Sonographer Pay

Roanoke vs Winchester: Diagnostic Medical Sonographer Salary (2026)

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

Roanoke, VA
$87,239
$41.94/hr
Winchester, VA
$87,585
$42.11/hr

Side-by-Side Comparison

MetricRoanoke, VAWinchester, VA
Median Salary$87,239$87,585
Hourly Rate$41.94$42.11
Entry Level (P10)$79,138$76,148
25th Percentile$85,340$85,329
75th Percentile$104,636$101,436
Top Earner (P90)$104,636$106,640
Total Employed11040
Side-by-side bar chart comparing Roanoke ($87,239) and Winchester ($87,585) diagnostic medical sonographer salaries.RoanokeWinchesterMedian Salary$87,239$87,585Entry Level (P10)$79,138$76,148Top Earner (P90)$104,636$106,640US Median $101,352

Verdict

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

The salary gap between Roanoke and Winchester is $346 (0.40%). Winchester's median is -13.58% 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,Winchester spans $30,492. Winchester 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
Winchester
P10 (Entry)$76,148
P25$85,329
Median$87,585
P75$101,436
P90 (Top)$106,640

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Roanoke ($93,186 effective) pays 2.62% more than Winchester ($90,809 effective).

Roanoke
Nominal: $87,239
CoL Index: 93.618
Adjusted: $93,186
Winchester
Nominal: $87,585
CoL Index: 96.45
Adjusted: $90,809

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 Winchester if…

  • Higher median salary ($87,585/year)
  • Better top-earner potential ($106,640)
  • 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 8.7% growth in Winchester over the same period.

Roanoke, VA

+17.2%

$70,910 (2019) → $83,140 (2025)

Winchester, VA

+8.7%

$76,780 (2019) → $83,470 (2025)

View Full Salary Data

Frequently Asked Questions

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

Winchester has a higher median diagnostic medical sonographer salary at $87,585/year, compared to Roanoke at $87,239/year — a difference of $346 (0.40%).

What is the hourly rate difference between Roanoke and Winchester?

Roanoke diagnostic medical sonographers earn $41.94/hr while Winchester hygienists earn $42.11/hr (2026 est.).

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

Consider more than just salary when comparing Roanoke and Winchester. Factor in cost of living (CoL-adjusted: Roanoke = $93,186, Winchester = $90,809), job availability (110 vs 40 employed), commute, and career growth potential.

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

Entry-level (10th percentile) diagnostic medical sonographers earn $79,138 in Roanoke and $76,148 in Winchester. 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