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Vascular Surgeon · 2026 salary + AI outlook

Vascular Surgeon salary — and how to earn like the top 1%

$400,000median / year · about $192 an hour (BLS)

AI now sizes aneurysms, analyzes CTA plaque, and drafts notes; vascular surgeons who master complex endovascular and aortic work and own an office-based lab pull far ahead.

Entry level
$270,000
Top earners
$600,000
Job growth
+4%
AI exposure
Medium
🏆 The Top 1% Playbook

How to reach the top 1% of Vascular Surgeons

Four moves, straight from how the highest-paid in this field use AI in 2026:

1
Master complex endovascular Build fellowship-level skill in fenestrated and branched EVAR, complex aortic repair, and limb salvage; the surgeons who take the cases community hospitals refer out command the referrals and the compensation.
2
Own an office lab Open or take equity in an office-based lab or vascular ASC for peripheral interventions and dialysis access; owning the facility and technical fees is where vascular income multiplies past hospital salary.
3
Build a limb-salvage program Build a limb-preservation and PAD program with podiatry and wound-care referral pipelines; the surgeon who becomes the region's go-to for critical limb ischemia owns a steady, high-acuity, well-reimbursed case volume.
4
Adopt AI imaging Integrate AI CTA analysis, automated aneurysm sizing, and ambient scribes into planning and clinic; surgeons who plan cases faster and document less spend their scarce hours in the OR, where the value is.
💡 The move that pays: AI can size the aneurysm; it still can't thread the wire or sew the graft.
HomeJob Salaries › Vascular Surgeon Salary

Vascular Surgeon Salary in 2026

Vascular Surgeon pay, in real terms

Per hour
$192.31
Per week
$7,692
Every 2 weeks
$15,385
Per month
$33,333

At the national median of $400,000/year, a vascular surgeon earns $33,333/month before taxes. Over a 30-year career that's roughly $12,000,000 in gross earnings — and that's before raises, promotions, or bonuses.

That puts this role about 732% above the U.S. median wage for all workers (about $48,060/year, per BLS). Using the common rule of keeping housing under 30% of gross pay, this salary supports about $10,000/month in rent or mortgage.

Figures are gross (pre-tax) estimates from the national median; use the take-home and hourly calculators on PayCrunch for your exact state and situation.

Updated June 2026 · BLS Data
How much does a Vascular Surgeon make?
$400,000per year
National median salary · $192.31/hour · $33,333/month
Hourly
$192.31
Monthly
$33,333
Weekly
$7,692
Daily
$1,538
Estimated take-home
$304,000/yr
Adjust Your Market Position
$400,000/yr
Entry Level · $270,000 Top Earner · $600,000
IRS.gov data
BLS.gov verified
All 50 states
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What Does a Vascular Surgeon Do?

Vascular surgeons treat diseases of the vascular system including arteries and veins through surgical and minimally invasive procedures.

Vascular Surgeon Salary by State

Select your state to see the adjusted vascular surgeon salary based on cost-of-living differences.

Select a state above

How to Become a Vascular Surgeon

Education: Medical degree (M.D./D.O.)

Certifications: Board certification (ABVS)

Career path: Resident → Fellow → Vascular Surgeon → Senior Surgeon → Chief of Vascular Surgery

Vascular Surgeon Salary by Experience

Entry level
$270,000
Mid-career
$400,000
Senior
$546,000

Estimates based on BLS percentile data and industry surveys. Actual salaries vary by employer, location, and individual qualifications.

Top 10 Highest-Paying States for Vascular Surgeons

#StateAnnualMonthlyHourly
1Hawaii$472,000$39,333$226.92
2California$460,000$38,333$221.15
3New York$460,000$38,333$221.15
4Massachusetts$448,000$37,333$215.38
5New Jersey$448,000$37,333$215.38
6Connecticut$440,000$36,667$211.54
7Washington$440,000$36,667$211.54
8Maryland$432,000$36,000$207.69
9Alaska$420,000$35,000$201.92
10Colorado$420,000$35,000$201.92

State salaries estimated using BLS national median adjusted by regional cost-of-living factors.

