Oncologist Salary (2025): How to Earn $400K+ in Cancer Treatment

 

💵 Salary Range in the USA (2025)

According to recent sources:

  • Minimum (Entry-Level): ~$153,000 - $240,000/year

  • Median: ~$345,000 - $352,000/year

  • Maximum / Top Earners: $525,000 - $580,000+ for experienced or specialized oncologists

Subspecialty breakdown:

  • Radiation Oncology: Up to ~$472,000/year

  • Surgical Oncology: $225k - $500k

  • Hematologist–Oncologist: Median ~$516,000; can reach $640,000+ in rural areas

🔬 What They Do

Oncologists are physicians who diagnose and treat cancer using various methods and collaborate closely with multidisciplinary teams. Key responsibilities include:

  • Ordering tests (biopsies, imaging, blood work) to diagnose cancer and stage tumors

  • Developing and managing treatment plans using chemotherapy, immunotherapy, targeted therapy, radiation, or surgery

  • Monitoring patient response and managing side effects

  • Overseeing survivorship and palliative care

  • Subspecialties include:

    • Medical Oncology – focuses on drug-based therapies

    • Radiation Oncology – uses targeted radiation treatments

    • Surgical Oncology – performs tumor-removal surgeries


🎓 Education & Training Path

  1. Bachelor’s degree (~4 years, pre-med focus)

  2. Medical school (MD or DO; ~4 years)

  3. Residency in Internal Medicine (~3 years)

  4. Fellowship in Oncology (~2–4 years depending on subspecialty) 

🕰️ Total training duration: ~13–14 years post-high school


📜 Certification

  • Medical Oncologists & Hematologist–Oncologists: Certified by the American Board of Internal Medicine (ABIM)

  • Radiation Oncologists: Certified through the American Board of Radiology (ABR) 

  • Surgical Oncologists: Certified via the American Board of Surgery (ABS)

  • Maintenance of Certification (MOC) requires continuing education and periodic exams

Board certification is not legally required—but is essential for hospital privileges, insurance credentialing, and professional credibility.


🏛️ Licensing

  • Medical license required in all 50 states—granted via USMLE (MD) or COMLEX (DO) Steps 1–3

  • Board certification enables hospital privileges and specialist practice


📈 Career Outlook & Work-Life

  • Strong demand due to rising cancer incidence and evolving therapies 

  • Locum tenens opportunities offer flexibility and pay up to $250/hour 

  • Work intensity varies; private practice vs hospital settings, rural roles often offer higher pay and better hours 


✅ Final Takeaway

Oncology offers a deeply impactful medical career:

  • Salary: $153k - $240k entry; typical $345k - $352k; top earners $525k+

  • Training: ~13–14 years (college → med school → residency → fellowship)

  • Certification: ABIM, ABR, or ABS board certification + MOC

  • Licensing: USMLE/COMLEX + state medical license

If you're dedicated to advancing cancer care, oncology provides both emotional fulfillment and strong professional rewards.