Updated May 2026 · BLS OEWS 2025
Optometrist Salary in San Diego, CA
Healthcare · SOC 29-1041 · COL Index 160.2
Optometrists in San Diego, CA earn a median salary of $133,280 as of 2025, with a 10th-to-90th percentile range of $102,250 to $208,180. The mean is $143,630 across approximately 540 workers. Adjusted for San Diego, CA's cost-of-living index of 160.2, the median equates to $83,196 of purchasing power in an average-cost U.S. metro.
Optometrist pay in San Diego, CA runs close to the national median: $133,280 locally versus $139,903 nationally. Cities with national-market wages typically have moderate cost-of-living and balanced labor supply-and-demand.
Cost-of-living in San Diego, CA runs at index 160.2 — well above the national 100 baseline. Adjusted for cost-of-living, the $133,280 median translates to roughly $83,196 in national-baseline dollars, a useful framing for relocation decisions. Wage distribution at the 25th, 50th, 75th, and 90th percentiles: $114,662, $133,280, $170,730, $208,180. 540 Optometrist workers are documented in San Diego, 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) | $102,250 | $63,826 |
| 25th Percentile | $114,662 | $71,574 |
| 50th Percentile (Median) | $133,280 | $83,196 |
| 75th Percentile | $170,730 | $106,573 |
| 90th Percentile (Top Earners) | $208,180 | $129,950 |
What These Numbers Tell You
The 10th-to-90th percentile band for Optometrists in San Diego, CA is moderately wide — the 90th-percentile worker earns about 2.0× the 10th-percentile worker. That is typical for a professional role with standard career progression: experience, scope, and employer size all matter, but the spread is not so extreme that the role bifurcates into separate sub-markets.
San Diego, CA's cost-of-living index of 160.2 means $133,280 here has the same purchasing power as $83,196 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 Diego, CA ranks #45 of 68 BLS-tracked metros for Optometrist pay — in the lower half nationally (66th 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 — $170,730 for Optometrists in San Diego, 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 ($208,180) without strong evidence undercuts credibility.
For new entrants, the 25th-to-50th percentile band ($114,662–$133,280) is the realistic target. For mid-career workers, the median-to-75th band ($133,280–$170,730) is the right anchor. Senior specialists and managers should be benchmarking against the 75th-to-90th band ($170,730–$208,180).
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 Diego, CA 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 San Diego, CA?
Optometrists in San Diego, CA earn a median salary of $133,280 as of 2025, based on Bureau of Labor Statistics OEWS data. The mean (employment-weighted average) is $143,630 across roughly 540 workers in this metro.
What is the salary range for Optometrists in San Diego, CA?
Pay ranges from $102,250 at the 10th percentile to $208,180 at the 90th percentile — a $105,930 spread. The 25th-to-75th percentile band ($114,662 to $170,730) is the typical anchor for salary negotiation.
Is $133,280 a good Optometrist salary in San Diego, CA?
$133,280 is the BLS median — half of Optometrists in San Diego, CA earn more, half earn less. Whether it is "good" depends on your experience: new entrants typically land near the 25th percentile ($114,662), mid-career workers near the median, and senior specialists near or above the 75th percentile ($170,730). Cost-of-living-adjusted to a national average baseline, the median equates to $83,196.
How does Optometrist pay in San Diego, CA compare to other metros?
San Diego, CA ranks #45 of 68 BLS-tracked metros for Optometrist 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 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, San Diego, CA MSA, SOC 29-1041, 2025 release. Public domain. See bls.gov/oes. Cite as: "SalaryTruth, BLS OEWS 2025."
Last refreshed 2026-05-21 · 540 Optometrists tracked in San Diego, CA.