AUA2026: The Trials and Trends Shaping Modern Urology

At AUA2026, urology’s direction felt increasingly clear: more precise, less invasive, and more patient centered.

Across oncology, stone disease, BPH, and incontinence care, many of this year’s updates reflected a specialty refining existing therapies, advancing new procedural models, and reducing treatment burden without compromising outcomes.

From bladder-sparing oncology strategies to minimally invasive office-based care, urology continues moving toward treatment approaches shaped not only by clinical efficacy, but also by recovery time, long-term function, and patient quality of life. At the same time, workforce shortages and uneven access to care remain ongoing challenges.

Throughout the conference, the All Star Healthcare Solutions team spoke with urologists nationwide about the clinical, operational, and workforce realities shaping modern urology practice — while also following the latest research and technology updates firsthand.

Here are some of the trials, technologies, and broader trends that stood out most at this year’s meeting.

Top Takeaways at a Glance

  • Urologic oncology continues moving toward more combination therapies, selective treatment intensification, and bladder-sparing strategies.
  • Benign urology is increasingly focused on minimally invasive, office-based, and durable therapies that reduce recovery burden while preserving symptom relief.
  • Quality-of-life and patient-reported outcomes are playing a larger role in defining treatment success, particularly in BPH and incontinence care.
  • The future of urology may be defined less by how aggressively clinicians intervene and more by how precisely they match the right treatment to the right patient.
  • Workforce shortages and uneven provider distribution continue shaping how and where urologic care is delivered across the country.

Bladder Cancer Care Continues Moving Toward Bladder Preservation

Several of the most closely watched oncology updates at AUA2026 focused not just on controlling disease, but on delaying or avoiding cystectomy altogether in carefully selected patients.

Expanded analyses from the POTOMAC trial supported durvalumab plus BCG in BCG-naïve high-risk non-muscle-invasive bladder cancer, showing improved recurrence-free outcomes compared with BCG alone. The findings reinforce growing interest in combination approaches for patients at elevated risk of recurrence.

Meanwhile, interim phase 2 LEGEND data showed promising complete response rates with intravesical detalimogene voraplasmid in BCG-unresponsive non-muscle-invasive bladder cancer with carcinoma in situ, pointing toward another potential bladder-sparing pathway for patients with historically limited treatment options.

Additional pembrolizumab plus BCG findings in BCG-naïve very high-risk T1 NMIBC pushed that conversation even further. The phase 2 trial reported a 92% complete response rate at 6 months, with no muscle-invasive or metastatic progression observed during the 22-month median follow-up period.

Taken together, the updates reflected a continued shift toward preserving bladder function when appropriate — particularly for patients seeking alternatives to radical surgery.

Prostate Cancer Research Focused on Precision and Treatment Intensification

Prostate cancer updates at AUA2026 reflected a growing emphasis on identifying which patients truly benefit from more aggressive intervention — and where escalation may offer diminishing returns.

The phase 2 ARASEC study evaluated darolutamide plus androgen deprivation therapy in metastatic hormone-sensitive prostate cancer using an external historical control design. The study showed improved progression-free survival, overall survival, and PSA response rates compared with ADT alone, supporting continued interest in treatment intensification strategies for appropriately selected patients.

Meanwhile, long-term follow-up data evaluating extended versus limited pelvic lymph node dissection during radical prostatectomy for intermediate- and high-risk prostate cancer offered a more nuanced picture. While extended pelvic lymph node dissection improved pathologic staging, it did not improve outcomes overall. However, investigators reported a possible biochemical recurrence-free survival benefit among patients with ISUP grade 3–5 disease, suggesting there may still be subgroups where a more extensive surgical approach provides meaningful value.

Additional phase 3 results for CAN-2409 in localized prostate cancer showed improved disease-free survival compared with placebo, along with lower rates of biochemical recurrence, salvage therapy, and metastasis. The strongest benefit appeared in intermediate-risk patients, supporting continued interest in aglatimagene besadenovec as an adjunct to standard radiation therapy.

Rather than moving uniformly toward “more treatment,” many of these studies pointed toward a more tailored approach: intensify therapy where the data support it, while avoiding unnecessary escalation where benefit remains uncertain.

Benign Urology Is Becoming Less Invasive — Without Sacrificing Durability

Some of the most noticeable momentum at AUA2026 came from therapies designed to reduce procedural burden while still delivering meaningful, lasting symptom improvement.

In stone disease, the SOUND pivotal trial met both co-primary endpoints for safety and effectiveness, supporting noninvasive, anesthesia-free lithotripsy as a viable office-based treatment option. If adopted more broadly, technologies like this could significantly change the patient experience surrounding stone management.

At the same time, the PUSH trial offered an important reminder that not every intervention produces the desired downstream outcomes. While the behavioral hydration program modestly increased urine volume in patients undergoing secondary stone prevention, it did not reduce recurrent stone events.

In BPH care, minimally invasive therapies continued showing encouraging durability data. The temporary Urocross implant evaluated in Expander-2 demonstrated sustained lower urinary tract symptom improvement through 24 months after removal, while three-year Zenflow data showed continued reductions in IPSS following treatment.

Urgency urinary incontinence research also reflected the specialty’s growing interest in lower-burden therapies. The INTIBIA trial — the first sham-controlled, double-blind pivotal study of an implantable tibial nerve stimulation device — showed significantly greater symptom improvement than sham treatment at three months, with durable benefit maintained through 12 months.

Across these studies, a broader trend emerged: many patients increasingly want treatments that minimize downtime, preserve quality of life, and fit more realistically into everyday life without sacrificing effectiveness.

Innovation Continues Expanding — Even as Access Challenges Persist

While AUA2026 highlighted increasingly sophisticated therapies and technologies, the meeting also underscored a much more basic challenge: many patients still struggle to access urologic care at all.

According to the 2025 AUA Census, approximately 62% of U.S. counties have no practicing urologist, while roughly 90% of urologists continue practicing in metropolitan or urban areas. The workforce also skews older, with a median practitioner age of 54, reinforcing concerns about long-term pipeline stability and geographic access disparities.

The contrast was difficult to ignore. Even as the specialty advances technologically, many communities continue facing long travel distances, delayed appointments, limited specialist availability, and mounting provider burnout.

Telehealth expansion, satellite clinics, and rural loan repayment initiatives may help improve access in some regions, but long-term workforce solutions will likely remain critical to the future of urologic care delivery.

Why More Urologists Are Exploring Locum Tenens 

As new technologies, treatment pathways, and care models continue evolving across urology, the demand for flexible physician coverage is growing alongside them.

Locum tenens urologists are uniquely positioned to experience the changing realities of urologic practice while helping address critical coverage gaps in communities that need it most.

With assignments across healthcare systems nationwide, locum physicians can support continuity of care, expand patient access, and bring specialized expertise to areas that may otherwise lack local urologic services. Many roles also offer exposure to new clinical environments, diverse patient populations, and evolving procedural and practice models — allowing physicians to broaden their experience while adapting to different approaches to urologic care.

At All Star Healthcare Solutions, our specialized urology consultants help physicians find locum opportunities aligned with their clinical interests, career goals, and preferred practice settings. Whether you’re looking to expand your experience, explore new practice environments, or gain more flexibility in your schedule, our team can help connect you with assignments nationwide. Explore our Urologist Salary Guide  to benchmark compensation and market trends and browse All Star’s open urology opportunities to find assignments that fit your schedule and expertise.

Data Sources Cited

  1. AUA 2026 preview: Practice-changing trials in urologic oncology | Urology Times
  2. AUA 2026 preview: Practice-changing trials in benign urology
  3. Urology workforce stable but facing access and pipeline challenges, AUA Census finds | Urology Times

What DDW 2026 Revealed About the Future of Gastroenterology 

From May 2–5, 2026, members of the All Star Healthcare Solutions Gastroenterology team attended Digestive Disease Week® (DDW) — one of the largest and most influential gatherings in the field. 

Across packed sessions, clinical discussions, and conversations throughout the exhibit halls, one message became increasingly clear: gastroenterology is entering a new era shaped by obesity medicine, precision therapies, AI integration, and earlier, more proactive approaches to patient care. 

Rather than being defined by a single breakthrough, DDW 2026 highlighted a broader transformation happening across GI practice. Discussions repeatedly centered around how physicians can deliver more personalized, preventive, and technology-driven care while managing rising patient complexity and increasing demand. 

From GLP-1 therapies and metabolic disease management to earlier intervention strategies in IBD and growing concerns around early-onset colorectal cancer, this year’s conference reflected how rapidly the field continues to evolve. 

If you couldn’t attend DDW this year — or simply want the high-level trends that dominated conversations throughout the conference — here’s what stood out most.

 

How GLP-1 Therapies Are Changing Gastroenterology 

Obesity medicine and incretin-based therapies remained some of the most discussed topics throughout DDW 2026. 

While GLP-1 medications have already transformed weight management conversations, many sessions focused on how these therapies are fundamentally reshaping the role of gastroenterologists. 

As incretin therapies increasingly overlap with MASLD/MASH management and endoscopic metabolic interventions, physicians discussed the growing convergence of obesity medicine, metabolic disease, hepatology, and GI care. Many conversations emphasized the expanding role gastroenterologists may play in long-term treatment coordination, screening, complication management, and multidisciplinary care models moving forward. 

Among the emerging endoscopic approaches drawing significant attention was duodenal mucosal resurfacing, which was presented as a potential “off-ramp” strategy following GLP-1 therapy. 

Key Takeaway: Obesity medicine is no longer adjacent to gastroenterology — it is becoming central to modern GI practice. 

IBD Treatment Continues Moving Toward Earlier, Personalized Care 

Inflammatory bowel disease remained another major focus throughout the conference, particularly as treatment strategies continue shifting toward earlier intervention and precision-based care. 

Discussions highlighted the growing movement away from traditional step-up treatment approaches in moderate-to-severe disease. Instead, researchers and clinicians discussed earlier use of advanced therapies aimed at improving long-term disease control and patient outcomes. 

Presenters also explored an expanding therapeutic pipeline that includes: 

  • New biologic and small-molecule therapies  

  • Combination treatment strategies  

  • Biomarker-driven treatment selection  

  • More individualized disease management approaches 

As therapeutic options continue expanding, gastroenterologists are navigating increasingly complex decisions around treatment sequencing, long-term monitoring, and personalized patient management. 

Key Takeaway: Treatment is becoming earlier, more targeted, and increasingly tailored to individual patient needs. 

Rising Colorectal Cancer Rates in Younger Adults Remain a Major Concern 

One of the most urgent conversations throughout DDW 2026 centered around the continued rise of colorectal cancer in younger adults. 

Presentations throughout the conference highlighted research projecting that rectal cancer mortality in younger populations could continue rising faster than colon cancer mortality if current trends persist. Other sessions examined how early-life exposures, environmental factors, diet, and lifestyle patterns may be contributing to earlier disease development. 

For many attendees, the rise in early-onset colorectal cancer represented one of the conference’s most significant public health concerns — particularly as physicians continue working to improve earlier detection and patient awareness. 

