Updated May 2026 · BLS OEWS 2025 reference period
64 Highest Paying Jobs in San Antonio, TX (2026)
The highest-paying job in San Antonio, TX, Texas is Obstetrician/Gynecologist with a median salary of $271,960 as of 2026, based on Bureau of Labor Statistics OEWS data. Across all 64 tracked occupations the average median is $103,624, with 30 occupations paying a six-figure ($100K+) median. San Antonio, TX has a cost-of-living index of 91.5 (national average = 100), so a $103,624 nominal salary equals $113,250 in average-cost-metro buying power.
The 64 occupations below are ranked by median wage in San Antonio, TX, TX, from BLS OEWS data. San Antonio, TX's cost-of-living index runs 91.5 (national baseline = 100), which shapes the headline-wage interpretation. Top-paying occupations in any U.S. metro typically cluster around physicians, dentists, executives, tech specialists, and licensed professionals. The specific top of the list varies with local industry concentration: tech-heavy metros boost software-engineering ranks, finance-heavy metros boost banking ranks.
Each role on the ranking links to the per-role-and-city page with full percentile distribution (p10 to p90), employment count, and cost-adjusted wage. For workers comparing offers within San Antonio, TX, the percentile data is the most decision-relevant.
Top 10 Highest-Paying Jobs in San Antonio, TX
Ranked by median (50th percentile) salary. The COL-Adjusted column rebases each nominal salary to San Antonio, TX's cost-of-living index of 91.5 so you can compare buying power against an average-cost U.S. metro.
Median $271,960 · 10th–90th $104,250–$341,010 · 90 jobs in metro
Obstetrician/Gynecologists in San Antonio, TX earn $271,960 median, with top earners (90th percentile) over $341,010. The lower cost of living here means the median translates to $297,224 of buying power versus an average-cost metro — better than the nominal number suggests.
Median $233,780 · 10th–90th $62,230–$274,450 · 610 jobs in metro
Family Medicine Physicians in San Antonio, TX earn $233,780 median, with top earners (90th percentile) over $274,450. The lower cost of living here means the median translates to $255,497 of buying power versus an average-cost metro — better than the nominal number suggests.
Median $212,640 · 10th–90th $120,520–$303,820 · 230 jobs in metro
Pediatricians in San Antonio, TX earn $212,640 median, with top earners (90th percentile) over $303,820. The lower cost of living here means the median translates to $232,393 of buying power versus an average-cost metro — better than the nominal number suggests.
Median $163,490 · 10th–90th $99,830–$228,410 · 4,090 jobs in metro
Computer and Information Systems Managers in San Antonio, TX earn $163,490 median, with top earners (90th percentile) over $228,410. The lower cost of living here means the median translates to $178,678 of buying power versus an average-cost metro — better than the nominal number suggests.
Median $162,140 · 10th–90th $58,940–$341,560 · 690 jobs in metro
Dentists in San Antonio, TX earn $162,140 median, with top earners (90th percentile) over $341,560. The lower cost of living here means the median translates to $177,202 of buying power versus an average-cost metro — better than the nominal number suggests.
Median $150,500 · 10th–90th $96,670–$167,100 · 2,260 jobs in metro
Pharmacists in San Antonio, TX earn $150,500 median, with top earners (90th percentile) over $167,100. The lower cost of living here means the median translates to $164,481 of buying power versus an average-cost metro — better than the nominal number suggests.
Median $144,710 · 10th–90th $96,010–$283,980 · 4,910 jobs in metro
Financial Managers in San Antonio, TX earn $144,710 median, with top earners (90th percentile) over $283,980. The lower cost of living here means the median translates to $158,153 of buying power versus an average-cost metro — better than the nominal number suggests.
Median $140,160 · 10th–90th $113,840–$201,640 · 650 jobs in metro
Physician Assistants in San Antonio, TX earn $140,160 median, with top earners (90th percentile) over $201,640. The lower cost of living here means the median translates to $153,180 of buying power versus an average-cost metro — better than the nominal number suggests.
