Sacramento vs Fresno: Speech-Language Pathologist Salary (2026)
Compare speech-language pathologist salaries between Sacramento, CA and Fresno, CA. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Sacramento, CA | Fresno, CA |
|---|---|---|
| Median Salary | $131,402▲ | $115,387 |
| Hourly Rate | $63.17▲ | $55.48 |
| Entry Level (P10) | $88,423 | $92,489▲ |
| 25th Percentile | $106,704 | $108,170▲ |
| 75th Percentile | $142,778▲ | $138,431 |
| Top Earner (P90) | $154,217 | $193,806▲ |
| Total Employed | 1,030▲ | 820 |
Verdict
Sacramento, CA offers better overall compensation for speech-language pathologists, winning 3 out of 4 metrics compared to Fresno.
The salary gap between Sacramento and Fresno is $16,015 (13.88%). Sacramento's median is +29.11% compared to the US national median of $101,775.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Sacramento spans $65,794,Fresno spans $101,317. Fresno has a wider pay range, suggesting more variation in pay between entry-level and experienced speech-language pathologists.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Sacramento ($123,186 effective) pays 9.06% more than Fresno ($112,950 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Sacramento if…
- ✓Higher median salary ($131,402/year)
- ✓Larger job market (1,030 employed)
- ✓Better purchasing power (CoL-adjusted: $123,186)
- ✓You prefer the California area and lifestyle
Choose Fresno if…
- ✓Better top-earner potential ($193,806)
- ✓You prefer the California area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, speech-language pathologist salaries in Sacramento grew 30.8% from 2019 to 2025, compared to 5.3% growth in Fresno over the same period.
Sacramento, CA
$96,640 (2019) → $126,360 (2025)
Fresno, CA
$105,340 (2019) → $110,960 (2025)
View Full Salary Data
Sacramento, CA
Fresno, CA
Frequently Asked Questions
Which city pays speech-language pathologists more: Sacramento or Fresno?
What is the hourly rate difference between Sacramento and Fresno?
Should I relocate from Sacramento to Fresno as a speech-language pathologist?
What do entry-level speech-language pathologists earn in Sacramento vs Fresno?
Related Comparisons
Written by Jordan Lee, CCC-SLP
Career Analyst
Jordan has over 8 years of experience in speech-language pathology. He specializes in pediatric language disorders. He works in a community health clinic.
Methodology & Data Source
All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.99% 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 Jordan Lee, CCC-SLP, a licensed speech-language pathologist with 10+ years of clinical experience. · View source data at BLS.gov