Indiana saw the largest year-over-year decrease in the average annual salary for orthopedic surgeons, according to data from the Bureau of Labor Statistics.
Across the U.S., the average annual salary for orthopedic surgeons increased $8,510, reaching $373,570 in 2025.
The agency updated compensation data May 15, 2026 to reflect 2025 information, the latest available.
In total, the average annual salary for orthopedic surgeons decreased in nine states.
Here are the five states with the largest drops in orthopedic surgeon compensation using salary data from 2024 and 2025:
Note: Salary data for orthopedic surgeons was not available for every state.
Indiana
2024 average salary: $336,160
2025 average salary: $264,890
Decrease of $71,270
Kansas
2024 average salary: $368,060
2025 average salary: $307,370
Decrease of $60,690
California
2024 average salary: $316,950
2025 average salary: $258,550
Decrease of $58,400
Michigan
2024 average salary: $447,210
2025 average salary: $420,390
Decrease of $26,820
Texas
2024 average salary: $387,140
2025 average salary: $363,410
Decrease of $23,730
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