After two years of churn, the medical sales comp picture for 2026 is finally settling — and it is not uniform.
Bases are up across the board
Median base salary for sales reps in the top 5 device companies rose 4.8% year over year. Smaller startups are outpacing this with sign-on bonuses up to $25k.
But OTE growth is uneven
- Orthopedic implants: OTE up 6.2%
- Diabetes care: OTE flat
- Cardiac rhythm management: OTE down 2% as plans tighten