Diagnostic Medical Sonographer Salary in Nacogdoches, TX: $82,260 (2026)
Quick Answer:A full-time diagnostic medical sonographer in Nacogdoches, TX earns a median $82,260/year (≈ $39.55/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2032). Once you factor in Nacogdoches's price level (4% below national, BEA RPP 96.0), that paycheck buys what $85,688 would nationally. Nominal pay sits 5.1% below the Texas state average.
Based on BLS state-level estimates · View source

In 2026, the diagnostic medical sonographer salary in Nacogdoches is projected to reach $82,260, which reflects a competitive local landscape for professionals in this field, especially those operating in cardiac and vascular specialties. The salary range extends from $60,234 at the lower end (P10) to $105,358 for the top earners (P90), showing a significant variance in compensation based on factors such as specialty focus and experience. These figures, derived from 2025 BLS data and adjusted for regional cost discrepancies, suggest that while sonographers in Nacogdoches earn less than the national median salary of $101,352, the local job market is still robust and offers promising avenues for growth, particularly as the healthcare sector expands.
About the Nacogdoches Market
Salary estimated from Texas average ($82,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $60,234 | $28.96 |
| Lower Range (P25) | $67,668 | $32.53 |
| Median (P50)(typical) | $82,260 | $39.55 |
| Upper Range (P75) | $89,312 | $42.94 |
| Top Earners (P90) | $105,358 | $50.65 |
Median Salary Position
18.84% below the national average
2026 Salary Percentile Distribution in Nacogdoches
In Nacogdoches, TX, the diagnostic medical sonographer salary spread from the 10th to 90th percentile is $45,124 (2026 est.). At $82,260, the local median is 18.84% below the national median of $101,352.
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At 40 hours/week in Nacogdoches: You'd be in the lower-middle range
How Nacogdoches Diagnostic Medical Sonographer Pay Compares
Nacogdoches median: $82,260/year (2026)
| Compared To | Median Salary | Nacogdoches Pays |
|---|---|---|
| Texas Average | $86,681 | -5.10% less |
| National Average | $101,352 | -18.84% less |
Diagnostic Medical Sonographers in Nacogdoches, TX earn a median of $82,260 per year (2026 est.), which is 18.84% lower than the national median of $101,352 and 5.10% below the Texas state average of $86,681.
Cost-of-Living Adjusted Salary
Nacogdoches has a cost of living 4.00% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Nacogdoches, TX has a cost-of-living index of 96 (below the national average of 100). A diagnostic medical sonographer earning $82,260 nominally has purchasing power equivalent to $85,688 in an average-cost city — an effective 4.17% boost.
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2019 BLS Actual
$60,320
2025 BLS Actual
$78,395
2026 Current Est.
$82,260
2019–2027 Growth
+43.1%
Salary Trajectory for Diagnostic Medical Sonographers in Nacogdoches (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.93% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $60,320 | Actual |
| 2020 | $61,619 | Actual |
| 2021 | $63,096 | Actual |
| 2022 | $66,026 | Actual |
| 2023 | $68,558 | Actual |
| 2024 | $74,712 | Actual |
| 2025 | $78,395 | Actual |
| 2026(current) | $82,260 | Estimated |
| 2027 | $86,315 | Projected |
Based on 7 years of BLS OEWS data for the Nacogdoches metropolitan area, the median diagnostic medical sonographer salary grew 30.0% from $60,320 (2019) to $78,395 (2025). At a 4.93% compound annual growth rate, salaries are projected to reach $86,315 by 2027 — a total increase of $25,995 (43.10%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Nacogdoches metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 4.93% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $60,234 – $67,668 |
| 3-5 years (Mid Career) | $67,668 – $82,260 |
| 5+ years (Experienced) | $82,260 – $89,312 |
| 10+ years (Top Earner) | $89,312 – $105,358 |
DMS salary ranges estimated from BLS percentile data. Individual diagnostic medical sonographer compensation varies by employer, certifications, and specialization.
Diagnostic Medical Sonographer Job Market in Nacogdoches
Analyzing the local job market reveals that only seven diagnostic medical sonographers are currently employed in Nacogdoches, highlighting an environment where competition can be limited. The cost of living index stands at 96, which falls below the national average, allowing for greater purchasing power despite the lower salaries when compared nationally. Employers such as local hospital imaging departments and outpatient imaging centers, including major players like RadNet and SimonMed, are among those that tend to offer the highest compensation packages. Factors like specialty (with cardiac sonographers typically commanding higher wages), shift differentials, and opportunities for travel sonography premium greatly influence the pay range. To maximize earnings, sonographers are encouraged to seek out opportunities in in-demand specialties, consider roles with variable shifts, and continually pursue certifications from organizations like ARDMS or SDMS, ensuring they are equipped to leverage their skills effectively in Nacogdoches, TX.
More salary data for Nacogdoches, TX:
Frequently Asked Questions
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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.
Methodology & Data Source
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $78,395 for diagnostic medical sonographersin the Nacogdoches metropolitan area. A 4.93% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for Nacogdoches is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 4.93%, derived from historical BLS wage trends for diagnostic medical sonographers (SOC 29-2032).
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