demanding yet fulfilling specialty, understanding the earning potential is a crucial step. This guide breaks down the typical pediatric radiologist salary, the factors that influence it, and the promising future of the profession.
What Does a Pediatric Radiologist Do?

A pediatric radiologist is a medical doctor (MD or DO) who has completed extensive training to specialize in diagnosing illnesses, injuries, and diseases in infants, children, and adolescents using medical imaging. They are medical detectives who interpret a wide array of imaging studies, including X-rays, CT scans, MRIs, ultrasounds, and nuclear medicine exams.
Their expertise is distinct because children are not just small adults. Their bodies are growing and changing, and many conditions and diseases manifest differently in pediatric patients. Pediatric radiologists work closely with pediatricians and other specialists to choose the safest and most appropriate imaging tests, minimize radiation exposure, and provide interpretations that guide crucial treatment decisions.
Average Pediatric Radiologist Salary

The field of radiology is known for its high compensation, and the pediatric subspecialty is no exception. Due to the extensive training required and the critical nature of their work, pediatric radiologists command significant salaries.
While exact figures can vary, data from leading sources provides a clear picture of the earning potential:
- Median Salary: According to Salary.com, the median pediatric radiologist salary in the United States is $489,190 as of early 2024.
- Typical Salary Range: The same source reports that the majority of pediatric radiologists earn between $424,590 and $566,490 annually.
This range reflects the diversity within the profession. An entry-level pediatric radiologist just finishing their fellowship will naturally earn less than a senior partner in a large private practice with decades of experience.
It's also helpful to look at data for radiologists in general. The 2023 Doximity Physician Compensation Report, a highly regarded industry benchmark, lists the average salary for all radiologists at $515,000, reinforcing the strong earning potential in this medical specialty.
Key Factors That Influence Salary

Your salary as a pediatric radiologist isn't a single, fixed number. It's influenced by a combination of personal and market factors. Understanding these variables will help you navigate your career and maximize your earning potential.
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Level of Education and Training
The path to becoming a pediatric radiologist is long and rigorous, and this extensive educational investment is a primary driver of the high salary. The journey includes:
1. Bachelor's Degree (4 years)
2. Medical School (MD or DO) (4 years)
3. Diagnostic Radiology Residency (4 years)
4. Pediatric Radiology Fellowship (1-2 years)
The fellowship is the key differentiator. This extra one to two years of subspecialty training makes you an expert in pediatric imaging, allowing you to command a higher salary than a general radiologist and qualifying you for specialized positions at children's hospitals and academic centers.
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Years of Experience
Experience is a major determinant of compensation in medicine. As you build your skills, speed, and reputation, your value to an employer or practice group increases.
- Entry-Level (0-3 years): Professionals just completing their fellowship can expect salaries at the lower end of the typical range, generally starting in the low $400,000s.
- Mid-Career (4-15 years): With several years of experience, pediatric radiologists see significant salary growth as they become more efficient and take on more responsibilities.
- Senior-Level (15+ years): Highly experienced radiologists, especially those in leadership roles (e.g., department chair, partner in a private practice), can command salaries at the top end of the range, often exceeding $600,000 annually.
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Geographic Location
Where you practice matters significantly. Salaries can vary by tens of thousands of dollars based on state and metropolitan area due to differences in cost of living, demand for specialists, and the concentration of healthcare facilities.
According to data compiled by sources like Doximity and Medscape, states in the Midwest and Southeast often offer higher-than-average compensation to attract top talent. Conversely, major metropolitan areas in the Northeast, while having a high cost of living, may have slightly lower salaries due to a higher concentration of physicians. Rural areas may also offer premium pay and loan forgiveness programs as incentives.
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Company Type (Practice Setting)
The type of organization you work for has one of the largest impacts on your salary and overall compensation package.
- Private Practice: This setting typically offers the highest earning potential. After a few years, radiologists often have the opportunity to become a partner, which grants them a share of the practice's profits. This can push total compensation well above the national average.
- Hospital or Health System: Working directly for a hospital provides a stable, salaried position with excellent benefits. While the base salary may be slightly lower than a private practice partner's income, it offers predictability and often a better work-life balance.
- Academic Medical Center: Radiologists working at university-affiliated hospitals often have responsibilities in teaching, research, and clinical practice. Salaries in academia are generally lower than in private practice, but the positions offer non-monetary benefits like prestige, cutting-edge research opportunities, and robust benefits packages.
- Teleradiology Companies: This is a growing sector where radiologists read images remotely. Compensation models vary, with some offering a base salary and others paying on a per-scan basis. This model provides unparalleled flexibility and can be very lucrative for efficient readers.
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Area of Specialization
While pediatric radiology is itself a subspecialty, further expertise can increase your value. A pediatric radiologist with additional fellowship training or significant experience in a high-demand niche like pediatric neuroradiology or pediatric interventional radiology may command a higher salary, particularly in large, specialized medical centers. These roles involve complex, high-stakes procedures and interpretations that are in constant demand.
Job Outlook

The career outlook for physicians, including radiologists, is positive. According to the U.S. Bureau of Labor Statistics (BLS), employment for physicians and surgeons is projected to grow by 3% from 2022 to 2032.
For pediatric radiologists, the demand is expected to remain strong for several key reasons:
- Technological Advancements: As imaging technology like MRI and ultrasound becomes more sophisticated and safer, its use in pediatric care continues to grow.
- Focus on Safety: There is a strong and necessary emphasis on minimizing radiation in children, requiring the expertise of pediatric radiologists to select and monitor appropriate imaging protocols.
- Essential for Diagnosis: Medical imaging is fundamental to modern medicine, and a growing and aging population ensures a consistent need for expert interpretation.
Conclusion

A career as a pediatric radiologist is a testament to dedication, skill, and compassion. The extensive training and demanding nature of the job are rewarded with a career that is both intellectually stimulating and financially stable. With salaries regularly exceeding $450,000 and a strong job outlook, the field offers significant long-term security.
For prospective students and professionals considering this path, the key takeaways are clear: your earning potential will be shaped by your experience, your choice of practice setting, and your geographic location. By strategically navigating these factors, you can build a successful and highly rewarding career at the intersection of technology, medicine, and pediatric care.