Compare to Related Jobs

Job TitleMedian SalaryHourlyDifference
Vascular Surgeon$400,000$192.31
Urologist$390,000$187.50$-10,000
Orthopedic Surgeon$371,000$178.37$-29,000
Pain Management Specialist$340,000$163.46$-60,000
Fertility Specialist$320,000$153.85$-80,000
Allergist$310,000$149.04$-90,000
Emergency Physician$310,000$149.04$-90,000

Job Outlook

The BLS projects +4% growth for vascular surgeons through 2032, which is about as fast as average compared to the average for all occupations (3%).

🆕 New & Trending AI Tools for Vascular SurgeonReviewed July 2026

We track new AI-tool launches every week and refresh this list — here’s what’s gaining traction for Vascular Surgeon work right now.

AbridgeNEWEnterprise / see site

Ambient AI scribe that turns a patient conversation into structured clinical notes.

How a Vascular Surgeon uses it: document a visit automatically instead of charting after your shift

Microsoft Dragon CopilotNEWEnterprise / see site

Voice AI that dictates and drafts clinical documentation (successor to Nuance DAX).

How a Vascular Surgeon uses it: speak your notes and have the chart written and filed for you

Heidi HealthNEWFree / paid tiers

AI documentation tool built around clinician and nurse workflows.

How a Vascular Surgeon uses it: handle shift notes and handovers without manual write-ups

OpenEvidenceNEWFree for verified clinicians

AI that answers clinical questions from current medical evidence, with citations.

How a Vascular Surgeon uses it: check the latest evidence at the point of care in seconds

NotebookLMNEWFree / $7.99 mo

Google tool that answers questions grounded only in the documents you give it — with citations.

How a Vascular Surgeon uses it: load your own manuals, policies, or PDFs and ask questions that stay accurate to the source

SukiEnterprise / see site

AI voice assistant for clinical notes and coding.

How a Vascular Surgeon uses it: dictate notes hands-free and cut charting time sharply

NablaFree tier / see site

Ambient AI assistant that generates notes from the patient encounter.

How a Vascular Surgeon uses it: capture the visit and get a ready-to-review note in seconds

ChatGPTFree / $20 mo

The most-used AI assistant — writing, analysis, research, and images from a plain-language chat.

How a Vascular Surgeon uses it: draft emails and documents, summarize long files, and get instant answers to on-the-job questions

ClaudeFree / $20 mo

AI assistant known for careful writing, long-document analysis, and coding.

How a Vascular Surgeon uses it: analyze big reports or spreadsheets and turn messy notes into clean, finished writing

Frequently Asked Questions

How much does a vascular surgeon make?
The national median salary for a vascular surgeon is $400,000 per year, or $192.31 per hour. Entry-level positions start around $270,000 while top earners make $600,000 or more.
What education do you need to become a vascular surgeon?
Most vascular surgeon positions require medical degree (m.d./d.o.). Additional certifications or experience may increase earning potential.
What is the job outlook for vascular surgeons?
Employment of vascular surgeons is projected to grow 4% over the next decade, which is about average compared to the average for all occupations.
What are the highest paying states for vascular surgeons?
The highest paying states include Hawaii, California, New York, Massachusetts, and New Jersey, where cost of living adjustments push salaries above the national median.
Can you make six figures as a vascular surgeon?
Yes, experienced professionals in this field regularly earn six figures, especially in high-cost-of-living areas.
Methodology and data sources

Salary data is based on the Bureau of Labor Statistics (BLS) Occupational Employment and Wage Statistics (OES) program. National median, 10th percentile, and 90th percentile figures are sourced from the most recent BLS OES release. State-level salary estimates are calculated by applying regional price parity adjustments from the Bureau of Economic Analysis (BEA) to the national median. Job growth projections are from the BLS Employment Projections program. Education and certification requirements are based on BLS Occupational Outlook Handbook descriptions. All figures are approximate and updated periodically.

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