Physician H-1B Wage Level Breakdown 2026
Most certified H-1B Physician petitions are filed at Level III (Experienced)(43.5% of 58,412 filings). Because the 2026 wage-weighted lottery favors higher DOL prevailing wage levels, the level your employer files at directly shapes your selection odds.
Wage Level Distribution & 2026 Lottery Entry Weight
| DOL Wage Level | Share of Filings | Median Wage | 25th–75th | 2026 Lottery Entries |
|---|---|---|---|---|
| Level I (Entry) | 3.2% | $168K | $142K–$205K | 1× |
| Level II (Qualified) | 25.8% | $218K | $185K–$265K | 2× |
| Level III (Experienced) | 43.5% | $278K | $240K–$325K | 3× |
| Level IV (Expert) | 27.5% | $352K | $305K–$420K | 4× |
Distribution across 58,412 certified Physician LCA filings (DOL FY2022–2026). Entry-weight column reflects the DHS wage-weighted selection rule effective February 27, 2026 (Level IV = 4 entries, III = 3, II = 2, I = 1 in the registration pool). USCIS has not published official aggregate selection-rate percentages by wage level, so none are stated here.
Employers Filing Physicians at Level III–IV
These employers most often file Physician petitions at the higher prevailing wage levels, the tiers with the strongest selection odds under the 2026 wage-weighted lottery.
| Employer | Level | Filings | Median Wage |
|---|---|---|---|
| Mayo Clinic | Level III | 1,842 | $285K |
| Kaiser Foundation Hospitals | Level III | 1,621 | $298K |
| Cleveland Clinic | Level IV | 1,204 | $365K |
| Johns Hopkins Hospital | Level IV | 985 | $372K |
| NYU Langone Health | Level III | 892 | $310K |
| HCA Healthcare, Inc. | Level III | 834 | $278K |
| Massachusetts General Hospital | Level IV | 728 | $388K |
Ranked by Level III–IV Physician filing volume (DOL FY2022–2026).
What DOL Wage Levels Mean
Every H-1B Labor Condition Application is filed at one of four DOL prevailing wage levels, set by the role's required experience and the OES survey for the occupation and location:
- Level I (Entry): roughly the 17th percentile wage, new graduates and early-career hires.
- Level II (Qualified): ~34th percentile, some experience, the most common H-1B level.
- Level III (Experienced): ~50th percentile, independent, senior-leaning roles.
- Level IV (Expert): ~67th percentile and up, lead, principal, and managerial roles.
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Based on 58,412 certified Physician LCA filings (DOL FY2022–2026) with a reported DOL prevailing wage level. Physicians skew heavily toward Level III–IV due to subspecialty and experience requirements.