Obstetrics & Gynecology 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.
Obstetrics & Gynecology — National Benchmark
Locum market rates, 2026.
P25
$224/hr
Median
$273/hr
P75
$331/hr
P90
$398/hr
Regional Estimates
| Region | Setting | P25 | Median | P75 |
|---|---|---|---|---|
| Northeast | Urban Hospital | $235/hr | $287/hr | $348/hr |
| Rural Critical Access Rural / CAH | $266/hr | $324/hr | $393/hr | |
| Midwest | Urban Hospital | $229/hr | $279/hr | $339/hr |
| Rural Critical Access Rural / CAH | $258/hr | $315/hr | $382/hr | |
| South | Urban Hospital | $225/hr | $274/hr | $332/hr |
| Rural Critical Access Rural / CAH | $253/hr | $309/hr | $375/hr | |
| Southeast | Urban Hospital | $220/hr | $268/hr | $325/hr |
| Rural Critical Access Rural / CAH | $248/hr | $302/hr | $367/hr | |
| West | Urban Hospital | $238/hr | $290/hr | $351/hr |
| Rural Critical Access Rural / CAH | $268/hr | $327/hr | $397/hr | |
| Southwest | Urban Hospital | $232/hr | $284/hr | $344/hr |
| Rural Critical Access Rural / CAH | $262/hr | $320/hr | $388/hr |
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Market Overview
OB/GYN locum demand is among the fastest-growing of any surgical specialty, driven by the rural obstetric desert crisis. Nearly 300 rural hospitals have closed their OB units since 2011 (Chartis Center for Rural Health, 2024), creating acute demand for locum OB/GYN physicians willing to staff rural labor and delivery. Locum OB/GYN rates reflect this shortage.
- Fastest-growing locum surgical specialty — rural obstetric desert crisis drives acute demand
- 293 rural OB units closed 2011–2023; 35% of US counties are now maternity deserts
- MFM subspecialty commands 44% premium at tertiary and academic centers ($326–354/hr)
- Malpractice tail insurance ($50K–240K) is the most critical contract clause to negotiate before signing
Get the full Obstetrics & Gynecology 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
- MFM (maternal-fetal medicine) subspecialty commands a 30–40% premium
- LEEP and colposcopy procedural capability expands outpatient assignment options
- Overnight call for labor coverage is the highest-leverage negotiating point
- Reproductive endocrinology background opens IVF clinic locum opportunities
Rural Critical Access
- Rural OB coverage is a near-crisis shortage — facilities will meet your rate
- Solo L&D coverage capability is required and commands the highest premiums
- Compact state license significantly expands available rural assignments
- Combining OB and GYN surgical coverage in one provider is worth a premium
Contract Review Checklist
Items to review carefully before signing
- On-call obligation not specified — OB call is 24/7 by nature; confirm rate structure
- Malpractice tail not included — OB tail coverage is among the most expensive in medicine
- No Cesarean section expectation clarified — confirm C-section volume and comfort
- Scope of practice not defined — some rural contracts include gynecologic surgery beyond expectations
Obstetrics & Gynecology 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 →