Surg Tech Salary

San Francisco vs Sacramento: Surgical Technologist Salary (2026)

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

San Francisco, CA
$104,757
$50.37/hr
Sacramento, CA
$69,543
$33.43/hr

Side-by-Side Comparison

MetricSan Francisco, CASacramento, CA
Median Salary$104,757$69,543
Hourly Rate$50.37$33.43
Entry Level (P10)$65,949$48,231
25th Percentile$81,875$48,231
75th Percentile$121,990$108,583
Top Earner (P90)$130,201$126,438
Total Employed1,4401,020
Side-by-side bar chart comparing San Francisco ($104,757) and Sacramento ($69,543) surgical technologist salaries.San FranciscoSacramentoMedian Salary$104,757$69,543Entry Level (P10)$65,949$48,231Top Earner (P90)$130,201$126,438US Median $68,141

Verdict

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

The salary gap between San Francisco and Sacramento is $35,214 (50.64%). 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,Sacramento spans $78,207. Sacramento has a wider pay range, suggesting more variation in pay between entry-level and experienced surgical technologists.

San Francisco
P10 (Entry)$65,949
P25$81,875
Median$104,757
P75$121,990
P90 (Top)$130,201
Sacramento
P10 (Entry)$48,231
P25$48,231
Median$69,543
P75$108,583
P90 (Top)$126,438

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Francisco ($90,610 effective) pays 38.98% more than Sacramento ($65,195 effective).

San Francisco
Nominal: $104,757
CoL Index: 115.613
Adjusted: $90,610
Sacramento
Nominal: $69,543
CoL Index: 106.67
Adjusted: $65,195

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 Sacramento 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 -4.7% growth in Sacramento over the same period.

San Francisco, CA

+33.3%

$74,570 (2019) → $99,390 (2025)

Sacramento, CA

+-4.7%

$69,200 (2019) → $65,980 (2025)

View Full Salary Data

Frequently Asked Questions

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

San Francisco has a higher median surgical technologist salary at $104,757/year, compared to Sacramento at $69,543/year — a difference of $35,214 (50.64%).

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

San Francisco surgical technologists earn $50.37/hr while Sacramento hygienists earn $33.43/hr (2026 est.).

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

Consider more than just salary when comparing San Francisco and Sacramento. Factor in cost of living (CoL-adjusted: San Francisco = $90,610, Sacramento = $65,195), job availability (1,440 vs 1,020 employed), commute, and career growth potential.

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

Entry-level (10th percentile) surgical technologists earn $65,949 in San Francisco and $48,231 in Sacramento. 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