Optometrist Salary

Los Angeles vs Fresno: Optometrist Salary (2026)

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

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

Side-by-Side Comparison

MetricLos Angeles, CAFresno, CA
Median Salary$143,053$140,777
Hourly Rate$68.78$67.69
Entry Level (P10)$75,717$103,742
25th Percentile$131,325$112,968
75th Percentile$166,188$183,166
Top Earner (P90)$215,732$218,811
Total Employed2,360100
Side-by-side bar chart comparing Los Angeles ($143,053) and Fresno ($140,777) optometrist salaries.Los AngelesFresnoMedian Salary$143,053$140,777Entry Level (P10)$75,717$103,742Top Earner (P90)$215,732$218,811US 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 Los Angeles and Fresno 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 Los Angeles spans $140,015,Fresno spans $115,069. Los Angeles has a wider pay range, meaning more potential for high earners but also more variation.

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

Cost-of-Living Adjusted Comparison

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

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

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

Which City Is Right for You?

Choose Los Angeles if…

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

Choose Fresno if…

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

Historical Salary Growth Comparison

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

Los Angeles, CA

+14.5%

$121,370 (2019) → $138,940 (2025)

Fresno, CA

+19.0%

$114,930 (2019) → $136,730 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays optometrists more: Los Angeles or Fresno?

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 Los Angeles and Fresno?

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

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

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

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

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