Radiologist Salary in Roanoke, VA: $487,722 (2026)
Quick Answer:A full-time radiologist in Roanoke, VA earns a median $487,722/year (≈ $234.49/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1224). Once you factor in Roanoke's price level (3% above national, BEA RPP 103.2), that paycheck buys what $472,599 would nationally. Nominal pay sits 0.9% below the Virginia state average.
Based on BLS state-level estimates · View source
In Roanoke, Virginia, radiologists are projected to earn a median annual salary of $487,722 in 2026, reflecting a competitive rate compared to the national median of $441,903, creating a local advantage of about 10.37%. The salary range is quite broad, spanning from $282,878 at the 10th percentile to $696,373 at the 90th percentile, indicating varying levels of experience and productivity within the field. These figures are derived from estimates based on 2025 BLS data and local price adjustments. With the growing trend of teleradiology, which allows physicians to supplement their incomes outside of traditional hours, effective hourly compensation may be even higher for many radiologists in the area, enhancing their overall financial potential in this vibrant healthcare market.
About the Roanoke Market
Salary estimated from Virginia average ($380,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $282,878 | $136.00 |
| Lower Range (P25) | $351,160 | $168.83 |
| Median (P50)(typical) | $487,722 | $234.49 |
| Upper Range (P75) | $591,833 | $284.54 |
| Top Earners (P90) | $696,373 | $334.79 |
Median Salary Position
10.37% above the national average
2026 Salary Percentile Distribution in Roanoke
In Roanoke, VA, the radiologist salary spread from the 10th to 90th percentile is $413,495 (2026 est.). At $487,722, the local median is 10.37% above the national median of $441,903.
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At 40 hours/week in Roanoke: You'd be above the median
How Roanoke Radiologist Pay Compares
Roanoke median: $487,722/year (2026)
| Compared To | Median Salary | Roanoke Pays |
|---|---|---|
| Virginia Average | $492,151 | -0.90% less |
| National Average | $441,903 | +10.37% more |
Radiologists in Roanoke, VA earn a median of $487,722 per year (2026 est.), which is 10.37% higher than the national median of $441,903 and 0.90% below the Virginia state average of $492,151.
Cost-of-Living Adjusted Salary
Roanoke has a cost of living 3.20% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Roanoke, VA has a cost-of-living index of 103.2 (above the national average of 100). While the nominal salary of $487,722 is competitive, the higher cost of living reduces purchasing power to an effective $472,599 — a 3.1% reduction.
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2021 BLS Actual
$382,143
2025 BLS Actual
$464,497
2026 Current Est.
$487,722
2021–2027 Growth
+34.0%
Salary Trajectory for Radiologists in Roanoke (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.00% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $382,143 | Actual |
| 2022 | $401,250 | Actual |
| 2023 | $421,312 | Actual |
| 2024 | $388,810 | Actual |
| 2025 | $464,497 | Actual |
| 2026(current) | $487,722 | Estimated |
| 2027 | $512,108 | Projected |
Based on 5 years of BLS OEWS data for the Roanoke metropolitan area, the median radiologist salary grew 21.6% from $382,143 (2021) to $464,497 (2025). At a 5.00% compound annual growth rate, salaries are projected to reach $512,108 by 2027 — a total increase of $129,965 (34.01%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Roanoke metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 5.00% CAGR derived from 5-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $282,878 – $351,160 |
| 3-5 years (Mid Career) | $351,160 – $487,722 |
| 5+ years (Experienced) | $487,722 – $591,833 |
| 10+ years (Top Earner) | $591,833 – $696,373 |
MD, DO salary ranges estimated from BLS percentile data. Individual radiologist compensation varies by employer, certifications, and specialization.
Radiologist Job Market in Roanoke
The local job market for radiologists in Roanoke consists of just 16 professionals, which creates a tight-knit community that can influence salary dynamics. The cost of living index in Roanoke stands at 103.2, implying that while salaries are attractive, the purchasing power is somewhat moderated by living expenses that are slightly above the national average. Notably, private radiology group practices and academic centers are likely the highest payers in the area, often offering partnership options that can significantly enhance earnings through shared profits and equity stakes. Conversely, those in hospital-employed positions may find themselves at the lower end of the pay spectrum, with factors such as RVU productivity, subspecialty focus, and weekend call coverage shaping income variance. Radiologists looking to maximize their earnings in Roanoke should consider opportunities that leverage teleradiology and subspecialty skills, particularly in interventional radiology, where demand and salary premiums are strong.
More salary data for Roanoke, VA:
Frequently Asked Questions
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Written by Dr. Maria Chen, MD
Career Analyst
Dr. Chen has 10 years of experience in diagnostic radiology. She specializes in imaging techniques for oncology. She works at a regional medical center.
Methodology & Data Source
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $464,497 for radiologistsin the Roanoke metropolitan area. A 5.00% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for Roanoke is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 5.00%, derived from historical BLS wage trends for radiologists (SOC 29-1224).
Compiled and verified by Dr. Maria Chen, MD, a licensed radiologist with 10+ years of clinical experience. · View source data at BLS.gov