Recurring themes across these discussions included: 

  • Greater awareness of early-onset colorectal cancer symptoms  

  • Earlier risk identification and symptom-triggered evaluation  

  • Prevention strategies that begin earlier in life  

  • Ongoing patient and clinician education  

  • Lower thresholds for referral and diagnostic workup in younger adults  

Key Takeaway: Early-onset colorectal cancer is becoming an increasingly important focus across screening, prevention, education, and diagnostic evaluation in GI care. 

AI and Precision Medicine Continue Expanding Across GI Care 

Artificial intelligence was no longer discussed as a future concept at DDW 2026 — it was increasingly framed as a practical tool being integrated into real-world gastroenterology care. 

Discussions explored patient-facing AI, predictive risk tools, and the growing role AI may play in shared decision-making and personalized care. Speakers also emphasized that successful AI adoption will depend on more than just accurate models. Workflow integration, physician oversight, patient understanding, and ethical implementation remained major themes throughout the conference. 

Beyond AI, several sessions highlighted the broader shift toward more individualized and precision-based GI care. A presentation on pancreatic cyst diagnosis explored multimodal diagnostic approaches combining imaging, molecular testing, and endomicroscopy to improve accuracy and reduce unnecessary procedures. 

Other sessions focused on IBS, SIBO, and chronic diarrhea management, where researchers emphasized moving beyond traditional trial-and-error treatment approaches toward more personalized diagnostic strategies. 

Researchers also presented emerging microbiome data examining whether restoring a more youthful gut microbiome could potentially reduce liver aging and liver cancer risk in animal models — reinforcing continued interest in the microbiome as a future therapeutic target. 

Key Takeaway: Gastroenterology continues moving toward more individualized, data-informed, and precision-based models of patient care. 

The Bigger Picture Emerging from DDW 2026 

Across nearly every specialty area, DDW 2026 reflected the same broader trend: gastroenterology is becoming more individualized, data-driven, and increasingly complex. 

As therapeutic options expand and patient demand continues to rise, physicians are balancing growing procedural complexity, evolving technologies, higher patient expectations, and increasing pressure around outcomes and efficiency. 

For many gastroenterologists, adapting to these changes may increasingly require broader clinical exposure, procedural diversity, and flexibility across different practice settings. 

Advance Your Gastroenterology Career with Greater Flexibility 

Locum tenens gastroenterologists are uniquely positioned to gain exposure to many of the clinical trends and evolving care models reshaping GI practice today while also helping health systems address growing patient demand and coverage needs. 

From advanced endoscopy programs and complex IBD management to emerging metabolic therapies and evolving diagnostic technologies, locum opportunities can offer valuable clinical variety, schedule flexibility, and career mobility. 

At All Star Healthcare Solutions, our specialized Gastroenterology team partners with physicians nationwide to help them explore opportunities aligned with their professional goals while continuing to deliver high-quality patient care. 

Missed us at DDW 2026? 

You can still connect with our team — submit your CV to get started, explore our open gastroenterology opportunities nationwide, or stay informed with our latest Gastroenterologist Salary Guide

Data Sources Cited 

  1. Obesity Pharmacotherapy Enters a New Era as Incretins Reshape Treatment 
  2. Too Common to Refer Away: The Urgency of MASLD/MASH for GI Practitioners 
  3. Duodenal Mucosal Resurfacing Shows Promise as Post–GLP-1 “Off-Ramp” Strategy 
  4. Advanced Therapy Should Be the Default at Diagnosis for Moderate to Severely Active IBD 
  5. Building the Arsenal to Fight IBD: New Drugs, Precision Medicine and Combinations 
  6. Rectal Cancer Deaths Set to Outpace Colon Cancer Deaths in Young Adults 
  7. Early Life, Lasting Risk: Rethinking the Timing of Colorectal Cancer Risk Factors 
  8. Patient-Facing AI: Validation, Interpretation, Ethics and Workflow 
  9. Putting the Pieces Together to Solve the Puzzle of Pancreatic Cyst Diagnosis 
  10. Moving Beyond the “Fishing Expedition” in Chronic Diarrhea 
  11. The Science of IBS and SIBO: Emerging Tools Refine Diagnosis and Personalize Care 
  12. Restoring a Youthful Gut Microbiome Prevents Liver Cancer and Reverses Hepatic Aging in Mice 

        All Star Healthcare Solutions Wins ClearlyRated's 2026 Best of Staffing Client and Talent Awards for Service Excellence

        All Star Healthcare Solutions®, a full-service healthcare staffing firm specializing in locum tenens and direct-hire opportunities for physicians and advanced practice providers, has won ClearlyRated’s 2026 Best of Staffing Client and Talent Awards for service excellence — an honor achieved by less than 1% of all staffing firms across the U.S. and Canada. 

        “It’s incredibly meaningful to be recognized — especially since these awards are based solely on feedback from the healthcare organizations and clinicians we serve,” said Ken Bernstein, CEO and President of All Star Healthcare Solutions. 

        “They speak to the level of care our team brings to each interaction and the authentic relationships we build every day,” he added. “Our consultants and business partners are absolutely dedicated to supporting our clients and clinicians so they can stay focused on what matters most: delivering high-quality, compassionate patient care.” 

        This year, All Star earned a Net Promoter® Score of 74.5% from candidates — more than 2x the industry average of 30%. In addition, 83.2% of placed job candidates rated their experience a 9 or 10 out of 10, significantly higher than the industry average of 50%. This highlights the level of trust and satisfaction among the clinicians we place. 

        “Our consultants and business partners are absolutely dedicated to supporting our clients and clinicians so they can stay focused on what matters most: delivering high-quality, compassionate patient care.” 
        Ken Bernstein, CEO and President of All Star Healthcare Solutions

        On the client side, All Star achieved a Net Promoter® Score of 70% — significantly higher than the industry average of 45% — and 70% of clients rated their experience a 9 or 10 out of 10, well above the industry average of 55%. This reinforces our commitment to being a reliable, responsive partner in an increasingly complex healthcare environment. 

        ClearlyRated’s Best of Staffing® Awards are the nation’s only service excellence awards in the staffing industry with winners determined entirely by third-party validated feedback from clients and job seekers. Winning agencies have proven to be industry leaders in service quality, with clients over 50% more likely to be completely satisfied and placed candidates 60% more likely to be completely satisfied compared to those working with non-winning firms. 

        "It’s an honor to introduce the 2026 Best of Staffing award winners," said Baker Nanduru, CEO of ClearlyRated. "These companies keep client experience front and center, pushing the envelope in innovative service approaches. Their work is shaping the future of staffing and recruiting, and it's a privilege to recognize their achievements. Congratulations to all!" 

        We’re grateful to the clients and clinicians who shared their feedback — and who continue to place their trust in our team. 


        The Biggest Conversations Shaping Neurosurgery Careers at AANS 2026 

        From May 1–4, 2026, members of the All Star Healthcare Solutions Surgery Subspecialties team attended the AANS Annual Scientific Meeting in San Antonio, connecting with neurosurgeons from academic medical centers, community hospitals, and private practices across the country. 

        While the meeting showcased the latest clinical advancements, another theme consistently emerged:  

        Many neurosurgeons are re-evaluating what long-term sustainability in the specialty truly looks like. 

        Across conversations at our booth, physicians repeatedly discussed challenges related to workload, call burden, workforce shortages, compensation, and maintaining career flexibility in an increasingly demanding field. 

        At the same time, many neurosurgeons were also exploring how alternative practice models — including locum tenens — could offer greater autonomy, scheduling flexibility, and long-term career balance. 

        If you couldn’t attend AANS this year — or simply want a closer look at the conversations many neurosurgeons were having — here’s what stood out most. 

        View on Instagram 

        Neurosurgeons Continue Facing Growing Workforce and Burnout Pressures 

        Across our conversations at AANS, several challenges surfaced repeatedly. 

        For many physicians, these weren’t abstract workforce discussions — they were day-to-day realities affecting both their professional responsibilities and personal lives. 

        Common themes included: 

        • Heavy call schedules and unpredictable hours 

        • Growing workload demands and patient volume 

        • Compensation concerns relative to case complexity and intensity 

        • Difficulty maintaining work-life balance 

        • Staffing shortages and stretched coverage teams 

        Current research underscores the severity of these challenges. 

        Recent workforce projections published in the Journal of Neurosurgery suggest demand for neurosurgical care could increase by 18% through 2037, driven by an aging population and rising rates of neurological disease, while workforce growth is projected at just 2.4%

        At the same time, a 2026 systematic review and meta-analysis published in Neurosurgical Review found burnout affects nearly 45% of neurosurgical professionals, with excessive workload, long hours, sleep deprivation, and poor work-life balance identified among the most common contributing factors. 

        Growing Interest in Flexibility and Alternative Practice Models 

        Against that backdrop, many conversations naturally shifted toward flexibility and alternative practice structures — particularly locum tenens. 

        In a specialty often defined by demanding schedules, trauma coverage, and high-acuity cases, many physicians were interested in how locum tenens could support greater control over their schedules and long-term career goals. 

        What often began as casual booth conversations evolved into more practical discussions around: 

        • Assignment structure 

        • Call coverage expectations 

        • Scheduling flexibility 

        • Geographic preferences 

        • Income supplementation 

        • Career sustainability and burnout prevention 

        Many neurosurgeons were especially interested in the ability to maintain involvement in complex clinical work while gaining more autonomy over how and where they practice. 

        For some physicians, locum tenens represented an opportunity to explore different practice environments. For others, it offered a way to supplement income alongside an existing full-time role, reduce administrative burden, or create greater work-life balance. 

        The conversations reflected a broader theme heard throughout AANS: flexibility is becoming increasingly important to many physicians across the specialty. 

        Common Questions and Misconceptions About Locum Tenens 

        Even with growing interest in locum tenens neurosurgery opportunities, several misconceptions consistently surfaced throughout our conversations. We took the time to set the record straight: 

        One of the most common concerns centered around stability.  

        Some physicians assumed locum tenens work is unpredictable or inconsistent. In reality, many assignments are scheduled well in advance with clearly defined timeframes, while long-term and repeat opportunities are becoming increasingly common as healthcare systems face ongoing coverage shortages. 

        Another misconception was that locum tenens is primarily designed for physicians early in their careers or approaching retirement.  

        However, many mid-career neurosurgeons are increasingly exploring locum opportunities to gain more schedule flexibility, experience different practice settings, and add greater variety to their careers without stepping away from complex clinical work. 

        Physicians also frequently asked whether pursuing locum tenens requires leaving a current full-time position.  

        While some neurosurgeons choose locum tenens full-time, others take assignments alongside existing roles to supplement income, support high-need hospitals, explore new practice environments, or help fill temporary staffing gaps. 

        Physicians also asked practical questions about how locum tenens arrangements are structured.  

        In most cases, locum tenens providers work as independent contractors rather than employees, which can offer greater flexibility when choosing assignments, schedules, and practice locations while maintaining more control over long-term career decisions. 

        Overall, many physicians left those conversations with a broader understanding of how locum tenens can fit into different career stages, schedules, and long-term professional goals. 

        Why Specialty-Specific Recruiting Matters in Neurosurgery 

        Conversations at AANS also reinforced how important specialty-specific recruiting knowledge has become within neurosurgery. 

