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Average Physician - Pain Medicine Salary in Brazil for 2026

A pain medicine physician in Brazil earns about 183,700 BRL a year. That's 82% above the national average of 101,120 BRL.

Pay ranges widely from country to country and from role to role. The lowest reported salaries in Brazil sit around 89,120 BRL a year, while the very top stretches to 288,100 BRL. Everything on this page is in Brazilian real (BRL, symbol R$), which lets you compare numbers like-for-like without worrying about exchange rates.

The numbers here are pulled together from official government wage data, large independent salary surveys, and aggregated worker-reported pay. Most reported salaries include the benefits that are common in Brazil, such as housing or transport allowances, which is worth keeping in mind if you're comparing against a country where those are usually paid on top.


How much does a pain medicine physician make in Brazil?

Average salary
183,700 BRL
15,308 BRL per month
Lowest reported
89,120 BRL
7,426 BRL per month
Highest reported
288,100 BRL
24,008 BRL per month

A typical pain medicine physician working in Brazil brings home around 15,308 BRL a month before tax. Entry-level pay starts near 89,120 BRL, and the top of the ladder reaches roughly 288,100 BRL for the most experienced and specialised people in the role.

The wide gap between low end and top end reflects how much pay can vary inside the same job title. A junior pain medicine physician working at a small local employer earns very different money from a senior at a multinational. Skills, employer, city and years in the seat all push the number around.


How pain medicine physician pay ranges in Brazil

A good way to think about salary in Brazil is to look at the distribution rather than the headline average. Half of all pain medicine physicians in Brazil earn less than 187,300 BRL a year, and the other half earn more. That middle number is the median, and it is usually more useful than the average for answering "is my pay normal here".

Looking at the quartiles fills in the picture. A quarter of earners take home less than 124,400 BRL (the 25th percentile), and a quarter clear 240,500 BRL (the 75th percentile). The middle 50% of pain medicine physicians sit somewhere inside that band, which is where the typical reader of this page probably lives.

The very lowest reported salaries sit around 89,120 BRL. The highest stretch to 288,100 BRL, though only a small fraction of earners ever reach that level. If you are deciding whether your own offer or current pay is reasonable, work out which of those four bands you would fall into and use that as your reference point.

89,120
Low
187,300
Median
288,100
High
124,400
25th
240,500
75th
The middle 50% sit between the 25th and 75th percentile Tails are the lowest and highest reported All figures in BRL

Pain medicine physician pay by experience in Brazil

Years of experience is the single biggest lever on pay for a pain medicine physician in Brazil, ahead of education and almost any other single factor. The longer you have been in the role, the more your employer can trust you to handle complexity, mentor others and act independently, all of which command higher pay. The chart below shows how the typical pain medicine physician salary changes as you move through the career ladder.

  • 0-2 Years
    106,600 BRL
  • 2-5 Years
    +29% from previous
    137,400 BRL
  • 5-10 Years
    +39% from previous
    190,500 BRL
  • 10-15 Years
    +23% from previous
    233,900 BRL
  • 15-20 Years
    +7% from previous
    249,600 BRL
  • 20+ Years
    +7% from previous
    267,100 BRL

The single largest jump on the ladder is from 2 - 5 Years to 5 - 10 Years, where pay rises by about 39%. That is the point at which a pain medicine physician typically goes from "competent in the role" to "the person other people in the team learn from", and the market pays well for that step.


Pain medicine physician pay by education in Brazil

Education lifts pay across almost every role, but the size of the lift varies enormously. The biggest premiums show up in licensed professions like medicine, law and accounting, where extra years of formal study open up seniority that isn't available without the qualification. The smallest premiums show up in skilled trades and creative work, where practical experience often beats academic credentials.

