Optometrist Salary

Columbia vs St. Louis: Optometrist Salary (2026)

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

Columbia, MO
$128,017
$61.55/hr
St. Louis, MO
$139,089
$66.87/hr

Side-by-Side Comparison

MetricColumbia, MOSt. Louis, MO
Median Salary$128,017$139,089
Hourly Rate$61.55$66.87
Entry Level (P10)$74,250$73,616
25th Percentile$98,052$113,956
75th Percentile$160,099$165,385
Top Earner (P90)$198,042$199,156
Total Employed23340
Side-by-side bar chart comparing Columbia ($128,017) and St. Louis ($139,089) optometrist salaries.ColumbiaSt. LouisMedian Salary$128,017$139,089Entry Level (P10)$74,250$73,616Top Earner (P90)$198,042$199,156US Median $140,612

Verdict

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

The salary gap between Columbia and St. Louis is $11,072 (8.65%). 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 Columbia spans $123,792,St. Louis spans $125,540. St. Louis has a wider pay range, suggesting more variation in pay between entry-level and experienced optometrists.

Columbia
P10 (Entry)$74,250
P25$98,052
Median$128,017
P75$160,099
P90 (Top)$198,042
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 2.38% more than Columbia ($142,876 effective).

Columbia
Nominal: $128,017
CoL Index: 89.6
Adjusted: $142,876
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 Columbia 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 Columbia grew -17.5% from 2021 to 2025, compared to 22.1% growth in St. Louis over the same period.

Columbia, MO

+-17.5%

$150,670 (2021) → $124,337 (2025)

St. Louis, MO

+22.1%

$110,600 (2019) → $135,090 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays optometrists more: Columbia or St. Louis?

St. Louis has a higher median optometrist salary at $139,089/year, compared to Columbia at $128,017/year — a difference of $11,072 (8.65%).

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

Columbia optometrists earn $61.55/hr while St. Louis hygienists earn $66.87/hr (2026 est.).

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

Consider more than just salary when comparing Columbia and St. Louis. Factor in cost of living (CoL-adjusted: Columbia = $142,876, St. Louis = $146,274), job availability (23 vs 340 employed), commute, and career growth potential.

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

Entry-level (10th percentile) optometrists earn $74,250 in Columbia and $73,616 in St. Louis. The Columbia 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