Optometrist Hourly Pay in San Mateo, CA: $67.70 (2026)
Quick Answer:Hourly pay for a optometrist working in San Mateo, CA runs $67.70 at the median for 2026 — annualizing to $140,813 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1041). Weighted against San Mateo's regional price level (BEA RPP 113.1, 13% above national), each hour of work buys what $59.86 nationally would. A 24-hour part-time schedule grosses $84,485 per year.
Based on BLS state-level estimates · View source

In San Mateo, California, the optometrist hourly pay is projected to be $67.70 in 2026, slightly above the national median of $67.60. This hourly rate reflects a competitive landscape for optometrists, particularly beneficial for those considering part-time roles or per-diem positions. For professionals working three days a week, potential earnings can add up significantly, especially in various practice settings such as private optometry exam rooms, retail optical chains, and VA outpatient clinics. The hourly range for optometrists in the area extends from $39.27 for entry-level positions to $103.98 for top earners, suggesting that the journey of an optometrist can be financially rewarding depending on experience, specialization, and employer type. These estimates stem from annual salary data, providing a clear picture of what to expect in terms of hourly compensation.
About the San Mateo Market
Salary estimated from California average ($160,000) adjusted for local cost of living.
Optometrist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $39.27 | $314.15 |
| Lower Range (P25) | $55.43 | $443.47 |
| Median (P50) | $67.70 | $541.57 |
| Upper Range (P75) | $81.55 | $652.44 |
| Top Earners (P90) | $103.98 | $831.83 |
Estimated Annual Income by Work Schedule in San Mateo
Based on $67.70/hr median hourly rate · 2026 est.
At $67.70/hr, a optometrist working full-time (40 hr/wk) in San Mateo, CA can expect to earn approximately $140,808 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $81,235. With a cost-of-living index of 113.10 (above the national average), these earnings may be offset by higher expenses in San Mateo.
Hourly Rate Calculator
Schedule Comparison in San Mateo
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $2,707.85 | $11,734 | $140,808 |
| Part-Time (24 hrs) | $1,624.71 | $7,040 | $84,485 |
| Per Diem (16 hrs) | $1,083.14 | $4,694 | $56,323 |
Compare OD Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Optometrist (San Mateo) | $67.70 |
| Dentist, General (National Avg) | $79.54 |
| Pharmacist (National Avg) | $66.51 |
| Opticians, Dispensing (National Avg) | $21.11 |
| Physician Assistant (National Avg) | $64.13 |
Optometrists in San Mateo, CA earn a median of $140,813 per year (2026 est.), which is 0.14% higher than the national median of $140,612 and 1.10% above the California state average of $139,281.
Optometrist Hourly Pay vs. Cost of Living
Working 24h/week at $67.70/hr = $84,485/year (purchasing power: $74,699).
Working 40h/week (full-time) = $140,808/year (purchasing power: $124,499).
CoL index: 113.1 (100 = national average).
2019 BLS Actual
$55.49/hr
2025 BLS Actual
$65.75/hr
2026 Current Est.
$67.70/hr
2019–2027 Growth
+25.6%
Hourly Rate Trajectory for Optometrists in San Mateo (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.96% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $55.49/hr | Actual |
| 2020 | $56.83/hr | Actual |
| 2021 | $59.84/hr | Actual |
| 2022 | $60.46/hr | Actual |
| 2023 | $63.48/hr | Actual |
| 2024 | $87.92/hr | Actual |
| 2025 | $65.75/hr | Actual |
| 2026(current) | $67.70/hr | Estimated |
| 2027 | $69.70/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for optometrists in San Mateo grew 18.5% from $55.49/hr (2019) to $65.75/hr (2025). At a 2.96% projected growth rate, hourly pay is expected to reach $69.70/hr by 2027. Part-time and per-diem optometrists can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the San Mateo metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 2.96% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Working as an Hourly Optometrist in San Mateo
For those contemplating part-time work or per-diem opportunities, a 24-hour work week could yield earnings substantially lower than full-time rates. For instance, a part-time optometrist working three days a week could expect an annual income significantly less than their full-time counterparts, who enjoy steadier paychecks and benefits. Per-diem optometrists, commonly engaging with retail optical chains, can bill anywhere from $500 to $800 a day, while those filling in at OD/MD practices might see daily rates between $700 and $1,200. The earnings can be influenced by the practice environment, with private practices and hospital settings often offering varying pay rates due to differences in schedule flexibility and benefits packages. Furthermore, practitioners sometimes accept lower hourly rates for the security of health insurance in a full-time role versus the higher hourly but benefits-free environment of locum tenens work. When negotiating pay, optometrists in San Mateo should consider their experience level, specializations, and the employer’s unique compensation structure to maximize their earning potential.
More salary data for San Mateo, CA:
Frequently Asked Questions
What is the hourly rate for optometrists in San Mateo in 2026?
How much do part-time optometrists make in San Mateo?
Are optometrists in San Mateo paid hourly or salary?
How much does a full-time optometrist make per year in San Mateo?
Do optometrists earn more per hour working part-time in San Mateo?
Related Pages
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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
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 2.96% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for optometrists in San Mateo. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for San Mateo is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 2.96%, derived from historical BLS wage trends for optometrists (SOC 29-1041).
Compiled and verified by Aisha Patel, OD, a licensed optometrist with 10+ years of clinical experience. · View source data at BLS.gov