Optometrist Salary

San Diego vs San Francisco: Optometrist Salary (2026)

Compare optometrist salaries between San Diego, CA and San Francisco, CA. All figures are 2026 estimates projected from BLS 2025 data.

San Diego, CA
$137,225
$65.98/hr
San Francisco, CA
$146,800
$70.58/hr

Side-by-Side Comparison

MetricSan Diego, CASan Francisco, CA
Median Salary$137,225$146,800
Hourly Rate$65.98$70.58
Entry Level (P10)$105,277$110,970
25th Percentile$125,930$132,715
75th Percentile$164,798$178,388
Top Earner (P90)$214,342$227,902
Total Employed5401,180
Side-by-side bar chart comparing San Diego ($137,225) and San Francisco ($146,800) optometrist salaries.San DiegoSan FranciscoMedian Salary$137,225$146,800Entry Level (P10)$105,277$110,970Top Earner (P90)$214,342$227,902US Median $140,612

Verdict

San Francisco, CA offers better overall compensation for optometrists, winning 4 out of 4 metrics compared to San Diego.

The salary gap between San Diego and San Francisco is $9,575 (6.98%). San Francisco's median is +4.40% compared to the US national median of $140,612.

Salary Range Comparison

The full salary range (10th to 90th percentile) in San Diego spans $109,065,San Francisco spans $116,932. San Francisco has a wider pay range, suggesting more variation in pay between entry-level and experienced optometrists.

San Diego
P10 (Entry)$105,277
P25$125,930
Median$137,225
P75$164,798
P90 (Top)$214,342
San Francisco
P10 (Entry)$110,970
P25$132,715
Median$146,800
P75$178,388
P90 (Top)$227,902

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Francisco ($126,975 effective) pays 3.53% more than San Diego ($122,646 effective).

San Diego
Nominal: $137,225
CoL Index: 111.887
Adjusted: $122,646
San Francisco
Nominal: $146,800
CoL Index: 115.613
Adjusted: $126,975

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

Which City Is Right for You?

Choose San Diego if…

  • You prefer the California area and lifestyle

Choose San Francisco if…

  • Higher median salary ($146,800/year)
  • Better top-earner potential ($227,902)
  • Larger job market (1,180 employed)
  • Better purchasing power (CoL-adjusted: $126,975)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, optometrist salaries in San Diego grew -26.4% from 2019 to 2025, compared to 16.6% growth in San Francisco over the same period.

San Diego, CA

+-26.4%

$181,050 (2019) → $133,280 (2025)

San Francisco, CA

+16.6%

$122,310 (2019) → $142,580 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays optometrists more: San Diego or San Francisco?

San Francisco has a higher median optometrist salary at $146,800/year, compared to San Diego at $137,225/year — a difference of $9,575 (6.98%).

What is the hourly rate difference between San Diego and San Francisco?

San Diego optometrists earn $65.98/hr while San Francisco hygienists earn $70.58/hr (2026 est.).

Should I relocate from San Diego to San Francisco as a optometrist?

Consider more than just salary when comparing San Diego and San Francisco. Factor in cost of living (CoL-adjusted: San Diego = $122,646, San Francisco = $126,975), job availability (540 vs 1,180 employed), commute, and career growth potential.

What do entry-level optometrists earn in San Diego vs San Francisco?

Entry-level (10th percentile) optometrists earn $105,277 in San Diego and $110,970 in San Francisco. The San Francisco 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