Optometrist Salary in Sacramento, CA
Optometrists in the Sacramento-Roseville-Folsom, CA metro area earn a median $139,020 a year — 2% more than the national median. After 2026 taxes, that is $95,780 take-home, or $7,982 a month.
Take-home pay calculator
Pre-filled with the median optometrist salary in Sacramento, CA. Enter your own offer to see your paycheck.
- Federal income tax$22,099
- Social Security (6.2%)$8,619
- Medicare (1.45%)$2,016
- California income tax$8,699
- CA State Disability Insurance (SDI)$1,807
- Take-home pay$95,780
Marginal rate: 24% federal + 9.30% state
Optometrist pay by experience in Sacramento, CA
| Percentile | Salary | Hourly | Take-home / yr | Per month |
|---|---|---|---|---|
| 10th percentile (entry level) | $105,860 | $50.89 | $76,311 | $6,359 |
| 25th percentile | $120,710 | $58.03 | $85,184 | $7,099 |
| Median (50th) | $139,020 | $66.84 | $95,780 | $7,982 |
| 75th percentile | $185,320 | $89.10 | $122,569 | $10,214 |
| 90th percentile (top earners) | $219,070 | $105.32 | $143,885 | $11,990 |
Wages: BLS Occupational Employment and Wage Statistics, May 2025. Take-home: single filer, California resident, 2026 tax rules.
What $139,020 buys in Sacramento, CA
Prices in Sacramento, CA are 6.7% higher than the U.S. average (housing costs are 1.30× the national average). Adjusted for local prices, a median optometrist's $95,780 take-home pay has the buying power of $89,791 in a typical American city.
Rents: HUD Fair Market Rents, FY2026 (40th-percentile gross rent incl. utilities). Price levels: BEA Regional Price Parities, 2024.
Sacramento, CA has 1.7× the national concentration of optometrist jobs — a strong local market for this occupation.
Best-paying cities for optometrists, adjusted for cost of living
Sacramento, CA ranks #14 of 21 metro areas once taxes and local prices are taken into account.
| # | Metro area | Median salary | Take-home | Real value* |
|---|---|---|---|---|
| 1 | Philadelphia, PA | $153,980 | $111,784 | $109,000 |
| 2 | Kansas City, MO | $138,580 | $100,410 | $108,500 |
| 3 | Denver, CO | $158,130 | $113,099 | $106,917 |
| 4 | Minneapolis, MN | $159,790 | $110,772 | $105,676 |
| 5 | Dallas, TX | $140,790 | $107,496 | $104,274 |
| 6 | Detroit, MI | $142,690 | $102,981 | $102,675 |
| 7 | Boston, MA | $154,970 | $109,659 | $101,287 |
| 8 | New York, NY | $161,030 | $112,869 | $100,272 |
| 14 | Sacramento, CA | $139,020 | $95,780 | $89,791 |
*Take-home pay divided by the BEA price level, so every city is measured in U.S.-average dollars. See all 21 metros →
Optometrist salaries elsewhere in California
- Riverside, CA — $129,990
- San Jose, CA — $135,330
- San Francisco, CA — $142,580
- Los Angeles, CA — $138,940
- San Diego, CA — $133,280
Frequently asked questions
How much does a optometrist make in Sacramento, CA?
The median optometrist salary in the Sacramento-Roseville-Folsom, CA metro area is $139,020 a year, or about $66.84 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $120,710 and $185,320.
What is a optometrist’s take-home pay in Sacramento, CA?
On the median $139,020 salary, a single filer living in California takes home about $95,780 a year ($7,982 a month) after federal tax, Social Security, Medicare and $10,507 in California taxes in 2026.
Is Sacramento, CA a good place to work as a optometrist?
Pay here is 2% above the national median of $136,570. Local prices are 6.7% above the U.S. average, so the take-home pay buys what $89,791 would in a typical U.S. city. Sacramento, CA ranks #14 of 21 metro areas for cost-of-living-adjusted pay in this job.
Can a optometrist afford rent in Sacramento, CA?
HUD’s fair market rent for a one-bedroom in Sacramento, CA is $1,812 a month ($2,241 for two bedrooms) — 23% of a median optometrist’s monthly take-home pay. Financial planners usually suggest keeping rent under about 30%.
Related jobs in Sacramento, CA
- Family Medicine Physician — $239,200+
- Physicians, All Other — $239,200+
- Pharmacist — $172,680
- Nurse Practitioner — $172,010
- Registered Nurse — $171,460
- Dentists, General — $170,500
- Veterinarian — $165,260
- Diagnostic Medical Sonographer — $163,220
- Physician Assistant — $161,470
- Radiologic Technologist and Technician — $135,880
- Respiratory Therapist — $134,430
- Physical Therapist — $131,430