Updated May 2026 · BLS OEWS 2025
Optometrist Salary in Birmingham, AL
Healthcare · SOC 29-1041 · COL Index 90.4
Optometrists in Birmingham, AL earn a median salary of $162,890 as of 2025, with a 10th-to-90th percentile range of $73,750 to $196,600. The mean is $150,310 across approximately 110 workers. Adjusted for Birmingham, AL's cost-of-living index of 90.4, the median equates to $180,188 of purchasing power in an average-cost U.S. metro.
Optometrist in Birmingham, AL pays modestly above the national median: $162,890 versus $139,903 nationally, roughly 16% above.
Cost-of-living in Birmingham, AL runs below the national baseline (index 90.4). The cost-adjusted purchasing power of $162,890 works out to roughly $180,188 in national-baseline dollars — often higher real income than in high-cost coastal cities at the same gross wage. Wage distribution at the 25th, 50th, 75th, and 90th percentiles: $109,406, $162,890, $179,745, $196,600. 110 Optometrist workers are documented in Birmingham, AL 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) | $73,750 | $81,582 |
| 25th Percentile | $109,406 | $121,024 |
| 50th Percentile (Median) | $162,890 | $180,188 |
| 75th Percentile | $179,745 | $198,833 |
| 90th Percentile (Top Earners) | $196,600 | $217,478 |
What These Numbers Tell You
The spread between the 10th and 90th percentile for Optometrists in Birmingham, AL is unusually wide — top earners take home roughly 2.7× 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.
Birmingham, AL's cost-of-living index of 90.4 runs below the U.S. average, so a $162,890 salary here has the equivalent purchasing power of about $180,188 in an average-cost metro. Lower nominal pay in markets like this often translates to comparable or better real income than higher headline numbers in coastal hubs.
Birmingham, AL ranks #7 of 68 BLS-tracked metros for Optometrist pay — in the top quartile nationally (top 10%). Markets in this band tend to be major regional employer hubs even when they are not the absolute highest-cost cities.
How to Use This in Negotiation
The classic negotiation move is to anchor your ask on the 75th percentile of the BLS band — $179,745 for Optometrists in Birmingham, AL — 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 ($196,600) without strong evidence undercuts credibility.
For new entrants, the 25th-to-50th percentile band ($109,406–$162,890) is the realistic target. For mid-career workers, the median-to-75th band ($162,890–$179,745) is the right anchor. Senior specialists and managers should be benchmarking against the 75th-to-90th band ($179,745–$196,600).
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 Birmingham, AL percentile bands above (10th, 25th, 50th, 75th, 90th) and the mean are pulled directly from the BLS data file for SOC code 29-1041 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 Optometrist salary in Birmingham, AL?
Optometrists in Birmingham, AL earn a median salary of $162,890 as of 2025, based on Bureau of Labor Statistics OEWS data. The mean (employment-weighted average) is $150,310 across roughly 110 workers in this metro.
What is the salary range for Optometrists in Birmingham, AL?
Pay ranges from $73,750 at the 10th percentile to $196,600 at the 90th percentile — a $122,850 spread. The 25th-to-75th percentile band ($109,406 to $179,745) is the typical anchor for salary negotiation.
Is $162,890 a good Optometrist salary in Birmingham, AL?
$162,890 is the BLS median — half of Optometrists in Birmingham, AL earn more, half earn less. Whether it is "good" depends on your experience: new entrants typically land near the 25th percentile ($109,406), mid-career workers near the median, and senior specialists near or above the 75th percentile ($179,745). Cost-of-living-adjusted to a national average baseline, the median equates to $180,188.
How does Optometrist pay in Birmingham, AL compare to other metros?
Birmingham, AL ranks #7 of 68 BLS-tracked metros for Optometrist median pay. It sits in the top quartile of U.S. metros for this role.
Where does this Optometrist 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, Birmingham, AL MSA, SOC 29-1041, 2025 release. Public domain. See bls.gov/oes. Cite as: "SalaryTruth, BLS OEWS 2025."
Last refreshed 2026-05-21 · 110 Optometrists tracked in Birmingham, AL.