Median $137,690 · 10th–90th $85,140–$327,280 · 4,020 jobs in metro
Lawyers in San Antonio, TX earn $137,690 median, with top earners (90th percentile) over $327,280. The lower cost of living here means the median translates to $150,481 of buying power versus an average-cost metro — better than the nominal number suggests.
Median $131,800 · 10th–90th $76,810–$215,480 · 2,900 jobs in metro
Marketing Managers in San Antonio, TX earn $131,800 median, with top earners (90th percentile) over $215,480. The lower cost of living here means the median translates to $144,044 of buying power versus an average-cost metro — better than the nominal number suggests.
Full Ranking (64 Occupations)
| Rank | Role | Category | Median | 10th–90th | COL-Adjusted | Jobs |
|---|---|---|---|---|---|---|
| 1 | Obstetrician/Gynecologist | Healthcare | $271,960 | $104,250–$341,010 | $297,224 | 90 |
| 2 | Family Medicine Physician | Healthcare | $233,780 | $62,230–$274,450 | $255,497 | 610 |
| 3 | Pediatrician | Healthcare | $212,640 | $120,520–$303,820 | $232,393 | 230 |
| 4 | Computer and Information Systems Manager | Technology | $163,490 | $99,830–$228,410 | $178,678 | 4,090 |
| 5 | Dentist | Healthcare | $162,140 | $58,940–$341,560 | $177,202 | 690 |
| 6 | Pharmacist | Healthcare | $150,500 | $96,670–$167,100 | $164,481 | 2,260 |
| 7 | Financial Manager | Finance | $144,710 | $96,010–$283,980 | $158,153 | 4,910 |
| 8 | Physician Assistant | Healthcare | $140,160 | $113,840–$201,640 | $153,180 | 650 |
| 9 | Lawyer | Legal | $137,690 | $85,140–$327,280 | $150,481 | 4,020 |
| 10 | Marketing Manager | Management | $131,800 | $76,810–$215,480 | $144,044 | 2,900 |
| 11 | Nurse Practitioner | Healthcare | $131,770 | $102,080–$159,580 | $144,011 | 1,780 |
| 12 | Human Resources Manager | Management | $130,370 | $79,880–$213,820 | $142,481 | 1,650 |
| 13 | Veterinarian | Healthcare | $128,550 | $80,620–$202,960 | $140,492 | 550 |
| 14 | Software Developer | Technology | $128,430 | $80,560–$165,870 | $140,361 | 8,010 |
| 15 | Computer Network Architect | Technology | $128,260 | $80,030–$169,670 | $140,175 | 720 |
| 16 | Sales Manager | Management | $124,750 | $63,360–$233,390 | $136,339 | 4,720 |
| 17 | Information Security Analyst | Technology | $122,560 | $77,060–$178,440 | $133,945 | 1,350 |
| 18 | Medical and Health Services Manager | Healthcare | $119,870 | $67,700–$192,930 | $131,005 | 5,060 |
| 19 | Engineers (Other) | Engineering | $117,620 | $79,240–$160,020 | $128,546 | 760 |
| 20 | Optometrist | Healthcare | $111,780 | $45,190–$158,020 | $122,164 | 730 |
| 21 | Computer Occupations (Other) | Technology | $110,440 | $58,410–$157,980 | $120,699 | 5,100 |
| 22 | Occupational Therapist | Healthcare | $107,650 | $75,690–$131,620 | $117,650 | 1,780 |
| 23 | Database Architect | Technology | $107,410 | $68,050–$151,650 | $117,388 | 390 |
| 24 | Physical Therapist | Healthcare | $106,010 | $76,010–$137,240 | $115,858 | 1,700 |
| 25 | Mechanical Engineer | Engineering | $104,620 | $74,340–$159,670 | $114,339 | 1,480 |
| 26 | Electrical Engineer | Engineering | $103,520 | $68,420–$193,190 | $113,137 | 820 |
| 27 | Data Scientist | Technology | $103,290 | $59,790–$165,250 | $112,885 | 1,730 |
| 28 | Personal Financial Advisor | Finance | $101,430 | $49,990–$314,400 | $110,852 | 1,590 |
