Surg Tech Salary

San Francisco vs Fresno: Surgical Technologist Salary (2026)

Compare surgical technologist salaries between San Francisco, CA and Fresno, CA. All figures are 2026 estimates projected from BLS 2025 data.

San Francisco, CA
$104,757
$50.37/hr
Fresno, CA
$67,857
$32.62/hr

Side-by-Side Comparison

MetricSan Francisco, CAFresno, CA
Median Salary$104,757$67,857
Hourly Rate$50.37$32.62
Entry Level (P10)$65,949$49,422
25th Percentile$81,875$53,364
75th Percentile$121,990$84,109
Top Earner (P90)$130,201$90,265
Total Employed1,440520
Side-by-side bar chart comparing San Francisco ($104,757) and Fresno ($67,857) surgical technologist salaries.San FranciscoFresnoMedian Salary$104,757$67,857Entry Level (P10)$65,949$49,422Top Earner (P90)$130,201$90,265US Median $68,141

Verdict

San Francisco, CA offers better overall compensation for surgical technologists, winning 4 out of 4 metrics compared to Fresno.

The salary gap between San Francisco and Fresno is $36,900 (54.38%). San Francisco's median is +53.74% compared to the US national median of $68,141.

Salary Range Comparison

The full salary range (10th to 90th percentile) in San Francisco spans $64,252,Fresno spans $40,843. San Francisco has a wider pay range, meaning more potential for high earners but also more variation.

San Francisco
P10 (Entry)$65,949
P25$81,875
Median$104,757
P75$121,990
P90 (Top)$130,201
Fresno
P10 (Entry)$49,422
P25$53,364
Median$67,857
P75$84,109
P90 (Top)$90,265

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Francisco ($90,610 effective) pays 36.41% more than Fresno ($66,424 effective).

San Francisco
Nominal: $104,757
CoL Index: 115.613
Adjusted: $90,610
Fresno
Nominal: $67,857
CoL Index: 102.158
Adjusted: $66,424

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose San Francisco if…

  • Higher median salary ($104,757/year)
  • Better top-earner potential ($130,201)
  • Larger job market (1,440 employed)
  • Better purchasing power (CoL-adjusted: $90,610)
  • You prefer the California area and lifestyle

Choose Fresno if…

  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, surgical technologist salaries in San Francisco grew 33.3% from 2019 to 2025, compared to -1.8% growth in Fresno over the same period.

San Francisco, CA

+33.3%

$74,570 (2019) → $99,390 (2025)

Fresno, CA

+-1.8%

$65,590 (2019) → $64,380 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays surgical technologists more: San Francisco or Fresno?

San Francisco has a higher median surgical technologist salary at $104,757/year, compared to Fresno at $67,857/year — a difference of $36,900 (54.38%).

What is the hourly rate difference between San Francisco and Fresno?

San Francisco surgical technologists earn $50.37/hr while Fresno hygienists earn $32.62/hr (2026 est.).

Should I relocate from San Francisco to Fresno as a surgical technologist?

Consider more than just salary when comparing San Francisco and Fresno. Factor in cost of living (CoL-adjusted: San Francisco = $90,610, Fresno = $66,424), job availability (1,440 vs 520 employed), commute, and career growth potential.

What do entry-level surgical technologists earn in San Francisco vs Fresno?

Entry-level (10th percentile) surgical technologists earn $65,949 in San Francisco and $49,422 in Fresno. The San Francisco area offers higher starting salaries.

Related Comparisons

JT

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.

Clinically reviewed by Carlos Ramirez, AAS, CSTData verified by Fatima Ali, BS, CST

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