Optometrist Salary

Roanoke vs Sterling: Optometrist Salary (2026)

Compare optometrist salaries between Roanoke, VA and Sterling, VA. All figures are 2026 estimates projected from BLS 2025 data.

Roanoke, VA
$149,189
$71.72/hr
Sterling, VA
$139,233
$66.93/hr

Side-by-Side Comparison

MetricRoanoke, VASterling, VA
Median Salary$149,189$139,233
Hourly Rate$71.72$66.93
Entry Level (P10)$62,620$81,878
25th Percentile$106,924$111,880
75th Percentile$242,965$166,816
Top Earner (P90)$404,756$200,619
Total Employed407
Side-by-side bar chart comparing Roanoke ($149,189) and Sterling ($139,233) optometrist salaries.RoanokeSterlingMedian Salary$149,189$139,233Entry Level (P10)$62,620$81,878Top Earner (P90)$404,756$200,619US Median $140,612

Verdict

Roanoke, VA offers better overall compensation for optometrists, winning 4 out of 4 metrics compared to Sterling.

The salary gap between Roanoke and Sterling is $9,956 (7.15%). Roanoke's median is +6.10% compared to the US national median of $140,612.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Roanoke spans $342,136,Sterling spans $118,741. Roanoke has a wider pay range, meaning more potential for high earners but also more variation.

Roanoke
P10 (Entry)$62,620
P25$106,924
Median$149,189
P75$242,965
P90 (Top)$404,756
Sterling
P10 (Entry)$81,878
P25$111,880
Median$139,233
P75$166,816
P90 (Top)$200,619

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Roanoke ($159,359 effective) pays 18.12% more than Sterling ($134,916 effective).

Roanoke
Nominal: $149,189
CoL Index: 93.618
Adjusted: $159,359
Sterling
Nominal: $139,233
CoL Index: 103.2
Adjusted: $134,916

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

Which City Is Right for You?

Choose Roanoke if…

  • Higher median salary ($149,189/year)
  • Better top-earner potential ($404,756)
  • Larger job market (40 employed)
  • Better purchasing power (CoL-adjusted: $159,359)
  • You prefer the Virginia area and lifestyle

Choose Sterling if…

  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, optometrist salaries in Roanoke grew 28.6% from 2019 to 2025, compared to 1.2% growth in Sterling over the same period.

Roanoke, VA

+28.6%

$112,640 (2019) → $144,900 (2025)

Sterling, VA

+1.2%

$133,675 (2024) → $135,230 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays optometrists more: Roanoke or Sterling?

Roanoke has a higher median optometrist salary at $149,189/year, compared to Sterling at $139,233/year — a difference of $9,956 (7.15%).

What is the hourly rate difference between Roanoke and Sterling?

Roanoke optometrists earn $71.72/hr while Sterling hygienists earn $66.93/hr (2026 est.).

Should I relocate from Roanoke to Sterling as a optometrist?

Consider more than just salary when comparing Roanoke and Sterling. Factor in cost of living (CoL-adjusted: Roanoke = $159,359, Sterling = $134,916), job availability (40 vs 7 employed), commute, and career growth potential.

What do entry-level optometrists earn in Roanoke vs Sterling?

Entry-level (10th percentile) optometrists earn $62,620 in Roanoke and $81,878 in Sterling. The Sterling 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