Senior Radiologist Salary in Lewiston, ID: $677,534 (2026)
Quick Answer:The top tier of radiologists working in Lewiston, ID — those at or above the 90th percentile — pull in $677,534/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-1224. Strip back Lewiston's price premium (BEA RPP 95.3, 5% below national) and that top-decile pay carries the same buying power as $710,949 in average-cost America. The 38% spread above city median typically rewards 7+ years of practice or specialty credentials.
Based on BLS state-level estimates · View source

Senior radiologists in Lewiston, ID, can anticipate a robust earning potential in 2026, with median annual salaries reaching $491,239. For top earners in this specialty, the potential expands significantly, with the 90th percentile (P90) salary forecasted to be $677,534. This impressive figure not only highlights the rewarding aspects of a seasoned radiology career but also showcases how the highest compensation brackets in Lewiston surpass the national top tier. The gap between the median and the top earners underscores the experience premium that comes with advanced skills and extensive practice in the field, which requires continuous education, subspecialty fellowships, and a commitment to excellence in diagnostic and interventional procedures.
About the Lewiston Market
Salary estimated from Idaho average ($345,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in Lewiston
Experienced radiologists at the top of the pay scale in Lewiston earn between $586,602 and $677,534 per year (2026 est.). This $392,615 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Lewiston median of $491,239 sits 11.16% above the US median.
Top MD, DO Salary Comparison
| Level | Lewiston | National |
|---|---|---|
| Median (P50) | $491,239 | $441,903 |
| 75th Percentile | $586,602 | $531,311 |
| 90th Percentile (Top 10%) | $677,534 | $624,131 |
In Lewiston, experienced radiologists (P90) earn 37.92% more than the local median — reflecting the significant value of specialization and tenure in this market.
What Drives Top Radiologist Pay in Lewiston
Advanced Certifications in Idaho
ID radiologists with additional specialty certifications within the radiology field earn significantly above the $491,239 median. Expanded-scope credentials are increasingly valued by Lewiston employers.
Specialty Focus
Radiologists focusing on high-acuity or specialty areas within the radiology field in Lewiston command premium compensation, often reaching the $586,602–$677,534 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Lewiston metro area often pay above-market rates for experienced radiologists who demonstrate efficiency and leadership.
Employer Loyalty & Patient Relationships
Long-tenured radiologists in Lewiston 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 Idaho 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 Lewiston
Clinical Radiologist
0-5 yearsSenior/Lead Radiologist
5-10 yearsRadiologist Department Manager
10+ yearsEducator / Specialty Leadership
AdvancedLewiston ranks #11 of 15 Idaho cities for top earner radiologist salary (90th percentile: $677,534).
Top 10% radiologist compensation in Lewiston ($677,534) is 7.13% below the Idaho average P90 ($729,535).
2021 BLS Actual
$530,865
2025 BLS Actual
$645,270
2026 Current Est.
$677,534
2021–2027 Growth
+34.0%
Salary Trajectory for Radiologists in Lewiston (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.00% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $530,865 | Actual |
| 2022 | $557,408 | Actual |
| 2023 | $585,279 | Actual |
| 2024 | $393,525 | Actual |
| 2025 | $645,270 | Actual |
| 2026(current) | $677,534 | Estimated |
| 2027 | $711,410 | Projected |
Top-earning radiologists (90th percentile) in Lewiston saw their compensation grow 21.6% from $530,865 in 2021 to $645,270 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 $711,410 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Lewiston 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 Lewiston
In Lewiston, certain radiological specializations command notably higher salaries, particularly in fields such as interventional radiology, neuroradiology, and breast imaging. Senior radiologists working in private practice or group partnerships can expect compensation near the upper end of the scale, often between $500,000 and $700,000 annually. Hospital-employed positions typically range from $400,000 to $550,000, while those in teleradiology, especially in roles that demand overnight or weekend coverage, can explore lucrative side incomes. Advancement into leadership roles, such as becoming a department chair or a partner in a radiology group, not only enhances income potential but also contributes to higher professional satisfaction. Holding advanced certifications, such as ABR board certification and subspecialty fellowships, can further differentiate one's earning capacity. Additionally, non-salary compensation components like RVU productivity models and equity in partnerships play critical roles in boosting overall remuneration for senior radiologists in Lewiston.
More salary data for Lewiston, ID:
Frequently Asked Questions
How much do experienced radiologists make in Lewiston in 2026?
What drives higher radiologist pay in Lewiston?
What certifications boost radiologist salary in Lewiston?
Can experienced radiologists make six figures in Lewiston?
How much does radiologist salary increase over time in Lewiston?
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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 $645,270 for radiologists in the Lewiston 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 Lewiston 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