British Columbia Dermatologist Billings Reach C$535,949, 7% Above Manitoba

New physician payment data show dermatologists generated higher median gross billings in British Columbia than in Manitoba.

Dermatologists recorded median gross physician billings of C$535,949 in British Columbia, compared with C$500,478 in Manitoba, according to a new analysis of Canadian physician payment disclosures. While the figures represent gross fee-for-service billings rather than take-home income, they provide a valuable benchmark for dermatologists comparing practice revenue across provincial healthcare systems.

Key findings

A new analysis of public physician payment disclosures found that dermatologists recorded median gross fee-for-service billings of C$535,949 per physician in British Columbia. The analysis uses official physician payment disclosures from the British Columbia Medical Services Plan Blue Book (2024) and Manitoba Health (2024/25) to compare physician billings by specialty.

The findings show dermatology remains one of the higher-billing physician specialties in both provinces, reflecting the specialty's combination of outpatient consultations, diagnostic procedures and therapeutic interventions.

British Columbia versus Manitoba

British Columbia recorded median gross physician billings of C$535,949 for dermatologists, compared with C$500,478 in Manitoba.

The C$35,471 difference means median dermatology billings were approximately 7% higher in British Columbia than in Manitoba. While provincial fee schedules, reimbursement systems, patient volumes and practice models differ, the findings illustrate how gross physician billings can vary across Canadian healthcare systems.

It is important to note that these figures represent gross fee-for-service billings before practice overhead, rather than physician salary or take-home income. Practice expenses—including staffing, premises, clinical equipment and other operating costs—will significantly reduce the amount ultimately retained by individual physicians.

Why dermatology billings are at this level

Dermatology combines high-volume outpatient consultations with a wide range of diagnostic and procedural services, creating multiple billable activities across the patient pathway.

Skin cancer diagnosis and treatment, biopsies, lesion excisions, cryotherapy, phototherapy, patch testing and the long-term management of chronic inflammatory skin diseases all contribute to fee-for-service activity. The combination of consultation-based care and office-based procedures can support substantial levels of gross billings.

Gross billings are not take-home pay

The figures reported represent gross physician billings, not physician salaries or personal income.

These billings typically cover the cost of operating a dermatology practice, including:

• Clinical and administrative staff

• Practice premises

• Diagnostic and procedural equipment

• Medical consumables

• Information technology and electronic medical record systems

• Professional indemnity and other overheads
  

Consequently, a dermatologist's net income will be substantially lower than the published billing figures.

The analysis also primarily reflects fee-for-service payments and does not fully capture physicians working under salaried or alternative funding arrangements.

What this means for dermatologists

For dermatologists benchmarking their practice or considering opportunities in different provinces, the findings provide a useful indication of how gross fee-for-service billings can vary across Canada.

However, billing figures should be interpreted as a measure of practice revenue rather than personal earnings. Differences in procedure volumes, case mix, reimbursement schedules and operating costs all influence the amount physicians ultimately retain.

As additional provincial payment disclosures become available, specialty-specific comparisons will provide a clearer picture of how dermatology billings vary across Canada's healthcare systems.

Source

Open Compensation. Which Medical Specialty Pays the Most in Canada? Physician Billings Ranked. Published 12 July 2026.

The analysis uses physician payment disclosures from the British Columbia Medical Services Plan Blue Book (2024) and Manitoba Health (2024/25). Figures represent gross fee-for-service billings before overhead and should not be interpreted as physician salary or net income.

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