Radiologist Salary (2025): How to Earn $500K+ Reading Scans

 

💵 Salary Range (USA, 2025)

  • Entry-Level (10th percentile): ~$353,000 - $403,000/year

  • Median: ~$458,600/year (range $403k - $526k)

  • Maximum (90th percentile / top earners): ~$526,000 - $588,000+, with locum tenens or interventional roles reaching $650,000+

Pay varies by location and subspecialty: California and D.C. average ~$500k+; San Francisco radiologists make ~$573k; Boston ~$511k; New York ~$531k.

🔍 What They Do

Radiologists are medical doctors who interpret medical imaging—X-rays, CT scans, MRIs, ultrasounds, and nuclear medicine—to diagnose and treat diseases. They may also perform interventional procedures (e.g., guided biopsies, angioplasty) and collaborate with other physicians to design patient care plans.


🎓 Education & Training 

  1. Bachelor’s degree (4 years) in sciences—biology, chemistry, physics

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

  3. Internship (1 year)

  4. Radiology residency (4–5 years)

  5. Optional fellowships (1–2 years) in subspecialties like interventional, neuroradiology, pediatric radiology

🕒 Total training: ~13–15 years after high school.


📜 Certification

  • Board-certified via ABR (American Board of Radiology) after residency—includes written Core Exam and oral Certifying Exam

  • Subspecialty certifications (e.g., IR, neuroradiology) available post-fellowship

  • Maintenance of Certification (MOC): Regular CME and periodic exams per ABR/ABMS guidelines


🏛️ Licensing

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

  • Board certification isn’t legally required but is essential for hospital privileges, insurance contracts, and professional reputation .


📈 Career Outlook

  • Growing demand due to advanced imaging, aging population, and diagnostic need 

  • Work-life balance varies; diagnostic radiologists may enjoy daytime schedules, while interventional specialists have on-call responsibilities 

  • Locum tenens work can offer flexibility and higher compensation (~$500k - $650k) .


✅ Final Takeaway

Radiology is a high-impact and high-reward medical specialty:

  • Salary: $353k entry, $458k median, $526k+ top earners

  • Training: ~13–15 years (college, med school, residency, optional fellowship)

  • Certification: ABR board exams + subspecialty MOC

  • Licensing: USMLE/COMLEX + state medical license

With the latest imaging advancements, radiologists play a pivotal role in diagnosis and intervention—and enjoy strong compensation and career stability.