Optometrist Salary

Sacramento vs Modesto: Optometrist Salary (2026)

Compare optometrist salaries between Sacramento, CA and Modesto, CA. All figures are 2026 estimates projected from BLS 2025 data.

Sacramento, CA
$143,135
$68.82/hr
Modesto, CA
$141,549
$68.05/hr

Side-by-Side Comparison

MetricSacramento, CAModesto, CA
Median Salary$143,135$141,549
Hourly Rate$68.82$68.05
Entry Level (P10)$108,993$108,736
25th Percentile$124,283$122,883
75th Percentile$190,805$194,172
Top Earner (P90)$225,554$214,332
Total Employed51090
Side-by-side bar chart comparing Sacramento ($143,135) and Modesto ($141,549) optometrist salaries.SacramentoModestoMedian Salary$143,135$141,549Entry Level (P10)$108,993$108,736Top Earner (P90)$225,554$214,332US Median $140,612

Verdict

Sacramento, CA offers better overall compensation for optometrists, winning 4 out of 4 metrics compared to Modesto.

The salary gap between Sacramento and Modesto is $1,586 (1.12%). Sacramento's median is +1.79% compared to the US national median of $140,612.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Sacramento spans $116,561,Modesto spans $105,596. Sacramento has a wider pay range, meaning more potential for high earners but also more variation.

Sacramento
P10 (Entry)$108,993
P25$124,283
Median$143,135
P75$190,805
P90 (Top)$225,554
Modesto
P10 (Entry)$108,736
P25$122,883
Median$141,549
P75$194,172
P90 (Top)$214,332

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Modesto ($135,964 effective) pays 1.33% more than Sacramento ($134,185 effective).

Sacramento
Nominal: $143,135
CoL Index: 106.67
Adjusted: $134,185
Modesto
Nominal: $141,549
CoL Index: 104.108
Adjusted: $135,964

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

Which City Is Right for You?

Choose Sacramento if…

  • Higher median salary ($143,135/year)
  • Better top-earner potential ($225,554)
  • Larger job market (510 employed)
  • You prefer the California area and lifestyle

Choose Modesto if…

  • Better purchasing power (CoL-adjusted: $135,964)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, optometrist salaries in Sacramento grew 15.6% from 2019 to 2025, compared to 10.5% growth in Modesto over the same period.

Sacramento, CA

+15.6%

$120,210 (2019) → $139,020 (2025)

Modesto, CA

+10.5%

$124,370 (2019) → $137,480 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays optometrists more: Sacramento or Modesto?

Sacramento has a higher median optometrist salary at $143,135/year, compared to Modesto at $141,549/year — a difference of $1,586 (1.12%).

What is the hourly rate difference between Sacramento and Modesto?

Sacramento optometrists earn $68.82/hr while Modesto hygienists earn $68.05/hr (2026 est.).

Should I relocate from Sacramento to Modesto as a optometrist?

Consider more than just salary when comparing Sacramento and Modesto. Factor in cost of living (CoL-adjusted: Sacramento = $134,185, Modesto = $135,964), job availability (510 vs 90 employed), commute, and career growth potential.

What do entry-level optometrists earn in Sacramento vs Modesto?

Entry-level (10th percentile) optometrists earn $108,993 in Sacramento and $108,736 in Modesto. The Sacramento 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