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  1. Home/
  2. Salaries/
  3. Healthcare Backend Engineer/
  4. Austin

Healthcare Backend Engineer.

Austin.

$137,000

median salary, 6% above the national average

$106,000 to $177,000. Last updated April 2026.

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Data points to own the conversation.

Austin is 3% more expensive than the national average. For Healthcare Backend Engineers, that shakes out to a median of $137,000, with the full range spanning $106,000 to $177,000. Compensation for Healthcare Backend Engineers is driven by depth of technical specialization, open-source or published work, and the specific technology stack. Know the range before you walk in.

Salary range

25th Percentile

$106,000

per year

Median

$137,000

per year

75th Percentile

$177,000

per year

Where do you fall?

$106,000$177,000

Salary by experience

The gap between entry and lead level is typically $123,000. Where you land depends on years of experience and what you bring to the table.

Entry (0-2 yrs)

$89,000

to $110,000

Mid (3-5 yrs)

$116,000

to $144,000

Senior (6-9 yrs)

$151,000

to $178,000

Lead (10+ yrs)

$171,000

to $212,000

Salary trend

+6% YoY
$109,000
2022
$115,000
2023
$122,000
2024
$129,000
2025
$137,000
2026

Total compensation

Base salary is not the full picture. Equity, bonus, and signing can add $28,000 to the total package.

Base

$137,000

Equity

$15,000

Bonus

$10,000

Signing

$3,000

Estimated total: $165,000

How Austin compares

Austin, TX

$137,000

Cost of living: 3% above average

National Average

$129,000

Austin is $8,000 above

Healthcare Backend Engineer salary by city

Healthcare Backend Engineer salary comparison across 10 cities
CityMedianRangeCOLAdjusted
San Jose, CA$178,000$138,000 , $230,0001.38x$129,000
Honolulu, HI$168,000$130,000 , $217,0001.30x$129,000
New York, NY$167,000$129,000 , $216,0001.28x$130,000
San Francisco, CA$167,000$130,000 , $216,0001.35x$124,000
Boston, MA$164,000$127,000 , $212,0001.22x$134,000
Washington DC, DC$158,000$123,000 , $205,0001.25x$126,000
Seattle, WA$157,000$122,000 , $203,0001.24x$127,000
Arlington, VA$157,000$122,000 , $204,0001.22x$129,000
Jersey City, NJ$155,000$120,000 , $200,0001.20x$129,000
Austin, TX$137,000$106,000 , $177,0001.03x$133,000

See all 81 cities for Healthcare Backend Engineer →

Salary by role in Austin

Salary comparison by role in Austin
RoleMedianRange
Principal AI Research Scientist$371,000$290,000 , $483,000
Principal Quantitative Researcher$371,000$290,000 , $483,000
Technical Fellow$346,000$270,000 , $450,000
Healthcare Backend Engineer$137,000$106,000 , $177,000
AI Governance Analyst$137,000$100,000 , $184,000
Junior LLM Engineer$137,000$106,000 , $177,000
Junior Quantitative Analyst$137,000$106,000 , $177,000
Lead Statistician$137,000$107,000 , $179,000

What you should know

The Healthcare Backend Engineer landscape in Austin is not what most salary sites will tell you. Austin has transformed into one of America's fastest growing tech hubs, attracting relocations from Apple, Tesla, Oracle, and Samsung. The city's combination of no state income tax, a vibrant startup scene, and a strong university pipeline makes it highly competitive. Salaries have risen sharply over the past five years, narrowing the gap with coastal cities. Compensation for Healthcare Backend Engineers is driven by depth of technical specialization, open-source or published work, and the specific technology stack. Base salary carries most of the total compensation, with bonuses adding roughly 10% in a typical year. Within clinical practice, specialty (primary care vs subspecialty vs surgical) and practice setting drive the largest compensation variance.

Healthcare Backend Engineers typically advance from entry to senior over 5 to 8 years, with staff and principal levels requiring 10+ years and demonstrated cross-team impact. In Austin, cost of living sits near the national average, so the numbers you see are roughly what you keep.

Base salary is not the full picture. Total compensation for Healthcare Backend Engineers runs roughly $142K at median when factoring base + typical bonus (~10% of base). Base salary carries most of the compensation; benefits (healthcare, 401(k) match, PTO) add an estimated 15–25% in imputed value on top. In clinical practice, shift differentials, call pay, and production-based bonuses can add 20–40% to base — the structure varies significantly by specialty and setting. And on the tax side: texas has no state income tax, which can mean 5 to 10% more take home pay compared to California roles. Property taxes are above average, however, running about 1.8% of home value. When someone quotes you $137,000, ask what the total package looks like. The gap between base and total comp is where real money hides.

