Lead Radiology AI Engineer Salary.
Across 81 U.S. cities.
$223,000
national median salary
$174,000 to $290,000. Last updated April 2026.
Highest Paying
$317,000
San Jose, CA
Best Purchasing Power
$232,000
New York, NY
Lowest Paying
$170,000
Charleston, WV
Salary data sourced from SEC filings, H-1B Labor Condition Applications (DOL), Bureau of Labor Statistics Occupational Employment and Wage Statistics, and aggregated job postings across 50+ platforms. Ranges reflect 25th to 75th percentile for full-time positions. Cost-of-living adjustments use Bureau of Economic Analysis Regional Price Parities (2025 index). Last updated April 2026. Baseline derived from BLS SOC 15-2051. Full methodology.
The average Lead Radiology AI Engineer salary in the United States is $223,000 in 2026, with the full range spanning $174,000 at the 25th percentile to $290,000 at the 75th. San Jose pays the most at $317,000, while New York offers the best purchasing power after cost-of-living adjustments. The gap between theoretical knowledge and production deployment experience is the single largest salary differentiator.
Lead Radiology AI Engineer salary by city
Skills that increase Lead Radiology AI Engineer pay
The skills below command measurable salary premiums for Lead Radiology AI Engineers based on job posting data. Learning the top skill here could add $31,220 to your annual compensation.
≈ +$31,220 per year
≈ +$28,990 per year
≈ +$26,760 per year
≈ +$24,530 per year
≈ +$22,300 per year
≈ +$22,300 per year
≈ +$22,300 per year
≈ +$20,070 per year
What you should know
The gap between theoretical knowledge and production deployment experience is the single largest salary differentiator. Lead Radiology AI Engineers who can optimize inference costs, reduce model latency, and handle scale reliably earn significantly more. Published research or open source contributions to widely adopted frameworks create additional leverage in negotiations.
Entry-level Lead Radiology AI Engineers start near $174,000. Mid-career professionals with three to five years of experience reach $223,000 to $290,000. Senior-level roles command $285,000 to $346,000. Management transitions to director-level positions offer $368,000 and above.
Equity at top-tier companies adds 30% to 60% above base salary. Annual bonuses of 15% to 25% are standard. Signing bonuses of $25,000 to $75,000 are common when changing roles. Refresher equity grants vest annually. Relocation packages and executive benefits like financial planning are typical.
Total compensation breakdown
Salary by company size
Remote salary adjustment
Remote Lead Radiology AI Engineers typically earn $207,000 (7% less than on-site). This reflects location-adjusted pay policies at companies using geographic salary bands. Some companies pay flat national rates regardless of location.
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