        Physicians frequently discussed the importance of working with consultants who understand the realities of the specialty — from trauma call demands and subspecialty alignment to credentialing complexity and evolving workforce trends. 

        Many neurosurgeons also emphasized that career goals are highly individualized. Some physicians are prioritizing compensation and procedural volume, while others are focused on geographic preferences, reduced burnout, or better long-term balance. 

        Because All Star’s Surgery Subspecialties team works exclusively within surgical fields like neurosurgery, consultants develop a deeper understanding of both the clinical demands of the specialty and the factors influencing physicians’ career decisions. 

        Those conversations also gave our team the opportunity to discuss the All Star Advantage, including: 

        • Licensing and credentialing support 

        • Travel and housing coordination 

        • Malpractice coverage 

        • Dedicated consultant guidance throughout the locums process 

        For many physicians, those operational details play an important role in determining whether locum tenens feels realistic and manageable alongside a highly complex specialty like neurosurgery. 

        Explore Neurosurgery Locum Tenens Opportunities 

        If conversations at AANS 2026 made anything clear, it’s that many neurosurgeons are currently thinking about how to build more flexibility and sustainability into long-term practice. 

        For some physicians, locum tenens is increasingly becoming part of that conversation. 

        Whether you’re actively searching or simply exploring future options, locum tenens neurosurgery can offer opportunities for greater freedom and flexibility.  

        If we didn’t get the chance to connect at AANS, it’s not too late — submit your CV or explore All Star’s open neurosurgery opportunities today. 


        salary guide - urologist

        Urologist Salary Guide

        Whether you are finishing residency, evaluating a new job offer, or considering a move to locum tenens, understanding the urology compensation landscape helps you make confident, well-informed career decisions. This guide covers national averages, salary by state and practice setting, subspecialty breakdowns, locum tenens rates, total compensation components, and the factors that drive real-world pay differences.

        Quick Facts: Urologist Compensation 2026

        Average annual salary: $400,000 to $600,000+

        Starting (entry-level) salary: approximately $330,000

        Top earners (90th percentile): $700,000+

        Highest-paying subspecialty: Urologic Oncology

        Top-paying states: California, New York, Washington, Texas, Arizona

        Urologist Salary Overview

        Urologist compensation varies based on subspecialty training, practice setting, geographic location, and years of experience. The most widely cited average is $529,140 per year, based on full-time physician survey data from the Doximity 2024 Physician Compensation Report.

        Base salary is typically only part of the picture: verified physician salary data from SalaryDr shows that 88 percent of urologists receive bonus or incentive compensation, with a median bonus of $90,000 annually — meaning total compensation regularly exceeds base salary by a meaningful margin once productivity bonuses, sign-on payments, relocation allowances, and call stipends are factored in.

        This section breaks down how experience level, geographic region, and practice setting influence earning potential for both locum tenens and permanent urology positions.

        Compensation By Experience Level

        Compensation grows substantially with experience in urology, driven by panel growth, surgical volume, and increasing leverage in negotiations. Entry offers are often structured as base salary plus a ramp to productivity pay in year two, giving new physicians time to build their patient panel while protecting their income floor.

        Career Stage Annual Salary Range
        Entry-level (0 to 2 years post-training) $280,000 to $360,000
        Mid-career (3 to 8 years) $400,000 to $580,000
        Senior/established (9+ years) $580,000 to $700,000+

        Top-Paying Regions for Urologists

        Geographic location remains one of the single largest drivers of urologist salary. A urologist in California can earn $40,000 to $75,000 more annually than the national average, driven by demand from large health systems and a limited supply of subspecialists. High cost-of-living metros like San Jose and New York City pay top rates partly to offset living expenses. Underserved rural and Midwest markets often compete aggressively with signing bonuses and loan repayment to attract candidates where demand outstrips supply.

        State / Market Estimated Average Annual Salary
        California $575,000
        New York $540,000
        Washington $530,000
        Texas $515,000
        Arizona $510,000
        Florida $495,000
        Midwest (rural) $480,000 to $540,000+ with incentives
        Southeast (rural) $460,000 to $530,000+ with incentives

        Estimates based on Doximity regional compensation data.

        All Star Healthcare Solutions connects urologists with opportunities across all 50 states, matching your subspecialty expertise and geographic preferences with positions that align with your compensation goals and lifestyle priorities.

        By Practice Setting

        Where you work shapes not just your base salary but the entire structure of your compensation package. Hospital-employed urologists typically work under a wRVU (work relative value unit) model, where a base salary is supplemented by productivity bonuses once an annual threshold is met. Most urologists generate between 8,000 and 12,000 wRVUs per year, with compensation rates typically ranging from $60 to $80 per wRVU above threshold, per MGMA Physician Compensation and Production Survey benchmarks.

        Practice Setting Compensation Notes
        Hospital or health system (employed) Base salary plus wRVU productivity model; comprehensive benefits included
        Private group practice Higher earning potential through profit sharing; overhead responsibility
        Academic medical center Below-market base offset by research funding, teaching flexibility, and complex case access
        VA or government facility Stable base; no call burden; limited income ceiling
        Locum tenens Highest effective annual compensation; housing and travel covered separately; no employer benefits included

        Urology Subspecialty Salary Comparison

        Subspecialty training commands a meaningful compensation premium across urology, reflecting the additional fellowship training required and the limited supply of specialists in each area. Understanding these differences helps guide fellowship decisions and long-term career planning.

        Subspecialty Estimated Annual Compensation
        Urologic Oncology $600,000 to $700,000+
        Robotic and Minimally Invasive Surgery $580,000 to $650,000
        Female Pelvic Medicine and Reconstructive Surgery $540,000 to $620,000
        Pediatric Urology $510,000 to $590,000
        Male Infertility and Andrology $480,000 to $560,000
        General Urology $400,000 to $580,000

        Note: Robotic surgery expertise is increasingly valued across all subspecialties and commands a premium even outside formal subspecialty fellowships.

        Locum Tenens Urologist Salary

        Locum tenens urology positions offer some of the most competitive compensation structures in the specialty. Urologists working locum tenens arrangements typically earn the equivalent of $360,000 to $570,000 per year on a full-time basis, with housing and travel covered separately. This structure gives locum physicians a clear financial advantage over permanent roles when comparing equivalent hourly rates, though it requires factoring in the absence of employer-sponsored benefits such as health insurance, malpractice tail coverage, and retirement contributions.

        Locum tenens assignments in urology range from short-term coverage of one to four weeks to extended placements lasting six months or longer. Rural and underserved markets often offer the highest rates due to demand pressure and limited candidate pools. In high-need rural markets, urologist locum compensation has reached the equivalent of $625,000 per year or higher for short-notice or hard-to-fill assignments.

        Locum tenens urology is an especially strong fit for physicians who:

        • Want to explore different practice environments before committing to a permanent role
        • Are approaching the end of a contract and need bridge income
        • Want to reduce their schedule without fully leaving clinical practice
        • Have recently completed training and want geographic flexibility before settling

        How Urologist Salary Compares to Other Physician Specialties

        Urology ranks consistently in the top tier of physician compensation nationally, typically placing in the top 10 specialties by average salary. The data below reflects the premium that surgical specialties command over cognitive specialties, with urology occupying a strong position driven by procedural volume, robotic surgery demand, and an aging patient population.

        Specialty Estimated Average Annual Salary
        Neurosurgery $788,000
        Orthopedic Surgery $737,000
        Urologic Oncology $650,000+
        Plastic Surgery $629,000
        Cardiology $592,000
        Urology (General) $529,000
        Gastroenterology $511,000
        Radiology $500,000
        Anesthesiology $462,000
        Internal Medicine $264,000

        For a full breakdown of compensation in adjacent surgical specialties, see the Anesthesiologist Salary Guide, Radiologist Salary Guide, and Cardiologist Salary Guide.

        Key Compensation Factors

        Beyond experience level, location, and practice setting, several additional factors significantly impact urologist compensation and overall career satisfaction. Understanding these elements empowers you to evaluate opportunities holistically and negotiate packages that align with your professional goals and personal priorities.

        Education and Certifications

        Advanced credentials directly impact urologist compensation. Board certification by the American Board of Urology (ABU) is the baseline expectation for competitive compensation. Subspecialty fellowship training in urologic oncology, robotic surgery, or female pelvic medicine typically increases compensation by 15 to 25 percent, translating to $50,000 to $150,000 in additional annual earnings. Providers with robotic surgery expertise command a premium across all subspecialties, reflecting facility demand for da Vinci-trained urologists and the limited supply of fellowship-trained robotic surgeons. Sign-on bonuses typically range from $20,000 to $75,000, with higher amounts offered for rural or underserved markets.

        Practice Factors

        Day-to-day practice characteristics including call schedules, case complexity, employment structure, and administrative responsibilities all influence total urologist compensation.

        Call Requirements: Positions with extensive overnight and weekend call typically offer 15 to 25 percent higher base compensation or separate call stipends. Locum tenens call coverage often commands premium compensation above standard contract pay.

        wRVU Models and Productivity Bonuses: Most hospital-employed urologists work under a base-plus-productivity structure. Understanding your wRVU threshold and per-unit rate before signing is one of the highest-impact negotiation levers available. Most urologists generate 8,000 to 12,000 wRVUs per year, with compensation rates of $60 to $80 per wRVU above threshold.

        Employment Structure: Independent contractor (1099) urologists typically earn higher effective hourly rates than W-2 employees, though with different tax implications and the need to self-fund benefits. Partnership-track positions in private practice offer lower starting salaries but significant long-term earning potential through profit-sharing.

        Administrative Responsibilities: Medical director and department leadership roles typically add $25,000 to $75,000 in stipends beyond clinical compensation. Locum tenens positions minimise administrative burden, allowing focus on clinical work and maximising compensated time.

        Market Demand

        Demand for urologists is accelerating. The American Urological Association reports that more than 60 percent of all U.S. counties have no practicing urologist, and approximately 40 percent of the current urology workforce will reach retirement age within the next decade.

        The Bureau of Labor Statistics projects overall physician and surgeon employment to grow 3 percent from 2024 to 2034, but urology's demand trajectory is stronger than the overall physician average due to an aging patient population with increasing rates of urological conditions including prostate cancer, kidney stones, and urinary incontinence. Rural and mid-sized markets are experiencing the most acute shortages, translating directly into more competitive compensation offers and larger signing packages.

        Urgent coverage needs — particularly for subspecialists in urologic oncology and robotic surgery — frequently command premium rates of 15 to 30 percent above standard compensation, creating exceptional opportunities for flexible providers.

        The All Star Advantage

        Competitive compensation matters, but it represents just one element of your career satisfaction and long-term success. At All Star Healthcare Solutions, we partner with urologists to maximise not just earning potential, but overall career fulfillment, backed by ClearlyRated 2026 Best of Staffing recognition and more than two decades placing physicians and advanced practitioners nationwide. Whether you are exploring your first locum assignment, evaluating a permanent offer, or building a long-term career strategy across urology subspecialties, here is how we support your success.

