Neurology Locum Compensation Benchmarks
Based on BLS OEWS public data and CMS geographic adjustment factors, processed through a locum-adjusted model, calibrated and validated against publicly posted rates and observations.
Neurology — National Benchmark
Locum market rates, 2026.
P25
$239/hr
Median
$282/hr
P75
$334/hr
P90
$386/hr
Regional Estimates
| Region | Setting | P25 | Median | P75 |
|---|---|---|---|---|
| Northeast | Urban Hospital | $215/hr | $253/hr | $300/hr |
| Rural Critical Access Rural / CAH | $237/hr | $279/hr | $330/hr | |
| Midwest | Urban Hospital | $255/hr | $301/hr | $356/hr |
| Rural Critical Access Rural / CAH | $281/hr | $332/hr | $393/hr | |
| South | Urban Hospital | $259/hr | $305/hr | $361/hr |
| Rural Critical Access Rural / CAH | $285/hr | $337/hr | $398/hr | |
| Southeast | Urban Hospital | $252/hr | $298/hr | $352/hr |
| Rural Critical Access Rural / CAH | $278/hr | $328/hr | $388/hr | |
| West | Urban Hospital | $250/hr | $295/hr | $349/hr |
| Rural Critical Access Rural / CAH | $275/hr | $325/hr | $384/hr | |
| Southwest | Urban Hospital | $297/hr | $351/hr | $415/hr |
| Rural Critical Access Rural / CAH | $327/hr | $387/hr | $457/hr |
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Market Overview
Neurology locum demand is driven primarily by acute stroke coverage requirements at hospitals seeking Joint Commission certification. Teleneurology has expanded coverage options, but on-site neurologists command a substantial premium. Rural hospitals increasingly rely on locum neurologists for 24/7 stroke coverage.
- Acute stroke coverage is the dominant demand driver — Joint Commission certification requirements create predictable need
- Teleneurology enables remote coverage, but on-site presence commands a substantial premium
- Vascular neurology training commands 20–25% above general neurology rates at stroke centers
- EEG reading capability expands coverage options beyond stroke to epilepsy monitoring programs
Get the full Neurology negotiation toolkit — 50-state rate tables,
word-for-word recruiter scripts, and contract red flag checklist.
Get the Toolkit — $99 →Key Leverage Points
Urban Hospital
- Vascular neurology training commands a 20–25% premium at stroke centers
- EEG reading capability significantly expands your available assignments
- Teleneurology arrangements can supplement on-site coverage income
- Academic-level subspecialty skills (epilepsy, movement disorders) open niche high-rate slots
Rural Critical Access
- Stroke coverage is a core revenue driver for rural hospitals — your leverage is strong
- Teleneurology hybrid (remote strokes, in-person consults) is now standard at many rural sites
- General neurology breadth (not just stroke) makes you more valuable at isolated facilities
- Travel and housing are standard; negotiate for a rental car given rural distances
Contract Review Checklist
Items to review carefully before signing
- Stroke activation response time not defined — unreasonable response expectations must be documented
- Teleneurology technology not provided by facility — confirm equipment responsibility
- Unlimited consult volume without census cap — set a daily consult ceiling
- Call coverage for weekends at weekday rate — nights and weekends should carry a differential
Neurology Negotiation Toolkit
Word-for-word scripts for every recruiter objection, 50-state rate tables at P25/50/75/90,
leverage points by credential and shift type, and a contract red flag checklist.
$99 one-time.
Get the Toolkit — $99 →Browse Other Specialties
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