Senior Radiologist Salary in Kailua, HI: $822,217 (2026)
Quick Answer:The top tier of radiologists working in Kailua, HI — those at or above the 90th percentile — pull in $822,217/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-1224. Strip back Kailua's price premium (BEA RPP 119.3, 19% above national) and that top-decile pay carries the same buying power as $689,201 in average-cost America. The 37% spread above city median typically rewards 7+ years of practice or specialty credentials.
Based on BLS state-level estimates · View source

For senior radiologists in Kailua, HI, the compensation landscape in 2026 reveals a striking potential for top earners. With a median annual salary projected at $598,498, the gap between the median and the highest earners, who can command up to $822,217, highlights the significant financial opportunities available. This range not only reflects the demand for skilled professionals but also a competitive advantage for those who achieve specialized skills or leadership roles. To reach such top-tier pay, seasoned radiologists usually possess advanced certifications, extensive experience, and often a subspecialty fellowship, which can be instrumental in enhancing expertise and attracting lucrative job offers. In contrast to the national median of $441,903, Kailua's senior radiologist pay demonstrates an appealing 35.44% premium, making it a rewarding metropolitan area for experienced practitioners.
About the Kailua Market
Salary estimated from Hawaii average ($355,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in Kailua
Experienced radiologists at the top of the pay scale in Kailua earn between $714,060 and $822,217 per year (2026 est.). This $475,088 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Kailua median of $598,498 sits 35.44% above the US median.
Top MD, DO Salary Comparison
| Level | Kailua | National |
|---|---|---|
| Median (P50) | $598,498 | $441,903 |
| 75th Percentile | $714,060 | $531,311 |
| 90th Percentile (Top 10%) | $822,217 | $624,131 |
In Kailua, experienced radiologists (P90) earn 37.38% more than the local median — reflecting the significant value of specialization and tenure in this market.
What Drives Top Radiologist Pay in Kailua
Advanced Certifications in Hawaii
HI radiologists with additional specialty certifications within the radiology field earn significantly above the $598,498 median. Expanded-scope credentials are increasingly valued by Kailua employers.
Specialty Focus
Radiologists focusing on high-acuity or specialty areas within the radiology field in Kailua command premium compensation, often reaching the $714,060–$822,217 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Kailua metro area often pay above-market rates for experienced radiologists who demonstrate efficiency and leadership.
Employer Loyalty & Patient Relationships
Long-tenured radiologists in Kailua with established relationships have strong negotiating leverage. In this developing market, retention bonuses and annual raises are common for top performers.
Continuing Education & Leadership
Radiologists in Hawaii who pursue advanced degrees, mentor junior staff, or lead clinical education programs position themselves for the highest compensation tiers and management roles.
Radiologist Career & Wage Growth Path in Kailua
Clinical Radiologist
0-5 yearsSenior/Lead Radiologist
5-10 yearsRadiologist Department Manager
10+ yearsEducator / Specialty Leadership
AdvancedKailua ranks #4 of 9 Hawaii cities for top earner radiologist salary (90th percentile: $822,217).
Top 10% radiologist compensation in Kailua ($822,217) is 5.92% below the Hawaii average P90 ($873,913).
2021 BLS Actual
$644,229
2025 BLS Actual
$783,064
2026 Current Est.
$822,217
2021–2027 Growth
+34.0%
Salary Trajectory for Radiologists in Kailua (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.00% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $644,229 | Actual |
| 2022 | $676,440 | Actual |
| 2023 | $710,262 | Actual |
| 2024 | $520,253 | Actual |
| 2025 | $783,064 | Actual |
| 2026(current) | $822,217 | Estimated |
| 2027 | $863,328 | Projected |
Top-earning radiologists (90th percentile) in Kailua saw their compensation grow 21.6% from $644,229 in 2021 to $783,064 in 2025, based on 5 years of BLS OEWS data for this metropolitan area. At a 5.00% annual growth rate, senior-level pay is projected to reach $863,328 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Kailua 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.
Maximizing Your Radiologist Earnings in Kailua
Specializations within radiology substantially influence earning potential, with fields such as interventional radiology, neuroradiology, and breast imaging often commanding higher salaries in Kailua. Senior radiologists may find differing compensation based on employer types, where private practice partnerships generally offer greater financial incentives compared to hospital-employed positions or teleradiology roles. Leadership opportunities remain prevalent, with seasoned professionals advancing to positions such as department chair, division chief, or even teleradiology medical director. Additionally, credentials such as ABR board certification, combined with strong RVU productivity, are crucial for enhancing pay. Non-salary compensation factors—like partnership equity, revenue sharing, and night or weekend call coverage—further bolster overall earning potential. A thorough understanding of the pay structure and career trajectories in the local market can position radiologists for success in this dynamic field.
More salary data for Kailua, HI:
Frequently Asked Questions
How much do experienced radiologists make in Kailua in 2026?
What drives higher radiologist pay in Kailua?
What certifications boost radiologist salary in Kailua?
Can experienced radiologists make six figures in Kailua?
How much does radiologist salary increase over time in Kailua?
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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
Top-earner salary figures on this page are 2026 projections derived from the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. BLS reported a 90th percentile salary of $783,064 for radiologists in the Kailua metro area. A 5.00% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 senior-level compensation. Individual earnings depend on certifications, specialization, practice type, and years of clinical experience.
Data Sources & Methodology
Salary data for Kailua 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