British Columbia Endocrinologist Billings Reach C$539,040, Provincial Analysis Finds

New physician payment data show endocrinologists generated median gross billings of more than C$539,000 in British Columbia.

Endocrinologists recorded median gross physician billings of C$539,040 in British Columbia, 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 endocrinologists assessing practice revenue within Canada's healthcare system.

Key findings

A new analysis of public physician payment disclosures found that endocrinologists recorded median gross fee-for-service billings of C$539,040 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.

While British Columbia reports a dedicated endocrinology category, an equivalent category is not reported separately in the Manitoba dataset, so a direct provincial comparison is not possible using the available published data.

British Columbia versus Manitoba

British Columbia recorded median gross physician billings of C$539,040 for endocrinologists.

The Manitoba physician payment disclosures published within the Open Compensation analysis do not include a standalone endocrinology specialty category, preventing a like-for-like comparison between the two provinces.

This reflects differences in how provincial physician payment data are categorised and reported, rather than an absence of endocrinology services. It is also important to note that these figures represent gross fee-for-service billings before practice overhead, rather than physician salary or take-home income.

Why endocrinology billings are at this level

Endocrinology focuses on the diagnosis and long-term management of hormonal and metabolic disorders, requiring ongoing specialist input across a wide range of chronic conditions.

Management of diabetes, thyroid disease, osteoporosis, adrenal disorders, pituitary conditions and other endocrine diseases often involves regular consultations, interpretation of laboratory investigations, treatment optimisation and long-term patient follow-up. The combination of specialist expertise and continuity of care contributes to substantial fee-for-service 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 an endocrinology practice, including:

• Clinical and administrative staff

• Practice premises

• Diagnostic and monitoring equipment

• Information technology and electronic medical record systems

• Medical consumables

• Professional indemnity and other overheads
  

Consequently, an endocrinologist'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 endocrinologists

For endocrinologists benchmarking their practice activity, the findings provide a useful indication of gross fee-for-service billings within British Columbia.

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

As additional provincial payment disclosures become available using comparable specialty classifications, a clearer picture of how endocrinology billings vary across Canada will emerge.

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.

---

Discover how nuaxia can support your next medical education initiative:

• Find out more about our specialist services - Moore's Outcome Assessments, Educational Needs Assessments and Patient Impact Studies for the Medical Education sector 

• Contact us on: support@nuaxia.com