For those drawn to the intricate and life-saving field of medicine, pediatric cardiology represents a pinnacle of specialization, blending complex science with compassionate care for the youngest patients. This demanding career path requires years of dedicated training, but it culminates in a profession that is not only emotionally rewarding but also financially significant. If you're considering this specialty, you're likely wondering: what is a typical pediatric cardiology salary?
The short answer is that compensation is substantial, with most professionals earning well into the six figures. On average, a pediatric cardiologist in the United States can expect to earn between $320,000 and $380,000 annually. However, this figure is just a starting point. Several key factors can push that number closer to $500,000 or more.
This article will provide a data-driven look at pediatric cardiologist salaries, explore the factors that influence your earning potential, and discuss the job outlook for this vital profession.
What Does a Pediatric Cardiologist Do?

Before diving into the numbers, it's essential to understand the role. A pediatric cardiologist is a physician who specializes in diagnosing and treating heart problems in infants, children, adolescents, and young adults. Their expertise covers a wide range of conditions, including:
- Congenital Heart Defects: Structural issues with the heart present at birth.
- Arrhythmias: Irregular heart rhythms.
- Cardiomyopathy: Diseases of the heart muscle.
- Heart Failure: The inability of the heart to pump blood effectively.
Their daily responsibilities are diverse and demanding, often involving interpreting complex diagnostic tests like echocardiograms and electrocardiograms (ECGs), performing non-invasive procedures, managing patient care plans, and collaborating closely with pediatric heart surgeons and other medical specialists.
Average Pediatric Cardiology Salary

The compensation for pediatric cardiologists is among the higher tiers for medical professionals, reflecting the extensive training and high level of responsibility required.
According to leading industry data, the national average salary for a pediatric cardiologist is robust.
- Salary.com reports the median U.S. salary for a Pediatric Cardiologist is $355,541 as of late 2023, with a typical range falling between $288,672 and $459,484.
- Payscale notes a slightly more conservative average of around $280,000, but this figure is highly dependent on the number of self-reported users.
- The Medscape Physician Compensation Report 2023, a highly respected industry benchmark, places general cardiology as one of the top-earning specialties with an average salary of $507,000. While pediatric cardiology is a subspecialty, its compensation aligns with these high figures, though it can sometimes be slightly lower than adult interventional cardiology.
This wide range underscores that the "average" salary is just a midpoint. Your specific earnings will be heavily influenced by the factors below.
Key Factors That Influence Salary

Where you are in your career, where you practice, and what you specialize in will all have a significant impact on your paycheck. Let's break down the most important variables.
### Level of Education
In medicine, education is less of a salary variable and more of a baseline requirement. To become a pediatric cardiologist, one must complete an arduous but necessary educational journey: a four-year bachelor's degree, four years of medical school (MD or DO), a three-year residency in pediatrics, and a three-year fellowship in pediatric cardiology. Some may pursue additional fellowships in sub-specialties. This decade-plus of higher education and training is the barrier to entry, and it is the primary justification for the high starting salaries in the field. All board-certified professionals will have this foundation, so variations in salary are typically due to other factors.
### Years of Experience
Experience is one of the most significant drivers of salary growth in any profession, and medicine is no exception.
- Early Career (0-5 Years): A pediatric cardiologist just finishing their fellowship can expect to earn a salary on the lower end of the spectrum, typically in the $280,000 to $320,000 range. They are building their skills, patient base, and professional reputation.
- Mid-Career (6-15 Years): With substantial experience, these professionals become more efficient, take on more complex cases, and may move into leadership or mentorship roles. Their salaries often exceed the national average, moving into the $350,000 to $420,000 range.
- Late Career (15+ Years): Senior pediatric cardiologists are at the peak of their earning potential. They may be department heads, partners in a private practice, or renowned experts in a specific niche. Their compensation can easily surpass $450,000, particularly in a private practice setting.
### Geographic Location
Where you choose to work has a massive impact on your salary. This is driven by both cost of living and local market demand. High-paying states are not always the ones you'd expect; often, states with a greater need for specialists offer more competitive packages.
For instance, while major metropolitan areas like New York City or San Francisco offer high salaries to offset the high cost of living, some of the most lucrative opportunities can be found in less populated states or regions that are actively trying to recruit specialists. Medical compensation reports frequently show states in the Midwest and Southeast offering highly competitive salaries to attract top talent away from the coasts. Always research the specific compensation trends for the states and cities you are considering.
### Company Type
The type of organization you work for is another critical factor in determining your compensation structure and overall earnings.
- Private Practice: This setting generally offers the highest earning potential. Physicians in a successful private practice may have ownership stakes, giving them a share of the profits. However, this also comes with the responsibilities of running a business, including administrative and overhead costs.
- Hospitals (For-Profit or Non-Profit): Hospital-employed cardiologists receive a set salary, often supplemented with production bonuses based on patient volume or procedures performed. This model provides more stability and fewer administrative headaches than private practice, with competitive salaries and strong benefits packages.
- Academic Medical Centers: Working for a university-affiliated hospital often comes with a lower base salary compared to private practice. However, the total compensation package can be excellent, including robust benefits, research funding, and opportunities to teach. The prestige and focus on cutting-edge research and education are significant draws for many professionals.
### Area of Specialization
Within pediatric cardiology, further sub-specialization can lead to higher pay, particularly for those who perform complex procedures.
- Interventional Pediatric Cardiology: These specialists perform minimally invasive, catheter-based procedures to repair heart defects. Due to the high-stakes, technical nature of their work, they are often among the highest earners in the field.
- Pediatric Electrophysiology (EP): Specialists who diagnose and treat heart rhythm disorders also command high salaries for their unique and complex skillset.
- General/Outpatient Pediatric Cardiology: Cardiologists focused primarily on diagnosis and long-term management in a clinical setting are still compensated exceptionally well, though their salaries may be closer to the median compared to their interventional colleagues.
Job Outlook

The career outlook for physicians, in general, is strong, and this holds true for specialists like pediatric cardiologists. The U.S. Bureau of Labor Statistics (BLS) projects that employment for physicians and surgeons will grow by 3% from 2022 to 2032, which is about as fast as the average for all occupations.
For pediatric cardiology, the demand is particularly stable. As medical advancements continue to improve survival rates for children with complex congenital heart defects, there is a growing population of patients who require lifelong specialized cardiac care. This, combined with an aging physician workforce heading toward retirement, ensures a steady demand for new, well-trained pediatric cardiologists for the foreseeable future.
Conclusion

Choosing a career as a pediatric cardiologist is a long and challenging journey, but it leads to a profession that is rich in both purpose and financial reward. With an average salary well over $300,000 and the potential to earn nearly half a million dollars or more with experience, it is one of the most lucrative specialties in medicine.
For prospective students and professionals, the key takeaway is that your earning potential is not a single number but a dynamic range influenced by your experience, location, practice setting, and chosen sub-specialty. By strategically navigating these factors, you can build a career that is not only dedicated to saving and improving young lives but is also exceptionally well-compensated.