How Much Do Locum Tenens Physicians Earn? 2026 Salary Guide

2026 Locum Tenens Physician Compensation by Specialty: EM $200–$350/hr, IM $150–$220/hr, FM $130–$180/hr, Psychiatry $180–$280/hr, Surgery $250–$400/hr, Radiology $120–$200/hr. Government facility premium: +10–20%. Housing allowance (if provided): $50–$150/day additional. Malpractice coverage value: $8k–$15k/yr. Total compensation calculation: (hourly rate × hours/year) + housing + travel + malpractice value = annual total often 20–40% above permanent physician salaries.

Factors Affecting Compensation

Specialty, experience level, location (rural pays premium), assignment length, facility type (government vs civilian), and shift timing all influence rates. Government MTFs and VA facilities pay premium rates—one reason many physicians seek government placements.