Optometrist Hourly Pay in Council Bluffs, IA: $59.02 (2026)
Quick Answer:Hourly pay for a optometrist working in Council Bluffs, IA runs $59.02 at the median for 2026 — annualizing to $122,756 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1041). Weighted against Council Bluffs's regional price level (BEA RPP 90.4, 10% below national), each hour of work buys what $65.28 nationally would. A 24-hour part-time schedule grosses $73,653 per year.
Based on BLS state-level estimates · View source

In Council Bluffs, the optometrist hourly pay is projected to be $59.02 in 2026, significantly lower than the national hourly median of $67.60. This discrepancy may influence part-time and per-diem work opportunities, particularly at private exam rooms, retail optical chains, and government clinics where variability in hours is common. Those working part-time for three days a week — equating to about 24 hours — will earn considerably less annually compared to full-time optometrists, yet still enjoy a good hourly wage. The hourly range for optometrists in this area extends from $34.23 for entry-level positions up to $86.05 for top earners, providing various pathways for practitioners depending on their experience and the settings in which they choose to work.
About the Council Bluffs Market
Salary estimated from Iowa average ($128,000) adjusted for local cost of living.
Optometrist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $34.23 | $273.87 |
| Lower Range (P25) | $47.03 | $376.26 |
| Median (P50) | $59.02 | $472.13 |
| Upper Range (P75) | $72.11 | $576.91 |
| Top Earners (P90) | $86.05 | $688.43 |
Estimated Annual Income by Work Schedule in Council Bluffs
Based on $59.02/hr median hourly rate · 2026 est.
At $59.02/hr, a optometrist working full-time (40 hr/wk) in Council Bluffs, IA can expect to earn approximately $122,755 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $70,820. With a cost-of-living index of 90.40 (below the national average), these earnings stretch further in Council Bluffs.
Hourly Rate Calculator
Schedule Comparison in Council Bluffs
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $2,360.67 | $10,230 | $122,755 |
| Part-Time (24 hrs) | $1,416.40 | $6,138 | $73,653 |
| Per Diem (16 hrs) | $944.27 | $4,092 | $49,102 |
Compare OD Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Optometrist (Council Bluffs) | $59.02 |
| 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 Council Bluffs, IA earn a median of $122,756 per year (2026 est.), which is 12.70% lower than the national median of $140,612 and 3.40% below the Iowa state average of $127,077.
Optometrist Hourly Pay vs. Cost of Living
Working 24h/week at $59.02/hr = $73,653/year (purchasing power: $81,474).
Working 40h/week (full-time) = $122,755/year (purchasing power: $135,791).
CoL index: 90.4 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$48.37/hr
2025 BLS Actual
$57.32/hr
2026 Current Est.
$59.02/hr
2019–2027 Growth
+25.6%
Hourly Rate Trajectory for Optometrists in Council Bluffs (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.96% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $48.37/hr | Actual |
| 2020 | $49.55/hr | Actual |
| 2021 | $52.17/hr | Actual |
| 2022 | $52.71/hr | Actual |
| 2023 | $55.34/hr | Actual |
| 2024 | $53.72/hr | Actual |
| 2025 | $57.32/hr | Actual |
| 2026(current) | $59.02/hr | Estimated |
| 2027 | $60.76/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for optometrists in Council Bluffs grew 18.5% from $48.37/hr (2019) to $57.32/hr (2025). At a 2.96% projected growth rate, hourly pay is expected to reach $60.76/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 Council Bluffs 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 Council Bluffs
Part-time optometrists in Council Bluffs can expect to bring home around $45,000 annually by working approximately 24 hours a week at the median hourly rate. In contrast, per-diem or agency locum tenens optometrists have the potential for higher earnings, billing between $500 to $1,200 per day depending on the setting, with those specializing in ocular disease often fetching rates of $90-$130 per hour. Hourly rates vary across employer types; private practices might offer lower rates but can provide benefits, while larger retail chains and ophthalmology groups could pay more but may not include health insurance. Negotiating for higher pay could involve emphasizing specialized training, such as residency consideration or expanded scope-of-practice credentials, which can enhance desirability in a competitive landscape defined by shifting employment dynamics driven by acquisitions and evolving healthcare models in IA.
More salary data for Council Bluffs, IA:
Frequently Asked Questions
What is the hourly rate for optometrists in Council Bluffs in 2026?
How much do part-time optometrists make in Council Bluffs?
Are optometrists in Council Bluffs paid hourly or salary?
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Career Resources
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 Council Bluffs. 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 Council Bluffs 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