What specialty pays the highest malpractice insurance?
By Stephen Leggitt January 17, 2026

What specialty pays the highest malpractice insurance?
Understanding the costs associated with healthcare practice is essential for medical professionals, especially when it comes to protecting against legal claims. Having reliable medical malpractice insurance is a critical step in safeguarding both your career and financial stability.
Additionally, reviewing malpractice insurance cost by specialty and knowing what specialty pays the highest malpractice insurance can help practitioners make informed decisions when selecting coverage that aligns with their specialty and risk profile.
Medical malpractice insurance is not a one-size-fits-all product. Costs vary dramatically depending on the medical field, with some specialties facing significantly higher premiums due to the nature of their work, frequency of claims and severity of potential settlements. Exploring the specialties that pay the most can help physicians and healthcare providers anticipate expenses and plan accordingly.
What specialty pays the highest malpractice insurance?
When examining highest malpractice rates by specialty, certain fields consistently top the list. Surgical specialties, particularly neurosurgery, cardiothoracic surgery and orthopedic surgery, often face the highest premiums. The high risk of complications, complex procedures and the potential for catastrophic outcomes contribute to these elevated rates.
Obstetrics and gynecology also see high malpractice insurance costs due to the high stakes of maternal and neonatal care. Even minor mistakes can result in significant harm, leading to substantial settlements or awards. Risk exposure and historical claim data heavily influence how insurance carriers calculate premiums for these high-risk specialties.
How much is malpractice insurance per month?
Understanding medical malpractice rates by specialty is crucial when budgeting for practice overhead. Monthly costs vary widely. For example, neurosurgeons may pay thousands of dollars per month for coverage, while family physicians and pediatricians often pay significantly less due to lower claim risk.
Specialties like emergency medicine, anesthesiology and radiology fall somewhere in the middle. While their procedures carry potential for serious claims, the frequency of lawsuits is comparatively lower than surgical fields. Evaluating monthly costs is essential for maintaining financial stability and ensuring adequate coverage is in place to protect against unexpected legal claims.
What specialty has the most lawsuits?
The likelihood of facing a claim is another factor influencing insurance premiums. Fields with the average number of malpractice suits per doctor are often surgical specialties and obstetrics/gynecology. Critical procedures, complex patient care and the potential for severe outcomes increase the probability of legal action.
Specialists in these areas may face multiple claims over the course of their careers, even if not all result in findings of negligence. Understanding which specialties are most frequently sued helps physicians anticipate risk and select appropriate coverage, while also highlighting the importance of risk management strategies in clinical practice.
What medical specialty is least sued?
Conversely, some specialties experience far fewer claims. Preventive and diagnostic specialties, such as dermatology, psychiatry and pathology typically face fewer lawsuits. Knowing what percentage of medical malpractice cases are won in these fields shows even when claims are filed, successful defense is often more likely due to lower risk exposure and straightforward standard-of-care guidelines.
The disparity in lawsuit frequency and outcomes underscores why malpractice insurance premiums vary so widely across specialties. Physicians in lower-risk fields may pay significantly less for comparable coverage, reflecting the reduced likelihood of costly claims.
Identifying what specialty pays the highest malpractice insurance helps healthcare professionals plan financially and select coverage suited to their risk profile. From neurosurgery and obstetrics to dermatology and psychiatry, the differences in premiums reflect both the complexity of procedures and the likelihood of facing lawsuits.
Investing in medical malpractice insurance and reviewing malpractice insurance cost by specialty ensures healthcare providers are protected from unexpected legal claims, providing both financial security and peace of mind. For more insights about this topic, visit the PracticeLink Resource Center.

