San Francisco vs Fresno: Optometrist Salary (2026)
Compare optometrist salaries between San Francisco, CA and Fresno, CA. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | San Francisco, CA | Fresno, CA |
|---|---|---|
| Median Salary | $146,800▲ | $140,777 |
| Hourly Rate | $70.58▲ | $67.69 |
| Entry Level (P10) | $110,970▲ | $103,742 |
| 25th Percentile | $132,715▲ | $112,968 |
| 75th Percentile | $178,388 | $183,166▲ |
| Top Earner (P90) | $227,902▲ | $218,811 |
| Total Employed | 1,180▲ | 100 |
Verdict
San Francisco, CA offers better overall compensation for optometrists, winning 4 out of 4 metrics compared to Fresno.
The salary gap between San Francisco and Fresno is $6,023 (4.28%). 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 Francisco spans $116,932,Fresno spans $115,069. San Francisco has a wider pay range, meaning more potential for high earners but also more variation.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Fresno ($137,803 effective) pays 8.53% more than San Francisco ($126,975 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose San Francisco if…
- ✓Higher median salary ($146,800/year)
- ✓Better top-earner potential ($227,902)
- ✓Larger job market (1,180 employed)
- ✓You prefer the California area and lifestyle
Choose Fresno if…
- ✓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 San Francisco grew 16.6% from 2019 to 2025, compared to 19.0% growth in Fresno over the same period.
San Francisco, CA
$122,310 (2019) → $142,580 (2025)
Fresno, CA
$114,930 (2019) → $136,730 (2025)
View Full Salary Data
San Francisco, CA
Fresno, CA
Frequently Asked Questions
Which city pays optometrists more: San Francisco or Fresno?
What is the hourly rate difference between San Francisco and Fresno?
Should I relocate from San Francisco to Fresno as a optometrist?
What do entry-level optometrists earn in San Francisco vs Fresno?
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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.
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