As a rough cross-industry guide for Brazil: a post-secondary certificate or diploma adds around 17% over a high-school-only baseline. A bachelor's degree typically adds another 25% on top of that. A master's lifts pay a further 30%, and a PhD adds about 22% more in fields that value research-level qualifications. These are averages across many different professions, so the real number for your specific job could easily be twice as high or close to zero. The per-job pages below have the real numbers for individual roles.


Pain medicine physician gender pay gap in Brazil

The gender pay gap is a stubborn feature of almost every labour market, and Brazil is no exception. Male pain medicine physicians in Brazil earn an average of 192,000 BRL a year, while female pain medicine physicians earn around 172,200 BRL. That works out to a 11% gap in favour of men, even when comparing people doing the same work.

A pay gap of this size has a real long-term cost. Over a typical thirty-year career it can add up to several years of pay, and it compounds through pensions, retirement contributions and bonus-linked stock. Some of the gap is explained by women being more likely to work part-time, take career breaks, or be steered toward lower-paying specialisations. Some of it is straightforward unequal pay for the same job, which is harder to defend.

Physician - Pain Medicine gender pay gap

10%

Men earn this much more than women on average in Brazil.

Men 192,000 BRL
Women 172,200 BRL

Pay raises for a pain medicine physician in Brazil

Most countries hand out at least some kind of pay raise every year, typically when an employee's contract is reviewed or as a cost-of-living adjustment to keep wages roughly in step with inflation. The rhythm and size of those raises varies hugely between industries.

A typical worker doing this role in Brazil sees a raise of about 13% every 14 months, which works out to roughly 11% on an annual basis. That figure is the typical underlying rate; in years where inflation runs high you can usually expect a bit more, and in flat-economy years a bit less.

Across all jobs in Brazil, the national average raise is around 9% every 16 months.

By industry

Industries with the highest pay raises in Brazil:

  • Banking
  • Energy
  • Information Technology
  • Healthcare
  • Travel
  • Construction
  • Education

By experience level

Experienced workers tend to see larger raises. Retaining a senior is cheaper than replacing them, so employers fight harder for them.

  • Junior Level
    3% - 5%
  • Mid-Career
  • Senior Level
  • Top Management

Pain medicine physician bonus rates in Brazil

Bonuses are the other half of total compensation, and they vary a lot between jobs and industries. Some roles are paid almost entirely in base salary; others lean heavily on bonus structures tied to revenue, project completion or company performance. Whether a job pays a bonus, how big it is, and how often it lands all factor into whether the headline salary is actually a good offer.

83%

83% of pain medicine physicians in Brazil reported a bonus of some kind in the past twelve months. That makes a pain medicine physician a high-bonus role overall, which is useful context when you're weighing up a job offer where the base is below market.

Among those who did receive a bonus, the size of the payment varied substantially. Reported bonuses ranged from 5% to 9% of base salary. The remaining 17% of pain medicine physicians reported no bonus at all over the same period.

Which careers pay bonuses in Brazil

Revenue-facing roles tend to pay the biggest bonuses. Operational and support roles tend toward smaller, more predictable ones.

  • Finance
  • Architecture
  • Sales
  • Business Development
  • Marketing / Advertising
  • Information Technology
  • Healthcare
  • Insurance
  • Customer Service
  • Human Resources
  • Construction
  • Transport
  • Hospitality

Pain medicine physician: public vs private sector pay

Public-sector pay in Brazil is about 7% more than private-sector pay for similar work. The private sector typically offers stronger upside and bigger bonuses; the public sector typically offers better benefits and stability.

Public vs private pay gap

7%

Public-sector workers earn this much more than private-sector workers in Brazil on average.

Public sector 106,500 BRL
Private sector 99,460 BRL

Pain medicine physician salary by city in Brazil

Pain medicine physician pay is not even across Brazil. The chart below shows the highest-paying cities in the dataset, followed by the full location table.

