Healthcare South Dakota (SD) Rank #43 of 50

Surgeon Salary in South Dakota

The median surgeon salary in South Dakota is $224,497 per year, which is 12% below the national median of $255,110.

Median Salary
$224,497
vs National
$-30,613
State Rank
#43 of 50
Cost of Living
88%

Surgeon Salary Overview in South Dakota (2026)

South Dakota ranks #43 out of 50 states for surgeon compensation. Surgeon salaries in South Dakota are below the national median, though the lower cost of living can offset the difference. At $224,497 per year, surgeons in South Dakota earn $30,613 less than the national median of $255,110.

A key advantage of working in South Dakota is its below-average cost of living (88% of the national index). This means the $224,497 salary has the purchasing power of roughly $255,110 in an average-cost area.

The salary spread in South Dakota is significant: surgeons at the 10th percentile earn $105,600, while those at the 90th percentile bring home $369,600 — a $264,000 gap that reflects differences in experience, specialization, employer type, and metro area. The highest-paying city in South Dakota for this role is Sioux Falls, where the median reaches $234,701.

Nationally, surgeon employment is projected to grow 3% over the next decade (as fast as average). This steady growth indicates stable demand for surgeons across the country.

Surgeon Salary in South Dakota by Experience

In South Dakota, an entry-level surgeon earns around $114,400, while experienced professionals earn up to $352,000 per year. The cost of living index in South Dakota is 88% of the national average.

Entry Level (0-2 yrs)
$114,400
$-15,600 vs national
Mid Level (3-7 yrs)
$228,800
$-31,200 vs national
Senior Level (8+ yrs)
$352,000
$-48,000 vs national

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Salary Percentiles in South Dakota

Percentile SD Salary
10th Percentile $105,600
25th Percentile $154,000
Median (50th) $224,497
75th Percentile $308,000
90th Percentile $369,600

Surgeon Salary by City in South Dakota

The largest employment areas for surgeons in South Dakota include Sioux Falls, Rapid City, Aberdeen, and Brookings. Salaries vary by city based on local cost of living and demand.

How to Become a Surgeon in South Dakota

Education

Most surgeon positions require a doctoral degree. South Dakota has several accredited institutions offering relevant programs.

Key Skills

SurgeryAnatomyPatient CareDecision MakingDexterityLeadership

Job Outlook in South Dakota

Nationally, surgeon employment is projected to grow 3% over the next decade (as fast as average). South Dakota's demand may vary based on local industry trends.

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Data shows Surgeons who negotiate earn 7–15% more. A single negotiation could add $127,503 over your career trajectory.

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Frequently Asked Questions: Surgeon Salary in South Dakota

How much does a Surgeon make in South Dakota? ▼
The median surgeon salary in South Dakota is $224,497 per year, which is 12% below the national median of $255,110. Salaries range from $105,600 (10th percentile) to $369,600 (90th percentile).
How much does a Surgeon make per hour in South Dakota? ▼
Based on the median annual salary of $224,497, a surgeon in South Dakota earns approximately $108 per hour assuming a standard 2,080-hour work year.
Is South Dakota a good state for surgeons? ▼
South Dakota ranks #43 out of 50 states for surgeon pay. The cost of living index is 88% of the national average. Entry-level surgeons earn $114,400, while senior professionals earn $352,000.
How does South Dakota compare to other states for surgeon salary? ▼
The highest paying state for surgeons is Hawaii at $454,096. South Dakota's median of $224,497 ranks #43 nationally. Nearby-ranked states include South Carolina ($227,048) and Missouri ($224,497).
What is the entry-level surgeon salary in South Dakota? ▼
An entry-level surgeon in South Dakota earns approximately $114,400 per year. With 3-7 years of experience, pay increases to around $228,800. Senior-level professionals with 8+ years earn up to $352,000.
What city in South Dakota pays surgeons the most? ▼
Sioux Falls is the highest paying city in South Dakota for surgeons, with a median salary of $234,701. Other cities include Rapid City and Aberdeen.