Sonographer Pay

Roanoke vs Sterling: Diagnostic Medical Sonographer Salary (2026)

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

Roanoke, VA
$87,239
$41.94/hr
Sterling, VA
$88,260
$42.43/hr

Side-by-Side Comparison

MetricRoanoke, VASterling, VA
Median Salary$87,239$88,260
Hourly Rate$41.94$42.43
Entry Level (P10)$79,138$65,909
25th Percentile$85,340$73,756
75th Percentile$104,636$96,878
Top Earner (P90)$104,636$115,098
Total Employed1107
Side-by-side bar chart comparing Roanoke ($87,239) and Sterling ($88,260) diagnostic medical sonographer salaries.RoanokeSterlingMedian Salary$87,239$88,260Entry Level (P10)$79,138$65,909Top Earner (P90)$104,636$115,098US Median $101,352

Verdict

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

The salary gap between Roanoke and Sterling is $1,021 (1.17%). Sterling's median is -12.92% compared to the US national median of $101,352.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Roanoke spans $25,498,Sterling spans $49,189. Sterling has a wider pay range, suggesting more variation in pay between entry-level and experienced diagnostic medical sonographers.

Roanoke
P10 (Entry)$79,138
P25$85,340
Median$87,239
P75$104,636
P90 (Top)$104,636
Sterling
P10 (Entry)$65,909
P25$73,756
Median$88,260
P75$96,878
P90 (Top)$115,098

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Roanoke ($93,186 effective) pays 8.96% more than Sterling ($85,523 effective).

Roanoke
Nominal: $87,239
CoL Index: 93.618
Adjusted: $93,186
Sterling
Nominal: $88,260
CoL Index: 103.2
Adjusted: $85,523

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

Which City Is Right for You?

Choose Roanoke if…

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

Choose Sterling if…

  • Higher median salary ($88,260/year)
  • Better top-earner potential ($115,098)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, diagnostic medical sonographer salaries in Roanoke grew 17.2% from 2019 to 2025, compared to 3.6% growth in Sterling over the same period.

Roanoke, VA

+17.2%

$70,910 (2019) → $83,140 (2025)

Sterling, VA

+3.6%

$81,195 (2024) → $84,113 (2025)

View Full Salary Data

Frequently Asked Questions

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

Sterling has a higher median diagnostic medical sonographer salary at $88,260/year, compared to Roanoke at $87,239/year — a difference of $1,021 (1.17%).

What is the hourly rate difference between Roanoke and Sterling?

Roanoke diagnostic medical sonographers earn $41.94/hr while Sterling hygienists earn $42.43/hr (2026 est.).

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

Consider more than just salary when comparing Roanoke and Sterling. Factor in cost of living (CoL-adjusted: Roanoke = $93,186, Sterling = $85,523), job availability (110 vs 7 employed), commute, and career growth potential.

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

Entry-level (10th percentile) diagnostic medical sonographers earn $79,138 in Roanoke and $65,909 in Sterling. 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