Senior Radiologist Salary in Alexandria, VA: $667,903 (2026)
Quick Answer:The top tier of radiologists working in Alexandria, VA — those at or above the 90th percentile — pull in $667,903/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-1224. Strip back Alexandria's price premium (BEA RPP 103.2, 3% above national) and that top-decile pay carries the same buying power as $647,193 in average-cost America. The 45% spread above city median typically rewards 7+ years of practice or specialty credentials.
Based on BLS state-level estimates · View source
In 2026, seasoned radiologists in Alexandria, Virginia, have the potential for substantial earnings, with top earners reaching as high as $667,903 annually. This figure represents a significant increase over the national peak of $441,903, illustrating how Alexandria's competitive healthcare environment rewards specialized expertise and experience. With a median salary of $461,245, the gap between mid-level and top-tier salaries reveals the financial benefits of building a distinguished career in radiology. Achieving this level of compensation typically requires a blend of advanced training, such as completing fellowships in high-demand specialties, and actively pursuing leadership opportunities within the healthcare system.
About the Alexandria Market
Salary estimated from Virginia average ($380,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in Alexandria
Experienced radiologists at the top of the pay scale in Alexandria earn between $565,250 and $667,903 per year (2026 est.). This $400,381 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Alexandria median of $461,245 sits 4.38% above the US median.
Top MD, DO Salary Comparison
| Level | Alexandria | National |
|---|---|---|
| Median (P50) | $461,245 | $441,903 |
| 75th Percentile | $565,250 | $531,311 |
| 90th Percentile (Top 10%) | $667,903 | $624,131 |
In Alexandria, experienced radiologists (P90) earn 44.80% more than the local median — reflecting the significant value of specialization and tenure in this market.
What Drives Top Radiologist Pay in Alexandria
Advanced Certifications in Virginia
VA radiologists with additional specialty certifications within the radiology field earn significantly above the $461,245 median. Expanded-scope credentials are increasingly valued by Alexandria employers.
Specialty Focus
Radiologists focusing on high-acuity or specialty areas within the radiology field in Alexandria command premium compensation, often reaching the $565,250–$667,903 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Alexandria metro area often pay above-market rates for experienced radiologists who demonstrate efficiency and leadership.
Employer Loyalty & Patient Relationships
Long-tenured radiologists in Alexandria 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 Virginia 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 Alexandria
Clinical Radiologist
0-5 yearsSenior/Lead Radiologist
5-10 yearsRadiologist Department Manager
10+ yearsEducator / Specialty Leadership
AdvancedAlexandria ranks #19 of 42 Virginia cities for top earner radiologist salary (90th percentile: $667,903).
Top 10% radiologist compensation in Alexandria ($667,903) is 5.43% below the Virginia average P90 ($706,244).
2021 BLS Actual
$523,319
2025 BLS Actual
$636,098
2026 Current Est.
$667,903
2021–2027 Growth
+34.0%
Salary Trajectory for Radiologists in Alexandria (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.00% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $523,319 | Actual |
| 2022 | $549,485 | Actual |
| 2023 | $576,960 | Actual |
| 2024 | $513,113 | Actual |
| 2025 | $636,098 | Actual |
| 2026(current) | $667,903 | Estimated |
| 2027 | $701,298 | Projected |
Top-earning radiologists (90th percentile) in Alexandria saw their compensation grow 21.6% from $523,319 in 2021 to $636,098 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 $701,298 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Alexandria 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 Alexandria
Senior radiologists in Alexandria can strategically enhance their earning potential by focusing on sought-after subspecialties like interventional radiology, neuroradiology, and musculoskeletal imaging. Compensation can also vary significantly depending on the type of employer. Those affiliated with private radiology group practices might access partnership opportunities that yield compensation in the range of $500,000 to $700,000, whereas hospital-employed positions may average between $400,000 and $550,000. Leadership roles like department chair or division chief can further elevate income, especially for those with advanced credentials such as ABR board certification and subspecialty fellowships. Non-salary benefits may include RVU productivity incentives, equity stakes in partnerships, and additional income from teleradiology work. These factors create a dynamic landscape for senior radiologist pay in VA, where experienced professionals can command impressive salaries through expertise and strategic career moves.
More salary data for Alexandria, VA:
Frequently Asked Questions
How much do experienced radiologists make in Alexandria in 2026?
What drives higher radiologist pay in Alexandria?
What certifications boost radiologist salary in Alexandria?
Can experienced radiologists make six figures in Alexandria?
How much does radiologist salary increase over time in Alexandria?
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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 $636,098 for radiologists in the Alexandria 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 Alexandria 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