Big city urology

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jiggabot

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I have heard many people say that urologists are paid less in big cities such as LA or San Fran. I am assuming this is due to competition, but I do not know how.

Does having competition mean that each procedure pays less because insurance companies know they can get away with it, or does this just mean that there is less volume? This is important to know, because the former would imply that you can never reach the potential you can reach in smaller cities, whereas the latter implies that it just takes a little longer to build your practice.

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