  • Rio de Janeiro
  • Sao Paulo
  • Brasilia
  • Salvador
  • Fortaleza
  • Belo Horizonte
  • Curitiba
  • Manaus
  • Goiania
  • Belem
LocationTypeAverageMedianRange
Rio de JaneiroCity197,600 BRL212,500 BRL92,400-313,700 BRL
Sao PauloCity197,600 BRL207,700 BRL96,960-314,500 BRL
BrasiliaCity197,600 BRL192,000 BRL103,820-301,700 BRL
SalvadorCity196,800 BRL197,600 BRL96,600-307,400 BRL
FortalezaCity194,600 BRL180,300 BRL106,740-294,300 BRL
Belo HorizonteCity192,600 BRL180,500 BRL102,020-292,000 BRL
CuritibaCity192,000 BRL192,000 BRL96,160-294,700 BRL
ManausCity191,600 BRL190,500 BRL97,260-299,500 BRL
GoianiaCity187,500 BRL174,000 BRL99,920-282,300 BRL
BelemCity187,300 BRL204,700 BRL84,560-299,500 BRL
RecifeCity187,300 BRL197,600 BRL88,580-296,000 BRL
Sao LuisCity183,600 BRL174,000 BRL93,600-279,400 BRL
Porto AlegreCity181,600 BRL175,900 BRL93,100-279,400 BRL
MaceioCity181,600 BRL181,600 BRL91,380-281,500 BRL
CampinasCity181,600 BRL189,300 BRL88,240-283,700 BRL
NatalCity180,300 BRL163,800 BRL97,060-268,900 BRL
Joao PessoaCity176,800 BRL192,000 BRL79,500-279,400 BRL
TeresinaCity175,900 BRL185,100 BRL84,800-277,400 BRL
AracajuCity174,000 BRL180,300 BRL86,520-275,200 BRL
CuiabaCity172,400 BRL161,300 BRL89,960-263,100 BRL
MacapaCity172,200 BRL172,200 BRL86,760-265,000 BRL
LondrinaCity172,200 BRL183,600 BRL82,480-272,800 BRL
Vale do AcoCity169,000 BRL161,300 BRL86,640-257,700 BRL
MaringaCity163,800 BRL152,100 BRL87,640-251,500 BRL
SantosCity161,600 BRL172,400 BRL75,100-257,700 BRL
Petrolina and JuazeiroCity159,500 BRL158,700 BRL80,520-246,500 BRL
VitoriaCity159,400 BRL161,600 BRL77,120-247,800 BRL


Physician - Pain Medicine in Brazil: FAQs

  • How much does a pain medicine physician make per month in Brazil?

    A pain medicine physician in Brazil earns about 15,308 BRL a month before tax, based on an annual average of 183,700 BRL.

  • What's the salary range for a pain medicine physician in Brazil?

    Entry-level pain medicine physicians in Brazil start near 89,120 BRL. Top-end pay reaches around 288,100 BRL. The middle 50% of earners sit between 124,400 and 240,500 BRL.

  • Is the median pain medicine physician salary in Brazil higher or lower than the average?

    The median is 187,300 BRL, higher than the average of 183,700 BRL. Half of pain medicine physicians in Brazil earn below the median, half earn above it.

  • What's the gender pay gap for pain medicine physicians in Brazil?

    Men working as a pain medicine physician in Brazil earn around 11% more than women on average (192,000 vs 172,200 BRL a year).

  • Do pain medicine physicians in Brazil get bonuses?

    About 83% of pain medicine physicians in Brazil reported a bonus in the past 12 months. Reported bonuses ranged from 5% to 9% of base salary.

  • Do pain medicine physicians earn more in the public or private sector in Brazil?

    In Brazil, the public sector pays a pain medicine physician about 7% more on average. Public-sector pay tends to be steadier; private-sector pay tends to offer bigger upside.

  • How often do pain medicine physicians in Brazil get a pay raise?

    A pain medicine physician in Brazil sees a raise of around 13% every 14 months, equivalent to roughly 11% a year.