Optometrist Salary

Cape Girardeau vs St. Louis: Optometrist Salary (2026)

Compare optometrist salaries between Cape Girardeau, MO and St. Louis, MO. All figures are 2026 estimates projected from BLS 2025 data.

Cape Girardeau, MO
$122,224
$58.76/hr
St. Louis, MO
$139,089
$66.87/hr

Side-by-Side Comparison

MetricCape Girardeau, MOSt. Louis, MO
Median Salary$122,224$139,089
Hourly Rate$58.76$66.87
Entry Level (P10)$74,086$73,616
25th Percentile$102,562$113,956
75th Percentile$143,433$165,385
Top Earner (P90)$171,179$199,156
Total Employed6340
Side-by-side bar chart comparing Cape Girardeau ($122,224) and St. Louis ($139,089) optometrist salaries.Cape GirardeauSt. LouisMedian Salary$122,224$139,089Entry Level (P10)$74,086$73,616Top Earner (P90)$171,179$199,156US Median $140,612

Verdict

St. Louis, MO offers better overall compensation for optometrists, winning 4 out of 4 metrics compared to Cape Girardeau.

The salary gap between Cape Girardeau and St. Louis is $16,865 (13.80%). St. Louis's median is -1.08% compared to the US national median of $140,612.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Cape Girardeau spans $97,093,St. Louis spans $125,540. St. Louis has a wider pay range, suggesting more variation in pay between entry-level and experienced optometrists.

Cape Girardeau
P10 (Entry)$74,086
P25$102,562
Median$122,224
P75$143,433
P90 (Top)$171,179
St. Louis
P10 (Entry)$73,616
P25$113,956
Median$139,089
P75$165,385
P90 (Top)$199,156

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, St. Louis ($146,274 effective) pays 7.23% more than Cape Girardeau ($136,411 effective).

Cape Girardeau
Nominal: $122,224
CoL Index: 89.6
Adjusted: $136,411
St. Louis
Nominal: $139,089
CoL Index: 95.088
Adjusted: $146,274

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Cape Girardeau if…

  • You prefer the Missouri area and lifestyle

Choose St. Louis if…

  • Higher median salary ($139,089/year)
  • Better top-earner potential ($199,156)
  • Larger job market (340 employed)
  • Better purchasing power (CoL-adjusted: $146,274)
  • You prefer the Missouri area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, optometrist salaries in Cape Girardeau grew 6.7% from 2024 to 2025, compared to 22.1% growth in St. Louis over the same period.

Cape Girardeau, MO

+6.7%

$111,261 (2024) → $118,710 (2025)

St. Louis, MO

+22.1%

$110,600 (2019) → $135,090 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays optometrists more: Cape Girardeau or St. Louis?

St. Louis has a higher median optometrist salary at $139,089/year, compared to Cape Girardeau at $122,224/year — a difference of $16,865 (13.80%).

What is the hourly rate difference between Cape Girardeau and St. Louis?

Cape Girardeau optometrists earn $58.76/hr while St. Louis hygienists earn $66.87/hr (2026 est.).

Should I relocate from Cape Girardeau to St. Louis as a optometrist?

Consider more than just salary when comparing Cape Girardeau and St. Louis. Factor in cost of living (CoL-adjusted: Cape Girardeau = $136,411, St. Louis = $146,274), job availability (6 vs 340 employed), commute, and career growth potential.

What do entry-level optometrists earn in Cape Girardeau vs St. Louis?

Entry-level (10th percentile) optometrists earn $74,086 in Cape Girardeau and $73,616 in St. Louis. The Cape Girardeau area offers higher starting salaries.

Related Comparisons

AP

Written by Aisha Patel, OD

Career Analyst

Aisha Patel has 10 years of experience in optometry. She specializes in pediatric vision care. Aisha works in a private practice setting.

Clinically reviewed by Rajiv Kumar, ODData verified by Sofia Martinez, OD

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.96% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Aisha Patel, OD, a licensed optometrist with 10+ years of clinical experience. · View source data at BLS.gov