| 29 | Web Developer | Technology | $100,960 | $59,300–$165,320 | $110,339 | 330 |
| 30 | Computer Systems Analyst | Technology | $100,840 | $65,330–$155,480 | $110,208 | 2,930 |
| 31 | General and Operations Manager | Management | $99,790 | $46,380–$223,730 | $109,060 | 30,560 |
| 32 | Audiologist | Healthcare | $99,420 | $72,870–$133,360 | $108,656 | 100 |
| 33 | Industrial Engineer | Engineering | $99,110 | $70,810–$151,590 | $108,317 | 1,670 |
| 34 | Dental Hygienist | Healthcare | $98,480 | $83,140–$105,300 | $107,628 | 920 |
| 35 | Network Architect | Technology | $96,770 | $61,620–$132,600 | $105,760 | 2,340 |
| 36 | Software Quality Assurance Tester | Technology | $95,990 | $55,800–$133,870 | $104,907 | 1,010 |
| 37 | Management Analyst | Management | $95,760 | $62,240–$139,010 | $104,656 | 5,020 |
| 38 | Statistician | Technology | $95,320 | $62,770–$160,630 | $104,175 | 120 |
| 39 | Registered Nurse | Healthcare | $94,370 | $66,430–$122,990 | $103,137 | 23,660 |
| 40 | Software Quality Assurance Analyst | Technology | $94,220 | $63,550–$170,850 | $102,973 | 0 |
| 41 | Speech-Language Pathologist | Healthcare | $92,700 | $64,540–$131,680 | $101,311 | 1,780 |
| 42 | Civil Engineer | Engineering | $88,290 | $64,490–$133,900 | $96,492 | 2,230 |
| 43 | Architect | Engineering | $84,130 | $59,770–$135,180 | $91,945 | 670 |
| 44 | Financial Analyst | Finance | $82,120 | $49,750–$149,080 | $89,749 | 2,010 |
| 45 | Accountant | Finance | $78,650 | $56,080–$127,640 | $85,956 | 8,360 |
| 46 | Business Professor (Postsecondary) | Education | $78,360 | $38,070–$170,580 | $85,639 | 660 |
| 47 | Web Designer | Technology | $77,730 | $48,660–$158,600 | $84,951 | 270 |
| 48 | Writer/Author | Creative | $74,030 | $47,890–$106,050 | $80,907 | 130 |
| 49 | Financial Examiner | Finance | $73,080 | $54,250–$114,450 | $79,869 | 760 |
| 50 | Operations Research Analyst | Technology | $72,890 | $57,840–$128,900 | $79,661 | 1,290 |
| 51 | Computer Network Support Specialist | Technology | $67,490 | $46,520–$121,510 | $73,760 | 600 |
| 52 | Loan Officer | Finance | $66,810 | $34,380–$124,040 | $73,016 | 1,510 |
| 53 | Market Research Analyst | Management | $65,950 | $36,800–$128,200 | $72,077 | 4,140 |
| 54 | Public Relations Specialist | Creative | $64,690 | $40,100–$107,020 | $70,699 | 1,870 |
| 55 | Secondary School Teacher | Education | $61,840 | $49,660–$79,310 | $67,585 | 10,130 |
| 56 | Elementary School Teacher | Education | $61,720 | $48,490–$65,640 | $67,454 | 12,220 |
| 57 | Clinical Laboratory Technologist | Healthcare | $61,010 | $38,900–$84,800 | $66,678 | 2,740 |
| 58 | Graphic Designer | Creative | $59,710 | $37,180–$95,680 | $65,257 | 970 |
| 59 | Plumber | Trades | $58,180 | $37,240–$78,530 | $63,585 | 3,190 |
| 60 | Electrician | Trades | $57,010 | $37,460–$75,670 | $62,306 | 6,660 |
| 61 | Paralegal | Legal | $53,300 | $39,810–$87,530 | $58,251 | 2,900 |
| 62 | Carpenter | Trades | $48,900 | $37,440–$59,540 | $53,443 | 2,240 |
| 63 | Welder | Trades | $48,220 | $38,230–$73,800 | $52,699 | 2,510 |
| 64 | Automotive Technician | Trades | $46,880 | $29,860–$80,840 | $51,235 | 6,320 |
Why These Roles Pay the Most in San Antonio, TX
San Antonio, TX's pay distribution reflects its mix of regional employers and industries, plus the local cost of living that affects nominal salary levels in the BLS data.
