Physician Pay · INTERNAL MEDICINE
Internal Medicine pay: locum, telehealth, per diem & consulting rates (2026)
Real data on what internal medicine physicians earn across every type of physician work. Tell us yours, and we'll show you what direct looks like.
What we hear from internal medicine physicians
Internal medicine physicians tell us facility bill rates land around $230–$260/hr for clinic, telehealth, and urgent care coverage, while agencies pay out roughly $160–$180/hr. Direct rates we've seen on Saile run higher because there's no middleman. The actual number depends on setting and complexity.
The Spread
What your staffing agency isn't telling you
When a facility pays a markup rate for your shift, where does the difference go? It's not malpractice. It's not credentialing. It's the spread — the gap between what the facility is billed and what you take home. Most agencies will never show you the bill rate. We will.
Facility pays
$250/hr
You receive
$175/hr
Agency keeps
$75/hr
Example based on typical outpatient internal medicine clinic coverage rates. Your number is probably different. Submit it below and we'll show you where you fall.
Help us expose locum tenens markup
Anonymous. Takes 30 seconds. The more physicians tell us, the better we can call out who's taking what.
How Saile works
01 · Upload once
Credentials, licenses, DEA — all in one profile.
02 · Match direct
Facilities reach you directly. No recruiter.
03 · Keep the spread
No 30–50% agency markup. Ever.
Frequently asked questions
How much do internal medicine physicians make as locums? +
Locum IM physicians typically earn $150–$225/hr depending on setting and geography. Direct rates on Saile can run higher because there's no agency markup.
What do staffing agencies take from IM placements? +
IM agency spreads commonly run 25–35% of the facility bill rate — often $60–$90/hr per shift kept by the agency.
Can internal medicine physicians work locum without an agency? +
Yes. Saile connects IM physicians directly with clinics, urgent care groups, and telehealth platforms — no agency, no non-compete.
Is there telehealth IM work on Saile? +
Yes. Telehealth, chart review, and async primary care opportunities post regularly. Create a profile to see what's live.
Built by physicians. For physicians.
Direct shifts. Transparent rates. No middleman.