Optometrist Salary

San Francisco vs San Jose: Optometrist Salary (2026)

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

San Francisco, CA
$146,800
$70.58/hr
San Jose, CA
$139,336
$66.99/hr

Side-by-Side Comparison

MetricSan Francisco, CASan Jose, CA
Median Salary$146,800$139,336
Hourly Rate$70.58$66.99
Entry Level (P10)$110,970$138,347
25th Percentile$132,715$138,347
75th Percentile$178,388$174,157
Top Earner (P90)$227,902$213,869
Total Employed1,180580
Side-by-side bar chart comparing San Francisco ($146,800) and San Jose ($139,336) optometrist salaries.San FranciscoSan JoseMedian Salary$146,800$139,336Entry Level (P10)$110,970$138,347Top Earner (P90)$227,902$213,869US Median $140,612

Verdict

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

The salary gap between San Francisco and San Jose is $7,464 (5.36%). 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 Jose spans $75,522. 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 Jose
P10 (Entry)$138,347
P25$138,347
Median$139,336
P75$174,157
P90 (Top)$213,869

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Francisco ($126,975 effective) pays 0.63% more than San Jose ($126,184 effective).

San Francisco
Nominal: $146,800
CoL Index: 115.613
Adjusted: $126,975
San Jose
Nominal: $139,336
CoL Index: 110.423
Adjusted: $126,184

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 Jose 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 10.3% growth in San Jose over the same period.

San Francisco, CA

+16.6%

$122,310 (2019) → $142,580 (2025)

San Jose, CA

+10.3%

$122,740 (2019) → $135,330 (2025)

View Full Salary Data

Frequently Asked Questions

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

San Francisco has a higher median optometrist salary at $146,800/year, compared to San Jose at $139,336/year — a difference of $7,464 (5.36%).

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

San Francisco optometrists earn $70.58/hr while San Jose hygienists earn $66.99/hr (2026 est.).

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

Consider more than just salary when comparing San Francisco and San Jose. Factor in cost of living (CoL-adjusted: San Francisco = $126,975, San Jose = $126,184), job availability (1,180 vs 580 employed), commute, and career growth potential.

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

Entry-level (10th percentile) optometrists earn $110,970 in San Francisco and $138,347 in San Jose. The San Jose 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