U.S. physicians in the West and Pacific region are the most likely to receive on-call pay among eight U.S. regions, according to a Sept. 5 report from Marit Health, which collects anonymous salary data in medicine.
In the West and Pacific and Rocky Mountain regions, 34% and 33% of physicians, respectively, reported receiving on-call pay. This compares to just 16% of physicians in the Mid-Atlantic region.
On-call pay also varies by physician specialty, with orthopedic surgeons being most likely to receive call pay and neurosurgeons receiving the highest average on-call compensation.
The analysis drew from 8,385 full-time physician salaries submitted between September 2024 and Sept. 5, 2025. Of these, 6,138 physicians reported taking call, Marit Health confirmed to Becker’s.
Here are the regions where physicians are most and least likely to receive on-call pay:
Note: This list includes ties.
1. West and Pacific region: 34%
2. Rocky Mountain region: 33%
3. Southwest region: 28%
4. Great Lakes region: 23%
5 (tie). Plains region: 20%
5 (tie). Southeast and Atlantic region: 20%
6. New England region: 18%
7. Mid-Atlantic region: 16% ($1,170)
