Optometrist Salary

San Antonio vs Fort Worth: Optometrist Salary (2026)

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

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

Side-by-Side Comparison

MetricSan Antonio, TXFort Worth, TX
Median Salary$115,089$144,012
Hourly Rate$55.33$69.24
Entry Level (P10)$46,528$83,527
25th Percentile$47,918$115,030
75th Percentile$154,430$180,281
Top Earner (P90)$162,697$223,219
Total Employed730219
Side-by-side bar chart comparing San Antonio ($115,089) and Fort Worth ($144,012) optometrist salaries.San AntonioFort WorthMedian Salary$115,089$144,012Entry Level (P10)$46,528$83,527Top Earner (P90)$162,697$223,219US 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 San Antonio and Fort Worth 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 San Antonio spans $116,169,Fort Worth spans $139,692. Fort Worth has a wider pay range, suggesting more variation in pay between entry-level and experienced optometrists.

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

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).

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

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

Which City Is Right for You?

Choose San Antonio if…

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

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

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, optometrist salaries in San Antonio grew -5.0% from 2019 to 2025, compared to -1.6% growth in Fort Worth over the same period.

San Antonio, TX

+-5.0%

$117,610 (2019) → $111,780 (2025)

Fort Worth, TX

+-1.6%

$142,146 (2024) → $139,872 (2025)

View Full Salary Data

Frequently Asked Questions

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

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 San Antonio and Fort Worth?

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

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

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

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

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