        Expert Compensation Negotiation and Market Intelligence

        Our consultants have real placement data across urology subspecialties, states, and practice settings. We negotiate on your behalf to secure competitive pay and clarify the full package, from wRVU thresholds and call stipends to malpractice coverage and sign-on terms. This means you focus on choosing the right opportunity while we ensure you are fairly compensated for your skills, training, and experience.

        Comprehensive Credentialing and Licensing Support

        We manage the urology credentialing process from start to finish, handling document collection, primary source verification, and direct communication with facility credentialing offices. For subspecialists requiring additional privileging for robotic surgery or oncologic procedures, we handle specialty-specific requirements so you can focus on patient care rather than paperwork.

        Flexible Assignment Options Matching Your Goals

        Whether you need short-term locum coverage between permanent roles, an extended contract to evaluate a new market, or a permanent placement aligned with your subspecialty training, our consultants take time to understand your clinical focus, schedule preferences, and geographic priorities before presenting options. We match to your goals, not our open orders.

        24/7 Dedicated Support Throughout Your Assignment

        Your assigned consultant remains your advocate from initial conversation through the end of every assignment, available around the clock for urgent matters and checking in regularly to ensure your experience meets expectations. Challenges that arise during assignments are addressed proactively, before they become issues, and our consultants build career-long partnerships that adapt as your goals evolve.

        Ready to Explore Urology Opportunities?

        Whether you are finishing residency, evaluating a new permanent offer, or ready to find out what locum tenens looks like for your subspecialty and preferred region, All Star Healthcare Solutions is here to guide you through every step. Our urology consultants understand the compensation landscape across all 50 states, from high-volume academic centers to rural markets offering premium rates, and will match you with positions that align with your clinical goals, lifestyle preferences, and earning potential. Connect today to discuss your options.

        Frequently Asked Questions About Urologist Salary

        Why is urology so highly paid?

        Urology commands above-average physician compensation because of the combination of extensive training (4 years of medical school, 5-year residency, and optional fellowship), high procedural volume including robotic-assisted surgeries, and significant demand driven by an aging patient population. The specialty requires both cognitive expertise and surgical skill, which is reflected in compensation.

        What is the starting salary for a urologist?

        The starting salary for urology sits at approximately $330,000. This baseline does not include sign-on bonuses, relocation, productivity bonuses, or other compensation components that are typically added on top.

        Do urologists make more in private practice or hospitals?

        Private group practice offers higher earning potential through profit sharing and direct control over overhead, but comes with greater financial risk and administrative responsibility. Hospital employment provides income stability and a predictable benefits package, but it typically caps upside compared to successful private practice ownership. The right answer depends on your career stage, risk tolerance, and interest in practice management.

        How much does a locum tenens urologist make?

        Locum tenens urologist compensation typically ranges from the equivalent of $360,000 to $570,000 per year on a full-time basis, with housing and travel covered as separate line items. High-demand rural markets and short-notice assignments can push compensation toward the top of this range or above it.

        What urologist subspecialty pays the most?

        Urologic oncology and robotic surgery specialists consistently earn the highest compensation, with urologic oncologists averaging $600,000 to $700,000 or more annually. Female pelvic medicine and reconstructive surgery specialists and pediatric urologists also command subspecialty premiums above general urology rates.

        What is included in locum tenens urologist compensation beyond base pay?

        Locum tenens packages typically include malpractice insurance with full tail coverage, housing stipends or furnished accommodations, travel reimbursement, medical licensing support, and credentialing assistance. Payment is usually weekly or bi-weekly. These benefits add an estimated 20 to 30 percent to effective total compensation when comparing locum tenens to permanent positions. All Star consultants provide detailed package breakdowns so you can compare total value across opportunities, not just headline rates.

        How do wRVUs work in urologist compensation?

        A wRVU (work relative value unit) measures physician productivity based on time, skill, and case complexity. Most hospital-employed urologists work under a base-plus-productivity model, earning bonus pay once an annual wRVU threshold is met. Most urologists generate 8,000 to 12,000 wRVUs per year, with compensation rates of $60 to $80 per wRVU above threshold per MGMA benchmarks. Understanding your threshold and per-unit rate before signing is one of the highest-impact negotiation levers in any employed urology contract.

        Does robotic surgery fellowship training increase a urologist's earning potential?

        Yes. Fellowship-trained robotic and minimally invasive surgery urologists typically earn $580,000 to $650,000 annually, compared to $400,000 to $580,000 for general urology. Facilities investing in da Vinci programs actively recruit fellowship-trained urologists and compensate accordingly. The premium reflects both the technical expertise required and the limited supply of fellowship-trained robotic surgeons in the current market.

        Data Sources


        locum tenens physician

        2026 Locum Tenens Salary by Specialty Guide

        Locum tenens compensation varies more by specialty than almost any other factor in physician pay. An emergency medicine physician and a family medicine physician can be working the same 40-hour week for the same hospital system and earning vastly different amounts.

        Whether you're already working locum assignments and looking to maximize what each placement returns, evaluating a switch from your current agency, or finishing training and considering locum tenens as an early-career path, knowing what your specialty realistically commands in the current market is essential for evaluating any opportunity.

        This guide covers locum tenens pay across physician specialties and advanced practice roles, explains what shapes the numbers, addresses the tax reality that most salary guides skip, and gives you a practical framework for evaluating compensation in your specialty.

        Quick Facts: Locum Tenens Compensation 2026

        • Full-time locum tenens physicians earn the equivalent of $200,000 to $830,000 or more annually, depending on specialty, location, and assignment type
        • The highest-compensated locum specialties are neurosurgery, cardiovascular/thoracic surgery, anesthesiology, and hematology & oncology, with full-time equivalent annual earnings reaching $830,000
        • Hematology & oncology is consistently among the highest-demand locum specialties, with top-end placements approaching the upper bound of the physician compensation range
        • Rural and underserved markets typically pay a 10–25% premium over urban centers across most specialties
        • Most locum assignments include housing, travel, and malpractice coverage in addition to base pay, adding $20,000–$40,000 in effective compensation annually
        • Locum tenens providers work as 1099 independent contractors, paying 15.3% self-employment tax on net income
        • The Interstate Medical Licensure Compact, with more than 40 member states, is the primary mechanism most locum physicians use to access multi-state placements efficiently

        Locum Tenens Compensation Overview

        Locum tenens providers are paid per clinical hour worked, not on a fixed annual salary. Pay applies to scheduled clinical hours only, not administrative time, chart review outside of shift hours, or unpaid call coverage. Throughout this guide, we present typical earnings as full-time equivalent annual figures to make them directly comparable to permanent salary benchmarks. The annualization assumes approximately 2,000 clinical hours per year, which is a reasonable benchmark for a provider working consistent locum assignments.

        What pay alone does not show is the full compensation picture. Most locum assignments also include a housing stipend or fully covered accommodations at the assignment location, round-trip travel reimbursement, and malpractice insurance coverage for the duration of the assignment. When you aggregate those benefits, the effective value of a locum assignment is often 15 to 25 percent higher than the headline figure suggests. A physician earning the equivalent of $400,000 annually with housing and travel covered is receiving meaningfully more than a physician earning the equivalent of $430,000 annually who is covering those costs independently.

        Three structural factors shape where you sit within your specialty's compensation range. Geography is the largest single lever: rural and underserved markets pay a 10 to 25 percent premium because they must, while urban academic medical centers typically have more applications for fewer positions and less compensation pressure. Practice setting matters next: Level I trauma centers, high-volume emergency departments, and complex surgical hospitals pay more than outpatient clinics or low-acuity urgent care settings. Experience and credentials shape access to the upper end of any specialty range, with board-certified providers and those with documented procedural volume consistently accessing premium positions.

        Locum Tenens Salary by Specialty: Physician Pay

        The tables below reflect typical full-time equivalent annual earnings for locum tenens physicians across specialties. Locum compensation is set per clinical hour worked, so the figures here annualize at approximately 2,000 clinical hours per year. Presented this way, the figures are directly comparable to permanent salary benchmarks reported in surveys like the Medscape Physician Compensation Report and the Doximity Physician Compensation Report. These ranges represent typical market conditions as of 2025–2026 and individual compensation varies based on the factors described in this guide.

        Primary Care and Generalist Specialties

        Specialty Equivalent Annual Earnings (FTE) Notes
        Family Medicine $210K–$300K Strong demand in rural and underserved markets
        Internal Medicine $230K–$330K Hospitalist roles drive significant volume
        Hospitalist (General) $230K–$310K High placement volume; schedule often 7 on/7 off
        Pediatrics (General) $200K–$290K Demand highest in outpatient and rural settings
        Urgent Care $190K–$280K Broad supply of providers; consistent volume of positions

        Primary care and generalist roles offer something that higher-compensation specialties often do not: volume and scheduling predictability. The number of available locum placements in family medicine and internal medicine is significantly larger than in subspecialty medicine. For providers who prioritize schedule consistency and geographic flexibility over peak earnings, primary care locum work is a highly viable long-term strategy.

        Emergency and Acute Care

        Specialty Equivalent Annual Earnings (FTE) Notes
        Emergency Medicine (ABEM) $450K–$620K Premium for board certification is consistent across markets
        Emergency Medicine (Non-ABEM) $340K–$470K Strong demand; gap vs. ABEM is narrowing in high-need markets
        Critical Care / Intensivist $430K–$590K High-acuity shifts; demand driven by ICU coverage needs
        Trauma Surgery $500K–$690K Short supply of qualified locum providers; compensation reflects scarcity

        Emergency medicine is the specialty most frequently cited by physicians exploring locum work. In a Sermo physician survey, 55 percent of physicians named emergency medicine as their preferred specialty for locum practice, ahead of internal medicine at 22 percent and anesthesiology at 12 percent. The combination of strong compensation, shift-based scheduling with clear start and end times, and near-universal demand makes emergency medicine one of the most structurally suited specialties for locum practice. The ABEM certification premium is real and consistent, typically adding the equivalent of $80,000 to $140,000 per year over non-ABEM equivalent roles. For a deeper breakdown, see All Star's Emergency Medicine Salary Guide.

        Surgical Specialties

        Specialty Equivalent Annual Earnings (FTE) Notes
        General Surgery $450K–$620K 7-day blocks common; service line coverage drives demand
        Orthopedic Surgery $480K–$700K Sub-specialty focus (spine, joint, trauma) affects compensation
        Otolaryngology (ENT) $390K–$540K Procedural subspecialty; sinus and head/neck procedural volume drives locum demand
        OB-GYN $390K–$570K Demand driven by labor and delivery coverage needs
        Pediatric Surgery $480K–$720K Tertiary children's hospitals and pediatric service line coverage drive demand
        Cardiovascular/Thoracic Surgery $570K–$780K Very limited supply; top of the surgical compensation range
        Neurosurgery $590K–$830K Highest-compensated surgical specialty in most markets

        Surgical locum assignments typically run in 7-day blocks that combine OR time, clinic, and call responsibilities. Hospital service line closures and recruitment-driven coverage gaps are major demand drivers across surgical specialties, particularly for general surgeons and pediatric surgeons covering rural critical access hospitals and tertiary children's hospitals where surgical service is otherwise at risk. Assignment lengths of one to three months are standard, with longer placements available at facilities managing extended coverage gaps. The premium for procedural volume applies here: a general surgeon covering a high-volume trauma OR earns toward the top of the range; one covering a low-acuity outpatient surgical center earns toward the bottom.

