Alexandria vs Roanoke: Surgical Technologist Salary (2026)
Compare surgical technologist salaries between Alexandria, VA and Roanoke, VA. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Alexandria, VA | Roanoke, VA |
|---|---|---|
| Median Salary | $82,302▲ | $64,926 |
| Hourly Rate | $39.57▲ | $31.21 |
| Entry Level (P10) | $59,686▲ | $38,155 |
| 25th Percentile | $70,168▲ | $53,891 |
| 75th Percentile | $103,456▲ | $67,382 |
| Top Earner (P90) | $126,487▲ | $83,350 |
| Total Employed | 26 | 110▲ |
Verdict
Alexandria, VA offers better overall compensation for surgical technologists, winning 3 out of 4 metrics compared to Roanoke.
The salary gap between Alexandria and Roanoke is $17,376 (26.76%). Alexandria's median is +20.78% compared to the US national median of $68,141.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Alexandria spans $66,801,Roanoke spans $45,195. Alexandria has a wider pay range, meaning more potential for high earners but also more variation.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Alexandria ($79,750 effective) pays 14.99% more than Roanoke ($69,352 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Alexandria if…
- ✓Higher median salary ($82,302/year)
- ✓Better top-earner potential ($126,487)
- ✓Better purchasing power (CoL-adjusted: $79,750)
- ✓You prefer the Virginia area and lifestyle
Choose Roanoke if…
- ✓Larger job market (110 employed)
- ✓You prefer the Virginia area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, surgical technologist salaries in Alexandria grew 34.9% from 2024 to 2025, compared to 66.3% growth in Roanoke over the same period.
Alexandria, VA
$57,877 (2024) → $78,085 (2025)
Roanoke, VA
$37,050 (2019) → $61,600 (2025)
View Full Salary Data
Alexandria, VA
Roanoke, VA
Frequently Asked Questions
Which city pays surgical technologists more: Alexandria or Roanoke?
What is the hourly rate difference between Alexandria and Roanoke?
Should I relocate from Alexandria to Roanoke as a surgical technologist?
What do entry-level surgical technologists earn in Alexandria vs Roanoke?
Written by Jessica Thompson, BA, CST
Career Analyst
Jessica has over 10 years of experience as a surgical technologist. She specializes in orthopedic surgical procedures. Jessica works at a community hospital.
Methodology & Data Source
All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 5.40% 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 Jessica Thompson, BA, CST, a licensed surgical technologist with 10+ years of clinical experience. · View source data at BLS.gov