San Francisco vs Sacramento: Speech-Language Pathologist Salary (2026)
Compare speech-language pathologist salaries between San Francisco, CA and Sacramento, CA. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | San Francisco, CA | Sacramento, CA |
|---|---|---|
| Median Salary | $136,071▲ | $131,402 |
| Hourly Rate | $65.42▲ | $63.17 |
| Entry Level (P10) | $101,889▲ | $88,423 |
| 25th Percentile | $117,166▲ | $106,704 |
| 75th Percentile | $149,454▲ | $142,778 |
| Top Earner (P90) | $170,138▲ | $154,217 |
| Total Employed | 1,760▲ | 1,030 |
Verdict
San Francisco, CA offers better overall compensation for speech-language pathologists, winning 4 out of 4 metrics compared to Sacramento.
The salary gap between San Francisco and Sacramento is $4,669 (3.55%). San Francisco's median is +33.70% compared to the US national median of $101,775.
Salary Range Comparison
The full salary range (10th to 90th percentile) in San Francisco spans $68,249,Sacramento spans $65,794. San Francisco has a wider pay range, meaning more potential for high earners but also more variation.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Sacramento ($123,186 effective) pays 4.66% more than San Francisco ($117,695 effective).
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 ($136,071/year)
- ✓Better top-earner potential ($170,138)
- ✓Larger job market (1,760 employed)
- ✓You prefer the California area and lifestyle
Choose Sacramento if…
- ✓Better purchasing power (CoL-adjusted: $123,186)
- ✓You prefer the California area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, speech-language pathologist salaries in San Francisco grew 34.5% from 2019 to 2025, compared to 30.8% growth in Sacramento over the same period.
San Francisco, CA
$97,270 (2019) → $130,850 (2025)
Sacramento, CA
$96,640 (2019) → $126,360 (2025)
View Full Salary Data
San Francisco, CA
Sacramento, CA
Frequently Asked Questions
Which city pays speech-language pathologists more: San Francisco or Sacramento?
What is the hourly rate difference between San Francisco and Sacramento?
Should I relocate from San Francisco to Sacramento as a speech-language pathologist?
What do entry-level speech-language pathologists earn in San Francisco vs Sacramento?
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