Optometrist Salary

Fort Worth vs San Antonio: Optometrist Salary (2026)

Compare optometrist salaries between Fort Worth, TX and San Antonio, TX. All figures are 2026 estimates projected from BLS 2025 data.

Fort Worth, TX
$144,012
$69.24/hr
San Antonio, TX
$115,089
$55.33/hr

Side-by-Side Comparison

MetricFort Worth, TXSan Antonio, TX
Median Salary$144,012$115,089
Hourly Rate$69.24$55.33
Entry Level (P10)$83,527$46,528
25th Percentile$115,030$47,918
75th Percentile$180,281$154,430
Top Earner (P90)$223,219$162,697
Total Employed219730
Side-by-side bar chart comparing Fort Worth ($144,012) and San Antonio ($115,089) optometrist salaries.Fort WorthSan AntonioMedian Salary$144,012$115,089Entry Level (P10)$83,527$46,528Top Earner (P90)$223,219$162,697US Median $140,612

Verdict

Fort Worth, TX offers better overall compensation for optometrists, winning 3 out of 4 metrics compared to San Antonio.

The salary gap between Fort Worth and San Antonio is $28,923 (25.13%). Fort Worth's median is +2.42% compared to the US national median of $140,612.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Fort Worth spans $139,692,San Antonio spans $116,169. Fort Worth has a wider pay range, meaning more potential for high earners but also more variation.

Fort Worth
P10 (Entry)$83,527
P25$115,030
Median$144,012
P75$180,281
P90 (Top)$223,219
San Antonio
P10 (Entry)$46,528
P25$47,918
Median$115,089
P75$154,430
P90 (Top)$162,697

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Fort Worth ($150,013 effective) pays 23.46% more than San Antonio ($121,510 effective).

Fort Worth
Nominal: $144,012
CoL Index: 96
Adjusted: $150,013
San Antonio
Nominal: $115,089
CoL Index: 94.716
Adjusted: $121,510

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

Which City Is Right for You?

Choose Fort Worth if…

  • Higher median salary ($144,012/year)
  • Better top-earner potential ($223,219)
  • Better purchasing power (CoL-adjusted: $150,013)
  • You prefer the Texas area and lifestyle

Choose San Antonio if…

  • Larger job market (730 employed)
  • You prefer the Texas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, optometrist salaries in Fort Worth grew -1.6% from 2024 to 2025, compared to -5.0% growth in San Antonio over the same period.

Fort Worth, TX

+-1.6%

$142,146 (2024) → $139,872 (2025)

San Antonio, TX

+-5.0%

$117,610 (2019) → $111,780 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays optometrists more: Fort Worth or San Antonio?

Fort Worth has a higher median optometrist salary at $144,012/year, compared to San Antonio at $115,089/year — a difference of $28,923 (25.13%).

What is the hourly rate difference between Fort Worth and San Antonio?

Fort Worth optometrists earn $69.24/hr while San Antonio hygienists earn $55.33/hr (2026 est.).

Should I relocate from Fort Worth to San Antonio as a optometrist?

Consider more than just salary when comparing Fort Worth and San Antonio. Factor in cost of living (CoL-adjusted: Fort Worth = $150,013, San Antonio = $121,510), job availability (219 vs 730 employed), commute, and career growth potential.

What do entry-level optometrists earn in Fort Worth vs San Antonio?

Entry-level (10th percentile) optometrists earn $83,527 in Fort Worth and $46,528 in San Antonio. The Fort Worth 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