Optometrist Salary

Fresno vs Los Angeles: Optometrist Salary (2026)

Compare optometrist salaries between Fresno, CA and Los Angeles, CA. All figures are 2026 estimates projected from BLS 2025 data.

Fresno, CA
$140,777
$67.69/hr
Los Angeles, CA
$143,053
$68.78/hr

Side-by-Side Comparison

MetricFresno, CALos Angeles, CA
Median Salary$140,777$143,053
Hourly Rate$67.69$68.78
Entry Level (P10)$103,742$75,717
25th Percentile$112,968$131,325
75th Percentile$183,166$166,188
Top Earner (P90)$218,811$215,732
Total Employed1002,360
Side-by-side bar chart comparing Fresno ($140,777) and Los Angeles ($143,053) optometrist salaries.FresnoLos AngelesMedian Salary$140,777$143,053Entry Level (P10)$103,742$75,717Top Earner (P90)$218,811$215,732US Median $140,612

Verdict

Los Angeles, CA offers better overall compensation for optometrists, winning 3 out of 4 metrics compared to Fresno.

The salary gap between Fresno and Los Angeles is $2,276 (1.62%). Los Angeles's median is +1.74% compared to the US national median of $140,612.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Fresno spans $115,069,Los Angeles spans $140,015. Los Angeles has a wider pay range, suggesting more variation in pay between entry-level and experienced optometrists.

Fresno
P10 (Entry)$103,742
P25$112,968
Median$140,777
P75$183,166
P90 (Top)$218,811
Los Angeles
P10 (Entry)$75,717
P25$131,325
Median$143,053
P75$166,188
P90 (Top)$215,732

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Fresno ($137,803 effective) pays 9.40% more than Los Angeles ($125,965 effective).

Fresno
Nominal: $140,777
CoL Index: 102.158
Adjusted: $137,803
Los Angeles
Nominal: $143,053
CoL Index: 113.566
Adjusted: $125,965

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

Which City Is Right for You?

Choose Fresno if…

  • Better top-earner potential ($218,811)
  • Better purchasing power (CoL-adjusted: $137,803)
  • You prefer the California area and lifestyle

Choose Los Angeles if…

  • Higher median salary ($143,053/year)
  • Larger job market (2,360 employed)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, optometrist salaries in Fresno grew 19.0% from 2019 to 2025, compared to 14.5% growth in Los Angeles over the same period.

Fresno, CA

+19.0%

$114,930 (2019) → $136,730 (2025)

Los Angeles, CA

+14.5%

$121,370 (2019) → $138,940 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays optometrists more: Fresno or Los Angeles?

Los Angeles has a higher median optometrist salary at $143,053/year, compared to Fresno at $140,777/year — a difference of $2,276 (1.62%).

What is the hourly rate difference between Fresno and Los Angeles?

Fresno optometrists earn $67.69/hr while Los Angeles hygienists earn $68.78/hr (2026 est.).

Should I relocate from Fresno to Los Angeles as a optometrist?

Consider more than just salary when comparing Fresno and Los Angeles. Factor in cost of living (CoL-adjusted: Fresno = $137,803, Los Angeles = $125,965), job availability (100 vs 2,360 employed), commute, and career growth potential.

What do entry-level optometrists earn in Fresno vs Los Angeles?

Entry-level (10th percentile) optometrists earn $103,742 in Fresno and $75,717 in Los Angeles. The Fresno 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