        Medical Specialties and Subspecialists

        Specialty Equivalent Annual Earnings (FTE) Notes
        Anesthesiology $570K–$830K Demand consistently outpaces supply in most markets
        Cardiology (Invasive/Interventional) $470K–$680K Cath lab and PCI volume drives premium over non-invasive
        Cardiology (Non-Invasive) $350K–$520K Echo, stress, nuclear interpretation roles
        Radiology (Diagnostic) $390K–$570K Teleradiology roles expand geographic flexibility
        Gastroenterology $430K–$610K Endoscopy volume a key compensation driver
        Hematology & Oncology $400K–$830K Among highest-demand locum specialties; top-end placements approach physician compensation ceiling
        Dermatology $330K–$490K Strong outpatient demand; Mohs expertise commands premium
        Neurology $330K–$490K Telestroke roles increasing availability and flexibility
        Psychiatry $350K–$520K Severe shortage markets; telehealth roles widely available
        Nephrology $310K–$470K Dialysis and hospital consult roles both available
        Urology $390K–$550K Geographic shortage drives consistent locum demand
        Endocrinology $270K–$390K Lower compensation range; consistent demand in underserved markets

        Anesthesiology and hematology & oncology sit at the top of the medical subspecialty compensation range. Hematology & oncology is consistently among the highest-demand specialties in locum staffing, with top-end placements at high-volume infusion centers and specialized cancer programs approaching the upper bound of the physician compensation range. Anesthesiology demand consistently outpaces supply in most markets, particularly for surgical center and trauma center coverage. Compensation in this guide for radiology refers to physician radiologists (MD/DO board-certified by the American Board of Radiology), not radiologic technologists or imaging technicians; teleradiology roles are a structural advantage unique in locum medicine, allowing diagnostic radiologists to work remotely across multiple facilities simultaneously, which changes the economics of part-time locum work significantly.

        Demand for locum urologists is structurally high: the American Urological Association reports that more than 60 percent of U.S. counties have no practicing urologist, creating sustained coverage gaps that locum providers fill across rural and underserved metro markets alike. Psychiatry is notable for the combination of severe shortage conditions and expanding telehealth availability, making it an unusually accessible specialty for flexible locum arrangements.

        For detailed salary breakdowns by specialty, see All Star's specialty salary guides for anesthesiologists, cardiologists, radiologists, gastroenterologists, hematology and oncology physicians, and urologists.

        Locum Tenens Pay for Advanced Practice Providers

        All Star Healthcare Solutions also places advanced practice providers — CRNAs, nurse practitioners, and physician assistants — across multiple specialties. Physician placements are All Star's primary focus, and the APP locum market complements rather than substitutes for that work. The market for APP locum placements is strong and expanding, driven by the same physician shortage dynamics that fuel physician locum demand. CRNAs in particular access compensation approaching the physician range in high-demand markets.

        Role Equivalent Annual Earnings (FTE) Notes
        CRNA $350K–$510K Highest-earning APP in locum placements; approaches physician range
        Psychiatric NP $160K–$260K Acute shortage markets; telepsych roles available
        Surgical PA $150K–$230K First-assist OR roles; specialty-trained PAs access higher compensation
        Family Practice NP $130K–$200K Volume of positions is high; rural premium applies

        CRNAs are the highest-earning APPs in locum placements, with full-time equivalent earnings that approach the physician range in high-demand markets. For NPs and PAs, compensation varies significantly by specialty and by state. Independent practice authority states, where NPs can practice without physician supervision, typically offer higher compensation for NPs because facilities can deploy them in a broader range of roles. Surgical PAs with documented first-assist experience and subspecialty training access higher compensation than generalist PAs.

        A note for nurse practitioners: All Star does not place NPs in California due to that state's W-2 employment requirements for NP locum work. NP placements are available in all other states.

        How Locum Tenens Compensation Compares to Permanent Salaries

        The comparison between locum compensation and a permanent employed position is not as simple as comparing per-hour figures to annual salaries. Three factors consistently shift the calculation in locum's favor for providers who understand them.

        The effective compensation premium adds real dollar value beyond the headline figure. Housing, travel, and malpractice coverage included in a locum package mean a provider on a six-month assignment with fully covered accommodations is not paying rent or commuting costs at a second location. Aggregate those benefits across a full year and the value typically ranges from $20,000 to $40,000 above the headline figure, based on typical housing stipends of $2,000–$3,000 per month and round-trip travel reimbursements across a standard locum placement.

        The earnings ceiling is higher in locum work than in W-2 employment. Recent Medscape and Doximity compensation reports place average employed physician earnings in the low $300,000 range across most specialties, with primary care below that benchmark and procedural specialties above it. A locum provider working consistent assignments in a high-demand specialty can meaningfully increase annual earnings beyond those benchmarks by choosing higher-compensation markets, adding short-notice flexibility, or accumulating experience that unlocks access to premium positions.

        The trade-offs are real, however, and need to be accounted for accurately. Locum providers receive no employer benefits: no health insurance contribution, no retirement match, no paid time off. Self-employment taxes add to the cost. Bureau of Labor Statistics data on civilian employer costs places the value of benefits at approximately 30 percent of total compensation for management and professional roles, which is the practical reason a locum provider needs to account for roughly 15 to 25 percent more in gross earnings to net the same take-home value as a salaried position with comparable benefits.

        Comparison Point Locum Permanent W-2
        Base pay structure Per clinical hour worked Annual salary
        Housing/travel Typically covered by agency Not covered
        Malpractice Typically covered by agency Covered by employer
        Health insurance Provider's responsibility Employer contribution
        Retirement Provider's responsibility Employer match
        Self-employment tax 15.3% on net income Half paid by employer
        Schedule flexibility High Lower
        Earnings ceiling No cap Often capped by contract

        For most physicians in high-demand specialties working consistent locum assignments, total compensation exceeds what a salaried permanent position offers. The breakeven calculation shifts toward locum faster than most providers expect once the full package is counted.

        Key Compensation Factors

        Beyond specialty, location, and practice setting, several additional factors shape what a locum provider earns. Understanding them helps you evaluate offers accurately and identify where you have negotiating leverage.

        Education & Certifications

        Board certification is the baseline expectation for competitive locum tenens compensation across most specialties. Subspecialty fellowship training in procedural areas — interventional cardiology, regional anesthesia, surgical oncology, telestroke neurology — commands meaningful premiums over generalist board-certified equivalents. The Interstate Medical Licensure Compact, with more than 40 member states, streamlines multi-state licensing and is the primary mechanism most locum physicians use to access higher-compensation positions across multiple states.

        Practice Factors

        Day-to-day practice characteristics shape compensation significantly. Call requirements, including overnight and weekend coverage, add to effective compensation through hourly premiums or per-call stipends. Patient volume and acuity matter: high-volume trauma centers and complex surgical hospitals pay top-of-range, while low-acuity outpatient settings sit at the lower end. Locum assignments typically minimize the administrative burden of permanent roles, allowing providers to focus on clinical work.

        Market Demand

        Locum tenens demand is driven by the persistent national physician shortage, which the Association of American Medical Colleges projects will reach up to 86,000 unfilled positions by 2036. Industry estimates indicate that approximately 85 percent of U.S. hospitals use locum tenens coverage to maintain consistent patient access during physician recruitment cycles, leave situations, seasonal volume fluctuations, and service line closures or restructurings. Urgent coverage needs typically pay 10 to 20 percent above standard market compensation, creating opportunities for providers with schedule flexibility.

        Tax and Financial Considerations for Locum Providers

        Locum tenens providers work as 1099 independent contractors. No employer withholds federal or state income tax from your pay. No employer covers half of your Social Security and Medicare contributions. This is the most practically significant financial difference between locum and employed work, and the most consistently skipped topic in every locum salary guide on the internet.

        Self-employment tax is 15.3 percent on top of income tax. W-2 employees pay 7.65 percent of this (the employee share of FICA), with the employer covering the other 7.65 percent. As a 1099 contractor, you pay both sides. On $200,000 in net locum income, that is approximately $30,600 in self-employment tax before income tax is even calculated.

        You are responsible for quarterly estimated tax payments. The IRS expects self-employed individuals to pay estimated taxes four times per year. Missing or underpaying these can result in underpayment penalties in addition to the underlying tax liability. This is not optional. Work with a CPA who specializes in physician finances to set your quarterly payment schedule from day one.

        The offsets are meaningful. The 1099 structure that creates the tax burden also creates deductibility options that W-2 employees do not have. Business expenses that are ordinary and necessary to your locum practice are generally deductible. These include licensing fees, professional association dues, continuing medical education, and in some cases business travel and equipment. Malpractice coverage that you pay independently is typically deductible. High-income earners should evaluate whether an S-Corporation election makes sense, as it can reduce self-employment tax liability significantly at certain income levels.

        This section is not tax advice. Physician tax situations are individual and variable. Before your first locum assignment, consult a CPA with experience in physician independent contractor arrangements.

        The All Star Advantage

        Competitive compensation is one piece of career satisfaction. With more than two decades placing locum providers across 85 specialties in all 50 states, All Star Healthcare Solutions supports providers across every dimension of locum practice — from compensation negotiation to credentialing to assignment matching to ongoing support. Here's what sets us apart.

        Expert Compensation Negotiation and Market Intelligence

        Our consultants work with real placement data across specialties, states, and facility settings. We negotiate on your behalf and clarify the full package, from housing stipends to CME allowances to malpractice coverage. If a quoted figure sits below the ranges shown in this guide for your specialty and geography, your consultant will walk through the assignment specifics that justify the offer or negotiate appropriate adjustments.

        Comprehensive Credentialing and Licensing Support

        We manage the entire credentialing process from start to finish, handling document collection, primary source verification, and direct communication with facility credentialing offices. We coordinate Interstate Medical Licensure Compact filings for eligible physicians and manage state-by-state licensing for those outside IMLC scope, removing a substantial administrative burden from the provider's side.

        Flexible Assignment Options Matching Your Goals

        Whether you want short-term coverage between assignments, an extended contract to evaluate a new market, locum-to-permanent conversion, or a flexible mix of placements, we provide options that match your goals. Our network of more than 150 hospital systems and more than 400 facilities provides access to roles across critical access hospitals, community hospitals, academic centers, and telehealth opportunities.

        24/7 Dedicated Support Throughout Your Assignment

        Your assigned consultant remains your advocate from initial conversation through the end of every assignment, available around the clock for urgent matters and checking in regularly to ensure your assignment meets expectations. We coordinate housing, travel, and credentialing logistics so you can focus on patient care.

        Ready to Explore Locum Tenens Opportunities?

        Whether you're already working locum assignments and considering a different agency, evaluating your first locum placement, or building flexible practice into your long-term career plan, All Star Healthcare Solutions can help you understand what your specialty commands in the current market and identify assignments that fit your goals. Our specialty-focused consultants understand the compensation landscape across your practice area, the credentialing and licensing pathways that fit your situation, and what placements are currently available.

