Pursuing a career in medicine is a significant commitment, and understanding the financial landscape is a crucial part of the decision-making process. If you have a passion for helping patients manage allergies, asthma, and complex immune system disorders, a career as an allergist/immunologist is not only a rewarding path but also a financially lucrative one.
So, what salary can you expect as an allergist? While the exact figure varies, the earning potential is substantial, with most professionals earning well into six figures. This guide will break down the salary for an allergist, the factors that influence it, and the long-term outlook for this vital specialty.
What Does an Allergist Do?

An allergist, or allergist/immunologist, is a highly specialized physician trained to diagnose, treat, and manage conditions related to the immune system. Their expertise is critical for patients suffering from a wide range of issues.
Key responsibilities include:
- Diagnosing Conditions: Performing and interpreting diagnostic tests like skin prick tests, blood tests (IgE), and patch tests to identify specific allergens.
- Treating Allergies: Managing conditions such as hay fever (allergic rhinitis), food allergies, eczema (atopic dermatitis), and insect sting allergies.
- Managing Asthma: Creating comprehensive plans for patients to control asthma, a chronic disease often linked to allergies.
- Administering Immunotherapy: Overseeing treatments like allergy shots or sublingual tablets to desensitize patients to specific allergens over time.
- Handling Complex Immune Disorders: Treating primary immunodeficiency diseases and other complex conditions where the immune system is a factor.
- Patient Education: Guiding patients on allergen avoidance, medication use, and emergency action plans (e.g., for anaphylaxis).
Average Allergist Salary

The compensation for an allergist reflects their extensive training and specialized skill set. According to data from leading compensation aggregators, the figures are consistently strong.
As of early 2024, the average salary for an Allergist/Immunologist in the United States is approximately $298,901 per year, according to Salary.com. However, the typical salary range is quite broad, generally falling between $259,301 and $355,501.
Other data sources provide a similar picture, reinforcing this salary benchmark:
- Payscale reports a slightly lower average base salary for an Allergist/Immunologist at around $249,500, though this figure can increase significantly with bonuses and profit-sharing.
- Industry reports, such as the annual Medscape Physician Compensation Report, consistently place Allergy & Immunology among the well-compensated specialties, with average earnings often fluctuating between $280,000 and $310,000 depending on the year's data.
This range indicates that while the entry-level salary is substantial, there is significant room for financial growth throughout one's career.
Key Factors That Influence Salary

An average salary is a useful starting point, but an allergist's actual take-home pay is influenced by several key variables. Understanding these factors is essential for anyone planning a career in this field.
### Level of Education
While all allergists have the same terminal degrees, the rigorous educational path is the primary foundation for their high earning potential. It is not a variable but a prerequisite. The journey includes:
1. Bachelor's Degree: Four years of undergraduate study.
2. Medical Degree (M.D. or D.O.): Four years of medical school.
3. Residency: A three-year residency in either Internal Medicine or Pediatrics.
4. Fellowship: A two-year fellowship specifically in Allergy and Immunology.
This path of 13+ years of higher education and training ensures that allergists possess a deep level of expertise, which is directly reflected in their compensation.
### Years of Experience
Experience is one of the most significant drivers of salary growth. An allergist's earning potential typically follows a clear upward trajectory over their career.
- Entry-Level (0-5 years): An allergist fresh out of their fellowship will likely earn a salary at the lower end of the range, closer to $250,000.
- Mid-Career (6-15 years): With a growing reputation and patient base, a mid-career allergist can expect to earn closer to the national average, around $300,000.
- Senior-Level (15+ years): Highly experienced allergists, especially those who are partners in a private practice or hold leadership roles, can command salaries at the top end of the scale, often exceeding $350,000 per year.
### Geographic Location
Where you practice medicine has a major impact on your salary. Compensation varies significantly between states and even between metropolitan and rural areas due to differences in cost of living, demand for specialists, and local market competition.
For example, states with a high cost of living and high demand often offer higher salaries. According to data from Salary.com, metropolitan areas in states like California, New York, Massachusetts, and Washington tend to pay allergists above the national average. Conversely, salaries may be closer to the lower end of the national range in states with a lower cost of living.
### Company Type
The type of organization an allergist works for is another critical factor. The three primary work settings each offer a different compensation structure and set of benefits.
- Private Practice: This setting often holds the highest earning potential. Allergists who are partners or owners of a practice not only earn a salary but also share in the profits. This comes with the added responsibility of managing a business.
- Hospital or Multi-Specialty Clinic: Allergists employed by hospitals or large healthcare systems receive a set salary, often supplemented with performance bonuses. This path offers stability, excellent benefits, and relief from the administrative burdens of running a practice.
- Academic Medical Centers: Salaries in academia may be slightly lower than in private practice. However, this is often offset by robust benefits packages, research opportunities, teaching stipends, and a focus on cutting-edge medical advancements. This path is ideal for those passionate about research and education.
### Area of Specialization
While "Allergy and Immunology" is already a specialty, some practitioners develop a niche focus that can influence their role and, in some cases, compensation. For instance, an allergist who specializes in rare primary immunodeficiency diseases may work in a specialized academic or research center. A pediatric allergist exclusively treats children, a role that is in high demand in many communities. While this may not always lead to a direct salary increase, establishing expertise in a high-need area can lead to more opportunities and leadership roles over time.
Job Outlook

The career outlook for allergists is very positive. The demand for their services is driven by several long-term trends, including an increasing prevalence of allergic diseases and asthma in the population and a growing public awareness of food allergies and immune health.
The U.S. Bureau of Labor Statistics (BLS) projects a 3% growth for all physicians and surgeons from 2022 to 2032. While this rate is about average, the need for specialists remains consistently strong due to an aging population and the increasing complexity of healthcare. Given the rising incidence of allergic and immunological conditions, the demand for qualified allergists is expected to remain robust for the foreseeable future, ensuring excellent job security for those entering the field.
Conclusion

A career as an allergist is an exceptional choice for aspiring medical professionals who seek a field that is intellectually engaging, impactful, and financially secure.
Key Takeaways:
- High Earning Potential: The average allergist salary is approximately $298,901, with a common range of $250,000 to $355,000+.
- Growth is Key: Your earnings will grow significantly with experience, especially if you move into a partnership or ownership role in a private practice.
- Location and Work Setting Matter: Where you choose to practice and whether you work for a hospital, a private clinic, or a university will heavily influence your compensation package.
- Stable Job Outlook: With the rising prevalence of allergies and a consistent need for specialists, the career offers strong long-term job security.
For those dedicated to completing the rigorous educational and training path, the role of an allergist offers a fulfilling career dedicated to improving patients' quality of life, backed by excellent financial stability and growth.