2025 Insights: Top 18 Medical Specialties by Hourly Compensation – A Guide for International Nurses Exploring Job Opportunities in the US

As the healthcare landscape in the United States continues to evolve, understanding compensation trends across various medical specialties can be crucial for international nurses looking to navigate their career paths in this dynamic industry. At NurseContact, a digital marketplace designed to match international nurses with U.S. employers, we recognize the importance of market insights. Our goal is to streamline the hiring process while empowering nurses to make informed decisions about their careers.
In the following sections, we will explore some of the highest-paying medical specialties in the U.S. as of 2025, providing valuable information for international nurses considering employment opportunities.
1. Orthopedics
Orthopedic surgeons lead the way in compensation, with an impressive $238.49 hourly rate. Their expertise in treating musculoskeletal issues is highly sought after, making it a lucrative specialty for international nurses interested in orthopedic nursing roles.
2. Cardiology
With heart disease remaining a leading health concern, cardiologists command significant $240.54 hourly wages. Nurses specializing in cardiology can expect various opportunities, from clinical settings to specialized cardiac units.
3. Radiology
Radiologists, who interpret medical images for diagnoses, are among the top earners. The demand for imaging services continues to grow, creating a myriad of opportunities for nurses across diagnostic imaging departments. With $281.27 hourly wages.
4. Gastroenterology
As digestion-related health issues rise, gastroenterologists are rewarded with $249.66 hourly rates. International nurses specializing in this area can contribute to patient care within busy gastroenterology practices.
5. Urology
Urology specialists, focusing on urinary tract and male reproductive system issues, also see high hourly wages. Nurses in this field can support a range of treatments and patient education initiatives.
6. Dermatology
Nurses in dermatology enjoy favorable working conditions and compensation $231.37 hourly rates. With a focus on skin-related health and aesthetics, this area is growing, offering diverse career paths for international nurses.
7. Anesthesiology
Anesthesiologists play a critical role in patient care during surgeries, and their high salaries reflect the importance of their work. Nurses in anesthesiology can find fulfilling roles as part of surgical teams in various healthcare settings.
8. Oncology
With cancer rates on the rise, oncology specialists are in great demand. Nurses with expertise in oncology nursing can play a vital role in patient support and treatment delivery, benefiting from the specialty’s competitive $216.87 hourly compensation.
9. Pediatrics
Pediatric specialists not only earn well but also enjoy the rewarding experience of working with children. International nurses can explore pediatric nursing opportunities in hospitals, clinics, and community health settings.
10. Emergency Medicine
Emergency medicine professionals face unique challenges, and that is reflected in their salaries. International nurses trained in trauma or emergency care can thrive in fast-paced environments, gaining valuable experience while earning a competitive wage.
11. Ophthalmology
Ophthalmologists, who specialize in eye care, offer robust opportunities for nurses interested in vision health. The demand for eye-related services creates avenues for professional growth in this specialty. With an hourly rate of $211.02.
12. Endocrinology
This specialty focuses on hormonal and metabolic disorders and offers excellent compensation for specialists. International nurses can find opportunities in diverse clinical settings, engaging in patient education and care management.
13. Psychiatry
Mental health awareness has increased, leading to higher demand for psychiatrists. Nurses specializing in psychiatric care can contribute significantly to improved patient outcomes and earn $208.34 hourly compensation.
14. Nephrology
Nephrologists specialize in kidney care, an area that continues to grow. There are opportunities for international nurses within kidney clinics and hospitals, specializing in patient care for chronic kidney disease.
15. Pulmonology
With respiratory illnesses being a central concern, pulmonology is a vital specialty. Nurses working in this field can engage in critical care and pulmonary rehabilitation, enhancing their skillset while earning $180.85 hourly pay.
16. Rheumatology
Rheumatologists address autoimmune and inflammatory conditions, and with rising cases, this specialty holds promise for growth. International nurses can find rewarding roles in rheumatology clinics and hospitals.
17. Infectious Disease
With the recent global focus on infectious diseases, specialists in this field are highly required. International nurses can play an essential role in infection control and patient management in hospitals or research.
18. Family Medicine
Family medicine practitioners deliver comprehensive care across patient demographics, and they earn competitive hourly rates. International nurses have ample opportunity to work in collaborative primary care settings.
Conclusion: Maximizing Your Potential in the U.S. Healthcare System
For international nurses, understanding these specialties not only aids in career planning but also highlights the potential for professional growth in the U.S. healthcare system. With NurseContact, we aim to simplify the hiring process by connecting international nurses with employers who value their skills and experience. By using our platform, nurses can unlock numerous opportunities tailored to their expertise and preferences.
Whether you are a newly graduated nurse or an experienced healthcare professional, knowing which specialties offer the highest compensation can help steer your career in the right direction. Explore your options today and begin your journey with NurseContact, where your skills meet opportunity in the ever-expanding world of U.S. healthcare.