BLS metro-level wage data places Physicians, Pathologists pay in Austin-Round Rock-San Marcos, TX at a median of $362,620 per year ($174.34/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $312,400, Austin-Round Rock-San Marcos pays +16% above, signaling either concentrated employer demand, a cost-of-living premium, or both.

The Austin-Round Rock-San Marcos pay distribution spans from $75,830 at the 10th percentile to $375,090 at the 90th — a 4.9× spread that reflects experience tenure, specialization, employer size, and the difference between public-sector, nonprofit, and private-sector compensation inside the metro. The 25th percentile sits at $191,920 and the 75th at $375,090, so half of Austin-Round Rock-San Marcos-based physicians, pathologistss earn within that middle band.

Metro figures capture where you actually work, not just where you live — which matters for commuters. BLS draws metro boundaries from the OMB MSA definitions, so Austin-Round Rock-San Marcos, TX covers the central city plus outlying counties tied to the metro economically. Remember that OEWS wages reflect base pay only: employer-provided health insurance, retirement matches, stock options, signing bonuses, overtime, and tips are excluded and can add 20-40% to real total compensation. Before using this metro median as a negotiation anchor, triangulate against the same occupation's national profile (linked below), its state-wide TX data, and peer-metro comparisons — a median is a starting point, not a ceiling.