Optometrist Salary

Des Moines vs Waterloo: Optometrist Salary (2026)

Compare optometrist salaries between Des Moines, IA and Waterloo, IA. All figures are 2026 estimates projected from BLS 2025 data.

Des Moines, IA
$133,621
$64.25/hr
Waterloo, IA
$123,713
$59.48/hr

Side-by-Side Comparison

MetricDes Moines, IAWaterloo, IA
Median Salary$133,621$123,713
Hourly Rate$64.25$59.48
Entry Level (P10)$69,941$71,753
25th Percentile$103,897$99,713
75th Percentile$170,893$149,593
Top Earner (P90)$183,598$182,265
Total Employed1109
Side-by-side bar chart comparing Des Moines ($133,621) and Waterloo ($123,713) optometrist salaries.Des MoinesWaterlooMedian Salary$133,621$123,713Entry Level (P10)$69,941$71,753Top Earner (P90)$183,598$182,265US Median $140,612

Verdict

Des Moines, IA offers better overall compensation for optometrists, winning 4 out of 4 metrics compared to Waterloo.

The salary gap between Des Moines and Waterloo is $9,908 (8.01%). Des Moines's median is -4.97% compared to the US national median of $140,612.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Des Moines spans $113,657,Waterloo spans $110,512. Des Moines has a wider pay range, meaning more potential for high earners but also more variation.

Des Moines
P10 (Entry)$69,941
P25$103,897
Median$133,621
P75$170,893
P90 (Top)$183,598
Waterloo
P10 (Entry)$71,753
P25$99,713
Median$123,713
P75$149,593
P90 (Top)$182,265

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Des Moines ($145,714 effective) pays 6.48% more than Waterloo ($136,851 effective).

Des Moines
Nominal: $133,621
CoL Index: 91.701
Adjusted: $145,714
Waterloo
Nominal: $123,713
CoL Index: 90.4
Adjusted: $136,851

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

Which City Is Right for You?

Choose Des Moines if…

  • Higher median salary ($133,621/year)
  • Better top-earner potential ($183,598)
  • Larger job market (110 employed)
  • Better purchasing power (CoL-adjusted: $145,714)
  • You prefer the Iowa area and lifestyle

Choose Waterloo if…

  • You prefer the Iowa area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, optometrist salaries in Des Moines grew 71.3% from 2019 to 2025, compared to -8.2% growth in Waterloo over the same period.

Des Moines, IA

+71.3%

$75,740 (2019) → $129,780 (2025)

Waterloo, IA

+-8.2%

$130,930 (2022) → $120,156 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays optometrists more: Des Moines or Waterloo?

Des Moines has a higher median optometrist salary at $133,621/year, compared to Waterloo at $123,713/year — a difference of $9,908 (8.01%).

What is the hourly rate difference between Des Moines and Waterloo?

Des Moines optometrists earn $64.25/hr while Waterloo hygienists earn $59.48/hr (2026 est.).

Should I relocate from Des Moines to Waterloo as a optometrist?

Consider more than just salary when comparing Des Moines and Waterloo. Factor in cost of living (CoL-adjusted: Des Moines = $145,714, Waterloo = $136,851), job availability (110 vs 9 employed), commute, and career growth potential.

What do entry-level optometrists earn in Des Moines vs Waterloo?

Entry-level (10th percentile) optometrists earn $69,941 in Des Moines and $71,753 in Waterloo. The Waterloo area offers higher starting salaries.
AP

Written by Aisha Patel, OD

Career Analyst

Aisha Patel has 10 years of experience in optometry. She specializes in pediatric vision care. Aisha works in a private practice setting.

Clinically reviewed by Rajiv Kumar, ODData verified by Sofia Martinez, OD

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.96% 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 Patel, OD, a licensed optometrist with 10+ years of clinical experience. · View source data at BLS.gov