Sonographer Pay

San Francisco vs San Jose: Diagnostic Medical Sonographer Salary (2026)

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

San Francisco, CA
$168,171
$80.85/hr
San Jose, CA
$181,686
$87.35/hr

Side-by-Side Comparison

MetricSan Francisco, CASan Jose, CA
Median Salary$168,171$181,686
Hourly Rate$80.85$87.35
Entry Level (P10)$99,264$105,066
25th Percentile$129,463$154,247
75th Percentile$190,123$199,829
Top Earner (P90)$214,204$223,511
Total Employed1,300500
Side-by-side bar chart comparing San Francisco ($168,171) and San Jose ($181,686) diagnostic medical sonographer salaries.San FranciscoSan JoseMedian Salary$168,171$181,686Entry Level (P10)$99,264$105,066Top Earner (P90)$214,204$223,511US Median $101,352

Verdict

San Jose, CA offers better overall compensation for diagnostic medical sonographers, winning 3 out of 4 metrics compared to San Francisco.

The salary gap between San Francisco and San Jose is $13,515 (8.04%). San Jose's median is +79.26% compared to the US national median of $101,352.

Salary Range Comparison

The full salary range (10th to 90th percentile) in San Francisco spans $114,940,San Jose spans $118,445. San Jose has a wider pay range, suggesting more variation in pay between entry-level and experienced diagnostic medical sonographers.

San Francisco
P10 (Entry)$99,264
P25$129,463
Median$168,171
P75$190,123
P90 (Top)$214,204
San Jose
P10 (Entry)$105,066
P25$154,247
Median$181,686
P75$199,829
P90 (Top)$223,511

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Jose ($164,536 effective) pays 13.11% more than San Francisco ($145,460 effective).

San Francisco
Nominal: $168,171
CoL Index: 115.613
Adjusted: $145,460
San Jose
Nominal: $181,686
CoL Index: 110.423
Adjusted: $164,536

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

Which City Is Right for You?

Choose San Francisco if…

  • Larger job market (1,300 employed)
  • You prefer the California area and lifestyle

Choose San Jose if…

  • Higher median salary ($181,686/year)
  • Better top-earner potential ($223,511)
  • Better purchasing power (CoL-adjusted: $164,536)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, diagnostic medical sonographer salaries in San Francisco grew 39.6% from 2019 to 2025, compared to 72.4% growth in San Jose over the same period.

San Francisco, CA

+39.6%

$114,790 (2019) → $160,270 (2025)

San Jose, CA

+72.4%

$100,410 (2019) → $173,150 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays diagnostic medical sonographers more: San Francisco or San Jose?

San Jose has a higher median diagnostic medical sonographer salary at $181,686/year, compared to San Francisco at $168,171/year — a difference of $13,515 (8.04%).

What is the hourly rate difference between San Francisco and San Jose?

San Francisco diagnostic medical sonographers earn $80.85/hr while San Jose hygienists earn $87.35/hr (2026 est.).

Should I relocate from San Francisco to San Jose as a diagnostic medical sonographer?

Consider more than just salary when comparing San Francisco and San Jose. Factor in cost of living (CoL-adjusted: San Francisco = $145,460, San Jose = $164,536), job availability (1,300 vs 500 employed), commute, and career growth potential.

What do entry-level diagnostic medical sonographers earn in San Francisco vs San Jose?

Entry-level (10th percentile) diagnostic medical sonographers earn $99,264 in San Francisco and $105,066 in San Jose. The San Jose 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