        When you're ready to talk specifics, we're here.

        Connect with a Specialty Consultant

        Frequently Asked Questions About Locum Tenens Salary

        What is the highest-paid locum tenens specialty?

        Neurosurgery, cardiovascular/thoracic surgery, anesthesiology, and hematology & oncology consistently rank at the top of the locum compensation scale, with full-time equivalent annual earnings reaching $830,000 in high-demand markets. The highest figures reflect the combination of procedural complexity, fellowship-level credentials, and consistent national shortages of qualified providers.

        How much can a locum tenens physician earn in a year?

        A physician working full-time locum assignments, approximately 2,000 clinical hours annually, can earn between $200,000 and $830,000 or more depending on specialty. Emergency medicine physicians working consistent assignments typically earn $450,000 to $620,000. Neurosurgeons or cardiovascular surgeons in high-demand markets can exceed $700,000. Hematology & oncology placements at high-volume centers can reach the upper bound of physician compensation. Primary care physicians and generalists typically earn $200,000 to $330,000. Most physicians working consistent locum assignments earn more per year than they would in a comparable permanent position.

        Do locum tenens physicians pay more taxes than salaried doctors?

        Yes, locum providers pay self-employment tax of 15.3 percent on net income, in addition to federal and state income tax. W-2 employees share this burden with their employer, who covers half. The practical implication is that a locum provider earning $250,000 pays roughly $38,000 in self-employment tax that a salaried physician at the same gross income does not. Legitimate deductible business expenses offset this partially, and high earners may benefit from an S-Corporation structure. Consult a physician-specialist CPA before your first assignment.

        Can nurse practitioners and physician assistants work locum tenens?

        Yes. APP locum placements are a significant segment of the market, though physician placements remain All Star's primary focus. CRNAs, psychiatric NPs, surgical PAs, and family practice NPs are among the most actively placed APP roles in locum staffing. CRNAs earn at levels approaching the physician compensation range in many markets. NP and PA compensation varies by specialty, experience, and state practice authority. All Star does not place NPs in California due to that state's W-2 employment requirements; NP placements are available in all other states.

        How does locum tenens pay compare to a permanent position?

        For most physicians in high-demand specialties, locum tenens work generates higher gross income than a permanent employed position at equivalent hours. The locum compensation premium, combined with covered housing, travel, and malpractice, typically more than offsets the self-employment tax and benefits gap. The comparison is most favorable for providers in procedural specialties, those willing to work in underserved markets, and those with schedule flexibility to take short-notice assignments.

        What's the highest-paying state for locum tenens work?

        The highest-paying states for locum tenens work are typically those with the most acute provider shortages relative to population. Rural states across the Mountain West (Wyoming, Montana, Idaho), parts of the upper Midwest (North Dakota, South Dakota), and rural areas of Alaska consistently rank at the top for locum compensation premiums across multiple specialties. Within most states, rural and underserved areas pay 15–25% above state metro rates, and certain shortage-designated regions in California, Texas, and Florida also command meaningful premiums.

        Do rural locum tenens assignments pay more than urban ones?

        Yes, in most specialties rural assignments pay 10–25% above urban baseline compensation, and the premium can reach 30% or more for hard-to-fill subspecialty roles in critical access hospitals. The differential exists because rural facilities have fewer alternative coverage options, often face genuine patient access pressures during coverage gaps, and must compete against urban and metro assignments for the same pool of qualified providers. The trade-off is location and travel; most locum providers find the compensation premium and the often-shorter assignment lengths in rural settings make these placements highly attractive.

        What's the difference between agency-placed and direct-hire locum tenens work?

        Agency-placed locum tenens work consolidates credentialing, malpractice coverage, housing, travel, gap-filling between assignments, and licensing support through a single staffing partner. Direct-to-facility placement requires the provider to self-manage each of these functions, which adds significant administrative cost and time burden. Agency placement typically produces higher net effective compensation once the cost of self-managing each administrative function is counted, including the value of the provider's own time. Most experienced locum providers work through agencies for these reasons.

        Data Sources


        Making the Most of Washington, D.C. During AUA2026 

        AUA2026 (May 15 – 18, 2026) brings urology’s most influential voices — along with the All Star team — to Washington, D.C. for four days of breakthrough science, education, and connection. 

        There’s no backdrop more fitting than the nation’s capital — a city defined by big ideas, pivotal decisions, and lasting impact. It’s the kind of place where progress feels tangible — and where even a short break can turn into something memorable. 

        Whether you’ve got 20 minutes or a few hours to spare, here’s how to make the most of your time in D.C. 

        When You’ve Got 20–30 Minutes  

        Sometimes you don’t have time to plan — you just have a gap. That’s enough.  

        Walk the Capitol Grounds  

        Looking to reset between sessions? This is one of the simplest ways to do it. Expansive open space, clean architectural lines, and sweeping views of the Capitol create a sense of clarity and perspective. A little fresh air and movement go a long way during a full day indoors. 

        Step Inside the Library of Congress  

        A quick stop, but one that leaves a lasting impression. Ornate ceilings, historic reading rooms, and intricate details serve as a quiet reminder that there’s more to this moment than the conference itself. Even a few minutes here feel well spent. 

        Catch a Glimpse of the White House  

        You don’t need a full tour to feel the impact. A short walk along Pennsylvania Avenue, a pause at the gates, and the moment is unmistakable — you’re in Washington, D.C.  

        Library of Congress 

        When You’ve Got an Hour  

        This is the sweet spot — the time window where you can actually settle into something without rushing it.  

        Wander the National Gallery of Art  

        Looking for something worthwhile without overcommitting? This is an ideal choice. More approachable than many of the city’s larger museums, yet impressive in all the right ways — with light-filled galleries, recognizable works, and space to explore without feeling overwhelmed. 

        Choose One Smithsonian 

        You won’t see everything — and you don’t need to. Choose one museum, spend an hour, and focus on what draws you in. It’s a simple way to step outside the rhythm of the conference and into something entirely different. 

        Take in the United States Botanic Garden 

        Tucked near the Capitol, this spot is easy to overlook — and well worth a visit. Warm, quiet, and filled with greenery, it creates an immediate sense of calm. Spend an hour here, and you’ll leave feeling noticeably more at ease. 

        Explore Georgetown (Skip the Main Street, Find the Canal)  

        Georgetown gets crowded fast — but a few steps off the main street, everything changes. The C&O Canal runs quietly behind the storefronts, shaded and calm, with brick paths that offer a welcome distance from the crowds. It’s the kind of place where your pace slows without effort. 

        Visit the National Zoo 

        If you’re looking for something outdoors that still feels engaging, the zoo is a strong choice — and perfect for families. Larger than expected, it offers plenty of space to walk, pause, and explore without feeling rushed, even in a short window. 

        Smithsonian

        When You’ve Got a Few Hours  

        If you find a longer stretch of time, this is where the city really opens up.  

        Get Lost in Rock Creek Park 

        There comes a point in any conference when everything begins to blur together. This is where you reset. Within minutes, the noise fades, the air shifts, and the rhythm softens. Follow a trail, wander for a bit, and give yourself space to disconnect — the difference is immediate.  

        Head Out to the National Arboretum 

        If you have the time and are looking for something quieter, this is well worth the trip. Sprawling grounds, tree-lined paths, and stunning gardens create a setting that feels far removed from downtown. Uncrowded and unhurried, it offers space to move — and a chance to slow down. 

        National Mall

        After Sessions Wrap  

        When the day winds down, the city shifts with it.  

        Grab a Meal at the Wharf 

        At the end of the day, head to D.C.’s waterfront to unwind. Walkable and easy to navigate, the Wharf offers a wide range of restaurants and open views of the Potomac — an easy place to grab a bite and ease into the evening. 

        Take a Capitol River Cruise at Sunset  

        There’s something magical about seeing D.C. from the water at the end of the day. The light softens, the skyline shifts, and the city feels quieter from a distance. It’s an easy way to close things out — unhurried, unplanned, and defined by a different vantage point. 

         Lincoln Memorial

        And One More Thing  

        This is the one most people miss.  

        The best moments here aren’t always scheduled — an unexpected event, a place you didn’t mean to find, something you almost skipped because you were tired.  

        In May, D.C. makes those moments easy. Events like Passport DC pop up across the city, and if you can stay an extra day, Fiesta Asia (May 16) brings everything out into the streets — food, music, and a completely different pace from the conference.  

        You just have to leave a little room for it.   

        Washington, D.C.

        You’re coming to AUA2026 for the sessions — the science, the insights, and the conversations that move the field forward. 

        But it’s often the moments in between that round out the experience — when you step outside, take a different turn, or make the most of an hour you didn’t expect to have. 

        While you’re making your way through the conference hall, be sure to visit All Star Healthcare Solutions at booth #2568. We’ll leave the clinical work to you — but when it comes to urology opportunities (and a reminder to stay hydrated), that’s where we come in. 

        We’ll also be hosting a giveaway for an Oura Ring — stop by to learn more or enter here for your chance to win.  


        12 Brain-Boosting Ways to Experience San Antonio During AANS 2026  

        From May 1–4, 2026, San Antonio will host the American Association of Neurological Surgeons Annual Scientific Meeting (AANS 2026), bringing together the neurosurgical community — and the All Star team — for four days of innovation, collaboration, and transformation. 

        It’s a schedule built for deep focus, rapid synthesis, and constant cognitive engagement — the kind that can leave even the most resilient prefrontal cortex quietly asking for a reset. 

        San Antonio makes that easier than most cities. 

        This guide, inspired by AARP's Six Pillars of Brain Health, is designed to help you stay sharp between sessions — with just enough movement, novelty, and actual downtime to keep your brain functioning at a high level through day four. Because if anyone understands the value of maintaining peak cognitive performance, it’s this group. 

        Ongoing Exercise 

        Start with movement — the simplest way to clear the system and set the tone for the day. 

        1. Stroll the River Walk 

        Vibrant, walkable, and lined with more activity than your hippocampus really needs to keep track of; the River Walk is chronically underrated as a morning ritual. A few miles along the San Antonio River before sessions is the closest thing to a neural warm-up outside the OR. 

        2. Bike the Mission Trail  

        Eight miles. Four Spanish colonial missions. This scenic stretch along the river is equal parts movement and a chance to clear your head — with built-in rest stops that just happen to be 300-year-old UNESCO World Heritage Sites. Structured enough to quiet the internal noise, and just removed enough from downtown to feel like a real reset. 

        San Antonio River Walk 

        Restorative Sleep 

        After a full day of sessions, the goal shifts from input to recovery. 

        3. Sunset at the San Antonio Botanical Garden 

        Thirty-three acres of curated quiet. Enough visual variety to stay engaged, not enough stimulation to stay activated. Think of it as a gentle system shutdown — the kind your brain has been asking for since the second afternoon keynote. 

        4. Evening GO RIO boat cruise 

        A slow glide through the River Walk as the city dims down gives your default mode network a chance to finally clock in. The steady motion, quiet water, and soft lights do most of the work — you just have to let it. 

