Sonographer Pay

Portsmouth vs Roanoke: Diagnostic Medical Sonographer Salary (2026)

Compare diagnostic medical sonographer salaries between Portsmouth, VA and Roanoke, VA. All figures are 2026 estimates projected from BLS 2025 data.

Portsmouth, VA
$89,009
$42.79/hr
Roanoke, VA
$87,239
$41.94/hr

Side-by-Side Comparison

MetricPortsmouth, VARoanoke, VA
Median Salary$89,009$87,239
Hourly Rate$42.79$41.94
Entry Level (P10)$63,072$79,138
25th Percentile$73,950$85,340
75th Percentile$97,977$104,636
Top Earner (P90)$117,287$104,636
Total Employed17110
Side-by-side bar chart comparing Portsmouth ($89,009) and Roanoke ($87,239) diagnostic medical sonographer salaries.PortsmouthRoanokeMedian Salary$89,009$87,239Entry Level (P10)$63,072$79,138Top Earner (P90)$117,287$104,636US Median $101,352

Verdict

Portsmouth, VA offers better overall compensation for diagnostic medical sonographers, winning 3 out of 4 metrics compared to Roanoke.

The salary gap between Portsmouth and Roanoke is $1,770 (2.03%). Portsmouth's median is -12.18% compared to the US national median of $101,352.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Portsmouth spans $54,215,Roanoke spans $25,498. Portsmouth has a wider pay range, meaning more potential for high earners but also more variation.

Portsmouth
P10 (Entry)$63,072
P25$73,950
Median$89,009
P75$97,977
P90 (Top)$117,287
Roanoke
P10 (Entry)$79,138
P25$85,340
Median$87,239
P75$104,636
P90 (Top)$104,636

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Roanoke ($93,186 effective) pays 8.04% more than Portsmouth ($86,249 effective).

Portsmouth
Nominal: $89,009
CoL Index: 103.2
Adjusted: $86,249
Roanoke
Nominal: $87,239
CoL Index: 93.618
Adjusted: $93,186

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Portsmouth if…

  • Higher median salary ($89,009/year)
  • Better top-earner potential ($117,287)
  • You prefer the Virginia area and lifestyle

Choose Roanoke if…

  • Larger job market (110 employed)
  • Better purchasing power (CoL-adjusted: $93,186)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, diagnostic medical sonographer salaries in Portsmouth grew 3.6% from 2024 to 2025, compared to 17.2% growth in Roanoke over the same period.

Portsmouth, VA

+3.6%

$81,884 (2024) → $84,827 (2025)

Roanoke, VA

+17.2%

$70,910 (2019) → $83,140 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays diagnostic medical sonographers more: Portsmouth or Roanoke?

Portsmouth has a higher median diagnostic medical sonographer salary at $89,009/year, compared to Roanoke at $87,239/year — a difference of $1,770 (2.03%).

What is the hourly rate difference between Portsmouth and Roanoke?

Portsmouth diagnostic medical sonographers earn $42.79/hr while Roanoke hygienists earn $41.94/hr (2026 est.).

Should I relocate from Portsmouth to Roanoke as a diagnostic medical sonographer?

Consider more than just salary when comparing Portsmouth and Roanoke. Factor in cost of living (CoL-adjusted: Portsmouth = $86,249, Roanoke = $93,186), job availability (17 vs 110 employed), commute, and career growth potential.

What do entry-level diagnostic medical sonographers earn in Portsmouth vs Roanoke?

Entry-level (10th percentile) diagnostic medical sonographers earn $63,072 in Portsmouth and $79,138 in Roanoke. The Roanoke area offers higher starting salaries.

Related Comparisons

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Written by Aisha Khan, RDMS, RVT

Career Analyst

Aisha has over 10 years of experience in abdominal sonography. She works at a regional hospital. Aisha also conducts training for new sonographers.

Clinically reviewed by Liam Johnson, RDMS, RTData verified by Maria Gonzalez, ARDMS, RVT

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 4.93% 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 Khan, RDMS, RVT, a licensed diagnostic medical sonographer with 10+ years of clinical experience. · View source data at BLS.gov