Sonographer Pay

San Diego vs Fresno: Diagnostic Medical Sonographer Salary (2026)

Compare diagnostic medical sonographer salaries between San Diego, CA and Fresno, CA. All figures are 2026 estimates projected from BLS 2025 data.

San Diego, CA
$136,021
$65.39/hr
Fresno, CA
$113,062
$54.35/hr

Side-by-Side Comparison

MetricSan Diego, CAFresno, CA
Median Salary$136,021$113,062
Hourly Rate$65.39$54.35
Entry Level (P10)$68,509$80,964
25th Percentile$108,991$101,100
75th Percentile$154,436$142,915
Top Earner (P90)$176,345$171,970
Total Employed720390
Side-by-side bar chart comparing San Diego ($136,021) and Fresno ($113,062) diagnostic medical sonographer salaries.San DiegoFresnoMedian Salary$136,021$113,062Entry Level (P10)$68,509$80,964Top Earner (P90)$176,345$171,970US Median $101,352

Verdict

San Diego, CA offers better overall compensation for diagnostic medical sonographers, winning 4 out of 4 metrics compared to Fresno.

The salary gap between San Diego and Fresno is $22,959 (20.31%). San Diego's median is +34.21% compared to the US national median of $101,352.

Salary Range Comparison

The full salary range (10th to 90th percentile) in San Diego spans $107,836,Fresno spans $91,006. San Diego has a wider pay range, meaning more potential for high earners but also more variation.

San Diego
P10 (Entry)$68,509
P25$108,991
Median$136,021
P75$154,436
P90 (Top)$176,345
Fresno
P10 (Entry)$80,964
P25$101,100
Median$113,062
P75$142,915
P90 (Top)$171,970

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Diego ($121,570 effective) pays 9.85% more than Fresno ($110,674 effective).

San Diego
Nominal: $136,021
CoL Index: 111.887
Adjusted: $121,570
Fresno
Nominal: $113,062
CoL Index: 102.158
Adjusted: $110,674

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

Which City Is Right for You?

Choose San Diego if…

  • Higher median salary ($136,021/year)
  • Better top-earner potential ($176,345)
  • Larger job market (720 employed)
  • Better purchasing power (CoL-adjusted: $121,570)
  • You prefer the California area and lifestyle

Choose Fresno if…

  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, diagnostic medical sonographer salaries in San Diego grew 29.1% from 2019 to 2025, compared to 13.6% growth in Fresno over the same period.

San Diego, CA

+29.1%

$100,400 (2019) → $129,630 (2025)

Fresno, CA

+13.6%

$94,850 (2019) → $107,750 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays diagnostic medical sonographers more: San Diego or Fresno?

San Diego has a higher median diagnostic medical sonographer salary at $136,021/year, compared to Fresno at $113,062/year — a difference of $22,959 (20.31%).

What is the hourly rate difference between San Diego and Fresno?

San Diego diagnostic medical sonographers earn $65.39/hr while Fresno hygienists earn $54.35/hr (2026 est.).

Should I relocate from San Diego to Fresno as a diagnostic medical sonographer?

Consider more than just salary when comparing San Diego and Fresno. Factor in cost of living (CoL-adjusted: San Diego = $121,570, Fresno = $110,674), job availability (720 vs 390 employed), commute, and career growth potential.

What do entry-level diagnostic medical sonographers earn in San Diego vs Fresno?

Entry-level (10th percentile) diagnostic medical sonographers earn $68,509 in San Diego and $80,964 in Fresno. The Fresno 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