Optometrist Salary

San Francisco vs San Diego: Optometrist Salary (2026)

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

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

Side-by-Side Comparison

MetricSan Francisco, CASan Diego, CA
Median Salary$146,800$137,225
Hourly Rate$70.58$65.98
Entry Level (P10)$110,970$105,277
25th Percentile$132,715$125,930
75th Percentile$178,388$164,798
Top Earner (P90)$227,902$214,342
Total Employed1,180540
Side-by-side bar chart comparing San Francisco ($146,800) and San Diego ($137,225) optometrist salaries.San FranciscoSan DiegoMedian Salary$146,800$137,225Entry Level (P10)$110,970$105,277Top Earner (P90)$227,902$214,342US 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 Francisco and San Diego 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 Francisco spans $116,932,San Diego spans $109,065. San Francisco has a wider pay range, meaning more potential for high earners but also more variation.

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

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

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)
  • Better purchasing power (CoL-adjusted: $126,975)
  • You prefer the California area and lifestyle

Choose San Diego if…

  • 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 -26.4% growth in San Diego over the same period.

San Francisco, CA

+16.6%

$122,310 (2019) → $142,580 (2025)

San Diego, CA

+-26.4%

$181,050 (2019) → $133,280 (2025)

View Full Salary Data

Frequently Asked Questions

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

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 Francisco and San Diego?

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

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

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

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

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