        River Walk Cruise 

        Eat Right 

        At some point, you’ll need to refuel — strategically... or otherwise. 

        5. Tacos at Mi Tierra Café y Panadería 

        Open 24 hours since 1941, Mi Tierra Café y Panadería features vibrant murals, strolling mariachis, and some of the best Tex-Mex in the city. None of it fits the Mediterranean diet. All of it is exactly what your dopamine receptors ordered. 

        6. Graze the Pearl District  

        A Saturday morning (May 2) farmers market, riverfront restaurants, local bakeries, and enough variety to make "just one more stop" feel like a clinical recommendation. Graze, wander, and repeat until your next session pulls you back in. 

        Pearl District 

        Engage Your Brain 

        Not everything has to be passive. 

        7. Wander through the San Antonio Museum of Art 

        Housed in a former brewery (yes, really), this museum spans 5,000 years of human creativity across cultures and continents  great for engaging your brain between sessions. Moving through it activates pattern recognition and visual processing — a different kind of workout for a brain that’s been running one mode all day. 

        8. Descend into the Natural Bridge Caverns 

        Sixty million years in the making, the Natural Bridge Caverns offer a full dose of novelty beneath the surface. Guided paths wind through dramatic underground formations in cool, low-lit silence — full sensory contrast to a conference hall running at full throughput. Call it cogitive-cross training at its finest.  

        Natural Bridge Caverns 

        Be Social 

        The type that doesn’t involve name tags. 

        9. Drinks at the Esquire Tavern  

        One of the oldest bars in Texas, right on the River Walk, with a long wooden bar and a crowd that tends toward good conversation. The kind of place that turns "one drink after sessions" into a two-hour debrief nobody planned, and everyone needed. 

        10. Ghost Tour Through Historic San Antonio 

        Lantern-lit streets, centuries of history, and stories that engage your amygdala in all the right ways. The Sisters Grimm Ghost Tours wander past the Alamo and through the city's most haunted corners — equal parts history lesson and shared adrenaline. Nothing bonds a group faster than a little well-curated fear. 

        The Alamo 

        Manage Stress 

        Eventually, the system needs a reset. 

        11. Find Stillness at the Japanese Tea Garden 

        Stone bridges, koi ponds, shaded paths, and a pace that politely refuses urgency. Built inside a former quarry and consistently under-visited, it’s one of the city’s best-kept secrets — and one of the easiest ways to fully shift into parasympathetic mode. And, beautiful enough to make you forget you have a 7 a.m. panel. 

        12. Mokara Spa on the River Walk 

        Right on the River Walk and fully committed to lowering your baseline cortisol, this spa offers relaxing massages, rejuvenating facials, and an environment perfect for a brain that hasn’t stopped firing since breakfast. 

        Japanese Tea Garden 

        Stop by Booth #1060 at AANS 2026 

        Whether you’re logging steps, keeping your mind engaged, or giving your nervous system some well-earned time-off, San Antonio makes it easy to give your brain exactly what it needs during AANS 2026.  

        And inside the conference hall, be sure to visit All Star Healthcare Solutions at booth #1060 — we’d love to connect, talk locum tenens neurosurgery opportunities, or compare favorite River Walk detours.  

        We’re also giving away an Oura Ring in celebration. Fill out the form to enter for your chance to win. 

        If this conference has you thinking about what’s next, browse our current neurosurgery openings nationwide. 


        A Gastroenterologist’s Guide to Chicago During DDW 2026 

        Digestive Disease Week (DDW 2026) is right around the corner (May 2–5), bringing thousands of gastroenterology and hepatology professionals — along with the All Star team — to the Windy City for four days of new insights, meaningful connections, and enough microbiome talk to make you rethink at least a few meal decisions. 

        It’s a big conference — and Chicago is exactly the kind of city that can keep up.  

        Step outside the convention center and the shift is immediate — open water, skyline views, and a city that doesn’t really slow down. It’s the kind of place where even a short break can feel like a reset — especially in the middle of a packed few days. 

        Here are 14 ways to spend your off-time — all chosen, of course, with GIs in mind. 

        Manage Your Motility 

        1. Take a walk (or a run) along the Lakefront Trail 

        Eighteen miles along Lake Michigan, flat, scenic, and surprisingly peaceful for a major city. Early morning is best — fewer people, cooler air, and just enough time to convince yourself you’re making “healthy choices” before conference snacks enter the picture. 

        2. Explore the 606 trail above the city 

        An elevated rail-to-trail path cutting through four neighborhoods and culminating in a beautiful green space. Two and a half miles, lined with art, locals, and actual Chicago life. It moves faster than most transit studies and is infinitely more interesting than pacing your hotel gym. 

        3. Stroll the Chicago Riverwalk 

        One of the easiest ways to step out without overthinking it. Follow the river, grab a drink, and take in the architecture from street level — no tickets, no planning required. It’s the kind of place where a quick break actually feels like one. 

        Chicago Riverwalk 

        Activate Rest-and-Digest  

        4. Head to Millennium Park at dusk 

        Touristy during the day, surprisingly calm in the evening. The skyline softens, the crowds thin, and for a moment, no one is asking you about prep protocols. Walk past the Bean, find a spot to sit, and let the pace of the day slow down a bit before heading back. 

        5. Walk through Lincoln Park (and stop by the zoo) 

        A quieter kind of break — tree-lined paths, open space, and a free zoo that’s worth a quick pass-through. It’s an easy way to get outside, clear your head, and feel like you’ve stepped out of the conference rhythm for a bit. Also, a solid option if you’re traveling with family. 

        6. Unwind at Aire Ancient Baths 

        Low lighting, warm pools, silence — the kind of environment that makes you forget you’ve been networking all day (and sitting in conference chairs). It’s not medical, but it feels adjacent. If you’re looking for the closest thing to fully shifting into rest-and-digest mode without submitting a protocol for approval, this is it. 

        7. Step into the Garfield Park Conservatory 

        A greenhouse escape filled with tropical plants, quiet paths, and air that feels noticeably different from the conference hall. It’s warm, calm, and just removed enough from the pace of downtown to feel like a true reset. An easy way to step out, slow down, and give your system a break before heading back in. 

        Millenium Park  

        Let’s Talk About Food (We Have To) 

        8. Commit to Chicago deep dish (choose wisely) 

        Pequod’s if you want caramelized crust and strong opinions. Lou Malnati’s if you want tradition. Giordano’s if you like it stuffed. Is it low-FODMAP? No. Is it worth it? Yes, no question. Think of it as a controlled exposure... and adjust your antacid regimen accordingly. 

        9. Start your morning at Green City Market (Saturday, May 2) 

        If you’re arriving early, this is your redemption arc. Local produce, fresh bread, actual fiber. The kind of place where your microbiome feels seen. 

        10. Plan one proper dinner in the West Loop 

        One of the best food neighborhoods in the country. High-end, casual, everything in between. If DDW is about precision medicine, this is precision eating — and your gut will absolutely log it as a meaningful event. 

        Giordano’s 

        Feed Your Other Brain 

        11. Take a Chicago Architecture Boat Tour 

        Ninety minutes on the river at a pace that would normally trigger a motility consult — which is exactly why it works. Sit down, look up, and let someone else do the explaining as the city unfolds around you. It’s equal parts relaxing and impressive, and a rare chance to experience Chicago without rushing through it. 

        12. Spend an hour (or two) at the Art Institute of Chicago 

        Five thousand years of art across an entire afternoon if you let it. Quiet, slow, and appealing to your creative brain instead of your conference one. Your enteric nervous system won’t care — but your other brain will.  

        Art Institute of Chicago  

        Good Gut Feelings 

        13. Catch a Cubs Game at Wrigley Field 

        They're playing at home all four days. You’ll be surrounded by strangers who will become temporary friends by the third inning and amateur analysts by the seventh. It’s communal, chaotic, and very Chicago — with just enough late-inning tension to give even a gastroenterologist a case of stadium-induced “butterflies.” 

        14. See a show Second City 

        Legendary Chicago improv and sketch comedy that’s sharp, fast, and genuinely funny — the kind of place that launched more than a few careers you definitely recognize. It’s social in the best way, not the business-card way. Laughing until your abdomen hurts is, technically, excellent core engagement. We’re counting it. 

        Wrigley Field  

        Stop by Booth #1947 at DDW 2026 

        DDW moves quickly — and much like GI, balance makes all the difference. 

        Move when you can. 

        Indulge when it’s worth it. 

        And give yourself time to reset along the way. 

        And while you’re there, make sure to connect with All Star Healthcare Solutions at booth #1947. Whether you’re exploring locum tenens opportunities or just want to debate Chicago’s best deep dish, we’re here for both.  

        We’re also celebrating DDW with a giveaway — enter for a chance to win a pair of AI-assisted Ray-Ban Meta Glasses. 

        If this trip has you thinking about what’s next, explore our current gastroenterology openings nationwide — and download our 2026 GI Salary Guide for a closer look at what your peers are earning today. 


        locum tenens healthcare professional

        10 Best Locum Tenens Agencies and Companies in 2026

        The U.S. locum tenens market was valued at approximately $9.6 billion in 2025, according to Staffing Industry Analysts, and it continues to grow as physician shortages are projected to reach as many as 86,000 by 2036, according to the Association of American Medical Colleges (AAMC), driving sustained demand for interim and temporary staffing.

        For physicians, nurse practitioners, physician assistants, and CRNAs considering locum work, there is no shortage of agencies competing for your attention. The quality of the agency you choose shapes nearly every aspect of the experience: the positions you can access, how smoothly credentialing goes, what your malpractice coverage actually includes, and whether you feel like a person or a placement metric.

        At All Star Healthcare Solutions, we have spent more than two decades helping physicians and advanced practitioners navigate exactly this decision. This guide reflects what that experience has taught us about evaluating agencies — covering ten of the most established firms in the market, large national players and specialty-focused independents alike, followed by a practical framework to help you make a more informed choice.

        What Is a Locum Tenens Company?

        A locum tenens company is a staffing agency that connects physicians and advanced practitioners with healthcare facilities that need temporary or interim clinical coverage. Also called locum tenens agencies or locum tenens staffing firms, these companies earn a placement fee from the facility, not the provider. That fee structure matters: providers pay nothing for agency services, and understanding it helps explain why agencies are motivated to find assignments that facilities will actually hire for. Full-service locum tenens agencies typically handle:

        • Credentialing and licensing support across multiple states
        • Malpractice insurance for the duration of assignments
        • Housing and travel logistics
        • Dedicated consultant support throughout the process

        The alternative is arranging locum work indepedently as a 1099 contractor without an agency. Going independent gives providers more direct control, but it requires managing state medical licensing, sourcing your own malpractice coverage, negotiating directly with facilities that often prefer to work through vetted agency partners, and handling the full self-employment tax burdens.