An average median salary above $90K places this metro in the top tier of U.S. cities for nominal pay. Most of that premium accrues to the upper percentiles of skilled and managerial occupations; entry-level and service-sector pay is closer to national norms.
San Antonio, TX's cost-of-living index of 91.5 runs 9% below the U.S. national average. Lower nominal pay here often translates to comparable or better purchasing power than higher headline numbers in coastal hubs — see the COL-Adjusted column for the apples-to-apples figure.
How to Use This Ranking
For salary negotiation, the median is a starting anchor — not the ceiling. A Obstetrician/Gynecologist with five-plus years of experience in San Antonio, TX should be benchmarking against the 75th percentile ($306,485) or 90th percentile ($341,010), not the $271,960 median. Use the salary percentile calculator to place any specific salary into the BLS distribution for any role-and-city pair.
For cross-city comparisons, ignore the nominal Median column and look at COL-Adjusted. A $272K Obstetrician/Gynecologist salary in San Antonio, TX (COL 91.5) translates to $297K of buying power in an average-cost metro — that is the apples-to-apples figure when weighing a relocation. Read the methodology behind these adjustments in our methodology page.
For job hunting, focus on the top-10 ranking above and on the role-by-role detail pages — each links through to a Obstetrician/Gynecologist in San Antonio, TX page with full percentile breakdowns, year-over-year change, and prevailing-wage references for H-1B / PERM applicants.
Frequently Asked Questions
The highest paying job in San Antonio, TX is Obstetrician/Gynecologist with a median salary of $271,960 and a 90th-percentile reading of $341,010. The role employs roughly 90 workers in this metro according to the Bureau of Labor Statistics' 2025 OEWS data.
30 of the 64 BLS-tracked occupations in San Antonio, TX have a median salary of $100,000 or higher. That is well above what most U.S. metros offer. See the full list ranked by median salary above.
Across 64 BLS-tracked occupations, the average median salary in San Antonio, TX is $103,624. The cost-of-living index is 91.5, so adjusted to a national-average baseline, the average is $113,250 in equivalent purchasing power.
San Antonio, TX has a cost-of-living index of 91.5, below the national average. Nominal pay translates better than face value, making it a strong choice for many careers — particularly the Obstetrician/Gynecologist, Family Medicine Physician, Pediatrician occupations at the top of the ranking.
Every wage figure on this page is sourced from the U.S. Bureau of Labor Statistics' Occupational Employment and Wage Statistics (OEWS) program at bls.gov/oes — public domain federal survey data covering about 1.2 million U.S. employers across all industries. The OEWS publishes 10th, 25th, 50th (median), 75th, and 90th percentile wages by Metropolitan Statistical Area and Standard Occupational Classification (SOC) code. The same data is used by the Department of Labor for prevailing wage determinations.
Related Pages
Rankings based on BLS Occupational Employment and Wage Statistics, 2025 reference period. COL adjustments use a composite cost-of-living index calibrated to U.S. average = 100.
Source: BLS Occupational Employment and Wage Statistics, 2026.