On negotiation: Use the no income tax advantage as a negotiation lever. Ask employers to match 90% of a Bay Area offer and show that your net pay will actually be higher. The range for Healthcare Backend Engineers in Austin runs from $106,000 to $177,000. That is not a narrow window. Where you land inside it depends almost entirely on whether you negotiate and how well you prepare.

Sources: SEC filings, H-1B LCA (DOL), BLS OES, 50+ job posting platforms. COL: BEA Regional Price Parities (2025). Data verified by Justin Bartak, Founder & Chief AI Officer. Last verified April 8, 2026. Full methodology

Interactive

Is your offer competitive?

Enter your Healthcare Backend Engineer offer to see where you stand in Austin.

$

25th

$106,000

Median

$137,000

75th

$177,000

Considering a related role?

  • A Optometrist in Austin earns $136,000 (1% less)
  • The highest-paying role in Austin is Principal AI Research Scientist at $371,000

Common questions.

In Austin, large enterprises typically pay Healthcare Backend Engineers 10 to 20% more in base salary than small companies, but startups often compensate with equity that can exceed base salary value. Total compensation for Healthcare Backend Engineers runs roughly $142K at median when factoring base + typical bonus (~10% of base). The $106,000 to $177,000 range reflects this entire spectrum.

Texas has no state income tax, which can mean 5 to 10% more take home pay compared to California roles. Property taxes are above average, however, running about 1.8% of home value. When comparing offers across states, your take home pay matters more than the number on the offer letter. A lower salary in a no income tax state can net more than a higher one elsewhere.

Entry level Healthcare Backend Engineer positions in Austin typically start near $106,000. Candidates with relevant internships, certifications, or portfolio work often negotiate closer to the median of $137,000. Healthcare Backend Engineers typically advance from entry to senior over 5 to 8 years, with staff and principal levels requiring 10+ years and demonstrated cross-team impact.

Healthcare Backend Engineers typically advance from entry to senior over 5 to 8 years, with staff and principal levels requiring 10+ years and demonstrated cross-team impact. In Austin, each step up the ladder is amplified by the local cost of living multiplier, which means senior roles pay proportionally more than in lower cost markets.

Ask about equity structure, vesting schedule, annual bonus targets, 401(k) match, health insurance premiums, PTO policy, and remote flexibility. Total compensation for Healthcare Backend Engineers runs roughly $142K at median when factoring base + typical bonus (~10% of base). In Austin's market, these extras can add $34,250 or more on top of the base salary.

Healthcare Backend Engineers in Austin earn a median of $137,000, which positions this role among the higher paid professions in the market. Related roles may pay 10 to 25% more or less depending on specialization depth. Use Orbyt's Salary Explorer to compare specific roles side by side in Austin.

Compensation for Healthcare Backend Engineers is driven by depth of technical specialization, open-source or published work, and the specific technology stack. Base salary carries most of the total compensation, with bonuses adding roughly 10% in a typical year. Within clinical practice, specialty (primary care vs subspecialty vs surgical) and practice setting drive the largest compensation variance. In Austin, these factors can push compensation from the 25th percentile of $106,000 to the 75th percentile of $177,000 or beyond.

Healthcare Backend Engineer salary in other cities

Los Angeles$146,000
Little Rock$110,000
Louisville$118,000
Las Vegas$124,000
Lexington$107,000
Miami$150,000

Other salaries in Austin

Knowledge Graph Engineer$182,000
Knowledge Base Manager$88,000
Kotlin Developer$126,000
KYC Platform Engineer$145,000

Related salary pages

Jump to nearby roles and cities most relevant to Healthcare Backend Engineers in Austin.

  • Knowledge Graph EngineerAustin, TX$182,000
  • Knowledge Base ManagerAustin, TX$88,000
  • Healthcare Backend EngineerLos Angeles, CA$146,000
  • Healthcare Backend EngineerLittle Rock, AR$110,000
  • Knowledge Graph EngineerLos Angeles, CA$199,000
  • Knowledge Base ManagerLittle Rock, AR$70,000
  • Healthcare Backend EngineerLouisville, KY$118,000
  • Kotlin DeveloperAustin, TX$126,000

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"Healthcare Backend Engineer Salary in Austin, TX." Orbyt Salary Explorer, April 2026. https://www.orbytjobs.ai/salaries/healthcare-backend-engineer/austin

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