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Neurosurgeon salary Australia: what the data shows and why it varies

The ABS does not publish a median weekly earnings figure for neurosurgeons due to the small size of the profession, but related data shows surgeons earn well above the national full-time average of $2,083.70 per week.

This sits on the Australian full-time average.

Week, hour, and a tax sketch

$2,084 a week · $54.83 an hour if spread over 38 hours

About $83,159 after resident income tax and a 2% Medicare levy.

2026–27 resident rates and a 2% Medicare levy. Not a tax assessment.Open the full line

Neurosurgeon salary in Australia: what the data shows

When searching for a neurosurgeon salary in Australia, you might expect a clear figure. However, the Australian Bureau of Statistics (ABS) does not publish a median weekly earnings figure for neurosurgeons. The occupation is classified at the six-digit ANZSCO level (253513), and the ABS suppresses earnings data for such small groups to protect confidentiality and ensure statistical reliability. The Jobs and Skills Australia profile for neurosurgeons lists median weekly earnings as 'N/A' for this reason.

That does not mean we know nothing. The same profile shows that neurosurgeons work an average of 57 hours per week, with 86% working full-time. The median age is 44, and only 18% are female. While the exact salary is not published, the broader category of surgeons (including general surgeons, cardiothoracic surgeons, and orthopaedic surgeons) consistently earns well above the national full-time average.

The national full-time average as a benchmark

The ABS Average Weekly Earnings survey for May 2026 reports that full-time adult ordinary-time earnings are $2,083.70 per week, or about $108,352 per year when multiplied by 52. This is the 'line' used on this site to compare any occupation or industry. For neurosurgeons, even without a published median, it is safe to say their earnings are substantially higher. The average full-time surgeon (all types) typically earns in the top percentile of all occupations.

Why state and award matter

Even though neurosurgeon-specific data is unavailable, the state where a neurosurgeon practises can influence their income. State full-time averages vary significantly:

  • Australian Capital Territory: about $119,090 per year
  • Western Australia: about $115,825
  • New South Wales: about $109,658
  • Victoria: about $106,137
  • Queensland: about $106,064
  • Northern Territory: about $103,173
  • South Australia: about $102,450
  • Tasmania: about $96,008

Neurosurgeons in states with higher overall earnings and greater demand for specialist services—such as the ACT and WA—may command higher salaries. Conversely, those in Tasmania or South Australia might earn less, though still far above the national average. See States and territories for a full breakdown.

Another factor is how pay is set. Most neurosurgeons are not covered by an award or collective agreement. They work under individual arrangements, often as employees of hospitals or as private practitioners. This means their salary is negotiated directly, without a minimum rate beyond the national minimum wage. The national minimum wage from 1 July 2026 is $26.44 per hour, or $1,004.90 per week ($52,255 per year on a 38-hour week). For neurosurgeons, this is irrelevant—they earn many times that amount.

Comparing with other occupations

For context, the ABS Employee Earnings and Hours survey (May 2025) shows that the median weekly earnings for all full-time employees is $1,887, or about $98,124 per year. The all-employees median (including part-time) is $1,436 per week ($74,672 per year). Professionals, the broad category that includes neurosurgeons, have a median hourly earnings of $64.50. Neurosurgeons, with their extensive training and high responsibility, would be at the top end of that range.

What about tax?

For the 2026–27 financial year, resident tax rates are: nil on the first $18,200, then 15% up to $45,000, 30% up to $135,000, 37% up to $190,000, and 45% above that. A 2% Medicare levy applies before any reductions. A neurosurgeon earning, say, $400,000 per year would face a marginal tax rate of 45% plus Medicare, but the exact take-home depends on deductions and offsets.

Where to find more

If you want to place your own salary against the national line, use the Place a salary on the line tool. For industry comparisons, see Industry medians. For a deeper look at how the figures are set, visit How the figures are set.

Summary

While a precise neurosurgeon salary in Australia is not published by the ABS, the available data confirms that neurosurgeons earn well above the national full-time average of $2,083.70 per week. State location and individual negotiation play a larger role than award rates. For anyone considering this career, the financial rewards are substantial, but the path is long and competitive.

Questions

What is the average salary for a neurosurgeon in Australia?

The Australian Bureau of Statistics does not publish a median or average weekly earnings figure specifically for neurosurgeons because the occupation is too small to produce reliable estimates. However, the Jobs and Skills Australia profile notes that neurosurgeons work an average of 57 hours per week and that the broader surgeon category earns significantly above the national full-time average of $2,083.70 per week (about $108,352 per year). Individual earnings can range well into the high six figures depending on experience, location, and practice type.

How does state affect neurosurgeon pay?

State full-time average earnings vary across Australia, and neurosurgeons practising in higher-paying states may earn more. For example, the Australian Capital Territory has the highest full-time average at about $119,090 per year, followed by Western Australia at about $115,825. In contrast, Tasmania's full-time average is about $96,008. While neurosurgeon earnings are not published by state, the general pattern suggests that surgeons in states with higher overall wages and greater demand for specialist services may command higher salaries. See [States and territories](/states) for more detail.

Do neurosurgeons get paid under an award?

Most neurosurgeons in Australia are not covered by an award. They typically work under individual employment contracts or as partners in private practice. This means their pay is negotiated directly rather than set by a minimum wage or award rate. The national minimum wage from 1 July 2026 is $26.44 per hour ($52,255 per year on a 38-hour week), but neurosurgeons earn far above this level. For occupations covered by awards, the Fair Work Commission's 4.75% increase in award minimums from 1 July 2026 applies, but neurosurgeons are generally outside that system.

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