Updated May 2026 · BLS OEWS 2025
Obstetrician/Gynecologist Salary in San Francisco, CA
Healthcare · SOC 29-1218 · COL Index 179.6
Obstetrician/Gynecologists in San Francisco, CA earn a median salary of $198,720 as of 2025, with a 10th-to-90th percentile range of $103,510 to $442,830. The mean is $215,820 across approximately 0 workers. Adjusted for San Francisco, CA's cost-of-living index of 179.6, the median equates to $110,646 of purchasing power in an average-cost U.S. metro.
Obstetrician/Gynecologist in San Francisco, CA pays below the national median: $198,720 locally versus $279,676. The discount usually reflects either lower cost-of-living, smaller local industry concentration, or weaker labor demand.
Cost-of-living in San Francisco, CA runs at index 179.6 — well above the national 100 baseline. Adjusted for cost-of-living, the $198,720 median translates to roughly $110,646 in national-baseline dollars, a useful framing for relocation decisions. Wage distribution at the 25th, 50th, 75th, and 90th percentiles: $141,594, $198,720, $320,775, $442,830. 0 Obstetrician/Gynecologist workers are documented in San Francisco, CA per the BLS OEWS survey. The percentile spread is the most useful framing — entry-level pay clusters near p25, mid-career near p50, senior-level near p75-p90.
Salary Distribution
Percentile Breakdown
| Percentile | Salary | COL-Adjusted |
|---|---|---|
| 10th Percentile (Entry Level) | $103,510 | $57,634 |
| 25th Percentile | $141,594 | $78,839 |
| 50th Percentile (Median) | $198,720 | $110,646 |
| 75th Percentile | $320,775 | $178,605 |
| 90th Percentile (Top Earners) | $442,830 | $246,565 |
What These Numbers Tell You
The spread between the 10th and 90th percentile for Obstetrician/Gynecologists in San Francisco, CA is unusually wide — top earners take home roughly 4.3× what the bottom decile earns. That signals a long career ladder: substantial pay gains accrue with seniority, specialization, and movement to larger employers. Workers entering this role should expect to start near the 25th percentile and target the median by year three to five.
San Francisco, CA's cost-of-living index of 179.6 means $198,720 here has the same purchasing power as $110,646 in an average-cost U.S. metro. Housing dominates the gap; in markets at this level, mortgage or rent typically consumes 35–45% of pre-tax pay even at the median, which is why nominal salary numbers materially overstate take-home value.
San Francisco, CA ranks #35 of 39 BLS-tracked metros for Obstetrician/Gynecologist pay — in the lower half nationally (90th percentile). Lower nominal pay here is often offset by a lower cost of living; check the COL-adjusted figure on this page for an apples-to-apples comparison.
How to Use This in Negotiation
The classic negotiation move is to anchor your ask on the 75th percentile of the BLS band — $320,775 for Obstetrician/Gynecologists in San Francisco, CA — when you have meaningful experience, then bring evidence (years on the job, scope of past work, relevant certifications, comparable offers) to justify why you sit at that point in the distribution. Anchoring on the median when you have 5+ years of experience leaves money on the table; anchoring on the 90th percentile ($442,830) without strong evidence undercuts credibility.
For new entrants, the 25th-to-50th percentile band ($141,594–$198,720) is the realistic target. For mid-career workers, the median-to-75th band ($198,720–$320,775) is the right anchor. Senior specialists and managers should be benchmarking against the 75th-to-90th band ($320,775–$442,830).
For specific scripts and a full negotiation framework, see the data-driven salary negotiation guide. To benchmark your current pay, the salary percentile calculator places any number into the BLS distribution for this role and metro.
How This Salary Is Calculated
Wage figures come from the U.S. Bureau of Labor Statistics' Occupational Employment and Wage Statistics (OEWS) program — a federal survey of about 1.2 million U.S. establishments, published once per year by Metropolitan Statistical Area (MSA) and Standard Occupational Classification (SOC) code. The San Francisco, CA percentile bands above (10th, 25th, 50th, 75th, 90th) and the mean are pulled directly from the BLS data file for SOC code 29-1218 in this MSA. The COL-adjusted figure rebases salary to a U.S. national average COL of 100, using a composite index derived from public housing, food, and transportation data. Read the full methodology for details.
Frequently Asked Questions
What is the average Obstetrician/Gynecologist salary in San Francisco, CA?
Obstetrician/Gynecologists in San Francisco, CA earn a median salary of $198,720 as of 2025, based on Bureau of Labor Statistics OEWS data. The mean (employment-weighted average) is $215,820 across roughly 0 workers in this metro.
What is the salary range for Obstetrician/Gynecologists in San Francisco, CA?
Pay ranges from $103,510 at the 10th percentile to $442,830 at the 90th percentile — a $339,320 spread. The 25th-to-75th percentile band ($141,594 to $320,775) is the typical anchor for salary negotiation.
Is $198,720 a good Obstetrician/Gynecologist salary in San Francisco, CA?
$198,720 is the BLS median — half of Obstetrician/Gynecologists in San Francisco, CA earn more, half earn less. Whether it is "good" depends on your experience: new entrants typically land near the 25th percentile ($141,594), mid-career workers near the median, and senior specialists near or above the 75th percentile ($320,775). Cost-of-living-adjusted to a national average baseline, the median equates to $110,646.
How does Obstetrician/Gynecologist pay in San Francisco, CA compare to other metros?
San Francisco, CA ranks #35 of 39 BLS-tracked metros for Obstetrician/Gynecologist median pay. Nominal pay is in the lower half of U.S. metros, though the cost of living usually offsets at least part of that gap.
Where does this Obstetrician/Gynecologist salary data come from?
Every wage figure comes from the U.S. Bureau of Labor Statistics' Occupational Employment and Wage Statistics (OEWS) program at bls.gov/oes — public domain federal data covering 1.2 million U.S. employers. The same data feeds the U.S. Department of Labor's prevailing wage system used for H-1B and federal contracting wage determinations.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, San Francisco, CA MSA, SOC 29-1218, 2025 release. Public domain. See bls.gov/oes. Cite as: "SalaryTruth, BLS OEWS 2025."
Last refreshed 2026-05-21 · 0 Obstetrician/Gynecologists tracked in San Francisco, CA.