The average neurosurgeon salary is $173 per hour. The lowest 10% earn $49 per hour and those in the upper 10% earn more than $336 per hour. The hourly rate is subject to a number of factors including actual hours per week worked, number of surgeries performed, and what the billing rate is for services and surgery.he average neurosurgeon salary is $173 per hour. The lowest 10% earn $49 per hour and those in the upper 10% earn more than $336 per hour. The hourly rate is subject to a number of factors including actual hours per week worked, number of surgeries performed, and what the billing rate is for services and surgery.