        Top Locum Tenens Companies in 2026

        All Star Healthcare Solutions

        Best for: Providers who want national reach with specialty-specific consultant expertise and the flexibility to move between locum and permanent placement as their career evolves

        Founded in 2003 and headquartered in Boca Raton , Florida, All Star Healthcare Solutions has built a 22-year track record placing physicians and advanced practitioners across 85+ specialties in all 50 U.S. states and territories. The network spans more than 150 hospital systems and more than 1,600 healthcare facilities, and All Star is ranked among the top locum tenens staffing firms in the country nationally. NALTO member. In May 2025, All Star strengthened its national footprint through the acquisition of Integrity Locums, a relationship-focused staffing firm that expanded both capacity and geographic reach.

        Two factors distinguish All Star’s positioning in this market. First, All Star operates on a specialty-team model. Providers work with a consultant who is a dedicated expert in their specific specialty, not a generalist managing a mixed caseload across multiple disciplines. For a cardiologist, that means working with someone who understands the credentialing timeline, the market rates, and the specific clinical environment expectations for cardiology locum assignments.

        Second, and uniquely among the agencies profiled in this guide, All Star offers both locum tenens and permanent placement. For a physician who enters locum work and later decides to explore a permanent role, All Star Healthcare Solutions can support that transition. This is a full-service career partnership rather than a transactional placement.

        The All Star Advantage service model is backed by a team environment that has earned the company repeated "Best Places to Work" and "Top Workplace" recognition, along with the ClearlyRated 2026 Best of Staffing Talent award - based on verified satisfaction scores from providers who have worked with the agency, not self-reported submissions. All Star's consultant engagement and retention rates directly affect the quality of support providers' experience. Full-service support includes credentialing, licensing, travel and housing logistics, and malpractice coverage (type not publicly confirmed; ask your consultant before signing).

        What sets All Star apart: Where the largest conglomerates compete on sheer volume of open positions, All Star’s value proposition is quality of match. Specialty-specific consultants, a 99.5% rematch rate, and a service model built around long-term provider relationships mean placements tend to be better fits, not just faster fills. Providers who want a high-touch agency relationship and a clear path between locum and permanent work will find All Star’s model well-suited to that goal.

        CompHealth

        CompHealth is the locum tenens division of CHG Healthcare, one of the largest healthcare staffing networks in the country. Active across more than 100 specialties and a wide range of healthcare roles, CompHealth works with hospital systems nationwide—including some exclusive contracts—maintaining a broad national inventory. Full-service support includes credentialing, licensing, claims-made malpractice coverage with tail, housing coordination, and travel logistics. 

        AMN Healthcare

        AMN Healthcare is one of the largest healthcare staffing companies in the United States, with a locums division covering hospital medicine, radiology, emergency medicine, surgery, and additional specialties. Institutional depth in large health systems and academic medical centers is a distinguishing strength. W-2 employment arrangements are available for some providers. Full-service support covers licensing, credentialing, travel logistics, and malpractice coverage. NALTO member.

        Weatherby Healthcare

        Weatherby Healthcare operates within the CHG Healthcare family with an identity built around recruiter quality and provider satisfaction. A dedicated recruiter is assigned to each provider. Specialty coverage spans both physicians and advanced practitioners. Full-service support includes licensing, credentialing, housing, travel, and malpractice coverage. NALTO member.

        Medicus Healthcare Solutions

        Medicus Healthcare Solutions is an independent locum tenens agency with core strengths in hospital medicine, internal medicine, and emergency medicine. Its independence keeps organizational focus squarely on locum tenens staffing rather than a broader staffing portfolio. Provider satisfaction scores are consistently strong in physician community forums, particularly among hospitalists. Services include licensing, credentialing, travel logistics, and malpractice coverage. NALTO member.

        Hayes Locums

        Hayes Locums has built a strong reputation among advanced practice providers alongside its physician staffing. A personal recruiter model means providers work with a dedicated contact throughout the process. Full-service support includes licensing, credentialing, travel, housing, and malpractice coverage. NALTO member.

        Global Medical Staffing

        Global Medical Staffing is the only major U.S.-based agency specializing in international placements, operating within the CHG Healthcare group. Primary markets include Australia, New Zealand, the Caribbean, and the United Kingdom. Services cover international medical licensing, relocation coordination, cultural and clinical acclimation support, visa and credential verification, and jurisdiction-appropriate malpractice coverage. For providers pursuing international work, no comparable U.S. agency offers this infrastructure. NALTO member.

        Jackson + Coker

        Jackson + Coker has operated in the locum tenens market for more than 45 years. Its Earned Privileges program expedites re-credentialing for providers returning to facilities where they have previously worked, reducing one of the most time-consuming elements of repeat placement. Multi-specialty coverage spans physicians and advanced practitioners. Full-service support includes credentialing, licensing, travel, housing, and malpractice coverage. NALTO member.

        Vista Staffing Solutions

        Vista Staffing Solutions, part of the AMN Healthcare family, focuses on federal government and government-contracted healthcare facilities. VA hospitals, Indian Health Service sites, and Department of Defense facilities carry compliance and credentialing requirements that generalist agencies handle less efficiently. Vista’s dedicated government division manages these requirements directly. Multi-specialty coverage is available for non-government placements. Services include licensing, credentialing, travel logistics, and malpractice coverage. NALTO member.

        Barton Associates

        Barton Associates extends beyond physician and advanced practice staffing to include dental clinicians, a breadth most agencies on this list do not offer. Active across more than 100 specialties with national coverage, Barton serves physicians, nurse practitioners, physician assistants, and dental providers through a personal recruiter model. Full-service support includes credentialing, licensing, travel, housing, and malpractice coverage. NALTO member.

        How We Evaluated These Locum Tenens Agencies

        Selecting agencies for this guide involved evaluating each firm across a consistent set of criteria relevant to providers, not to facilities or investors.

        Specialty coverage breadth and geographic reach matter because an agency with limited active inventory in your subspecialty may have fewer opportunities available to place you, regardless of how highly reviewed its recruiters are. Recruiter quality and responsiveness were weighted based on verified provider satisfaction scores from ClearlyRated, which collects reviews through independently administered surveys rather than self-reported submissions.

        Evaluation Criterion Why It Matters to Providers
        Specialty Coverage Ensures the agency has an active job flow in your subspecialty
        NALTO Membership Signals adherence to the industry code of conduct and ethics
        Malpractice Type Occurrence vs. claims-made affects your coverage after the assignment ends
        Credentialing Support The speed and completeness of the privileging process affect your start date
        Pay Transparency Clear rates, per diem, and reimbursements must be confirmed before signing
        ClearlyRated Score Verified peer reviews from other locum providers at the same agency
        Geographic Reach Determines whether the agency can place you in your preferred states

        How to Choose the Right Locum Tenens Agency

        There is no single best locum tenens agency for every provider. The right fit depends on your specialty, the geographic markets you want to work in, the type of service relationship you value, and whether your career goals are locum-only or include a path toward permanence. The criteria below apply to any agency on this list, or any agency you evaluate outside of it.

        NALTO Membership, BBB Ratings, and Provider Reviews

        Start with NALTO membership. NALTO.org maintains a publicly searchable member directory, and membership commits an agency to a code of conduct covering pay transparency, contract ethics, and professional standards. It is not a guarantee of quality, but it is the fastest single filter for eliminating firms that have not agreed to basic industry accountability.

        BBB accreditation serves as a complaint-resolution signal: it reflects whether an agency participates in a structured process when providers or facilities have disputes. ClearlyRated “Best of Staffing” recognition is the most provider-specific quality indicator available: it is based on independently verified surveys from providers who have actually worked with the agency, not self-submitted testimonials. Google reviews and physician forum discussions (Doximity, SDN, Reddit’s r/medicine) provide a supplemental layer of unfiltered provider experience.

        Pay Transparency and Contract Terms

        Before signing anything, get every compensation element in writing. Base pay rate is only the starting point; overtime and on-call rates, per diem amounts, and expense reimbursements all affect the real value of an assignment.

        On the contract side, scrutinize these terms carefully:

        • Cancellation terms: What happens if the facility cancels your assignment with short notice?
        • Non-compete or radius restrictions: Some are geographic and enforceable.
        • Arbitration clauses: These affect your legal options if a dispute arises.
        • Indemnification language: This determines who bears liability in specific circumstances.

        Comparing at least two or three agencies on paper before committing is worth the time. First-time locum providers should consider having a healthcare attorney review the contract before signing. For context, credentialing timelines typically range from 60 to 120 days for most hospital-based specialties, so plan accordingly when evaluating assignment start dates.

        Red Flags to Watch For:

        • Pressure to sign before receiving written contract details
        • Vague or verbal-only pay breakdowns
        • Non-compete clauses with no defined geographic limitation
        • Agencies that cannot clearly state whether malpractice coverage is occurrence-based or claims-made

        These are not minor administrative oversights. They have direct financial and legal consequences.

        Specialty Fit and Job Volume

        Before committing to an agency relationship, ask specific questions about current inventory: 

        • How many open positions does the agency have in your specialty right now?
        • Which states are they actively placing in today, not six months ago?
        • Do they hold exclusive contracts with hospital systems, and if so, which ones?
        • What is the typical credentialing timeline for your specialty through this agency?

        An agency with exclusive facility contracts in your specialty gives you access to positions that providers working through competing agencies simply cannot see. Credentialing timelines matter especially in high-demand specialties where facilities are moving quickly to fill coverage gaps.

        Locum Tenens Agency Quick Reference Guide

        The table below summarizes each agency’s core positioning to help providers narrow their options at a glance.

        Agency Specialty Focus NALTO Key Differentiator Best For
        All Star Healthcare 85+ specialties Yes ClearlyRated recognition; All Star Advantage ; locum + permanent placement Providers wanting national reach with high-touch service
        CompHealth 100+ specialties Yes Large U.S. job inventory; CHG Healthcare network Healthcare professionals seeking a high volume of placement options
        AMN Healthcare Multi-specialty Yes Large health system and academic center access; W-2 option Physicians targeting institutional placements
        Weatherby Healthcare Physicians + APPs Yes ClearlyRated recognition; dedicated recruiter relationships Physicians who prioritize service culture
        Medicus Healthcare Solutions Hospitalist, IM, EM Yes Independent agency; high provider satisfaction Hospitalists and internal medicine physicians
        Hayes Locums NP, PA, CRNA, MD Yes Advanced practice depth; ClearlyRated verified NPs, PAs, CRNAs seeking provider-focused agency
        Global Medical Staffing International Yes Only major U.S. agency for international placements Physicians seeking international assignments
        Jackson + Coker Multi-specialty Yes Earned Privileges program for repeat locums Experienced providers doing repeat assignments
        Vista Staffing Government + multi Yes VA, IHS, and federal facility expertise Physicians seeking government-sector positions
        Barton Associates MD + NP/PA + Dental Yes Multi-discipline including dental NPs, PAs, dental clinicians

        Next Steps for Providers

        The right locum tenens agency depends on where you are in your career, what specialty you practice, and what kind of service relationship matters to you. Use the comparison table above to narrow your shortlist, then contact two or three agencies directly to ask about current inventory in your specialty and preferred states. Ask specifically about malpractice coverage type, credentialing timelines, and cancellation terms before signing anything.

        For providers who want a national agency with specialty-specific consultant expertise and the flexibility to move between locum and permanent placement as their career evolves, All Star Healthcare Solutions offers full-service support at every stage, from first assignment through long-term career planning.