Optometrist Salary by State (2026)

Optometrists earn the most in Alaska at $170,310 a year and the least in Oklahoma at $97,350 (BLS OEWS, May 2025). The national median is $136,570. All 52 states and territories with reported data are ranked below, with a cost-of-living adjusted column.

Highest median
$170,310

Alaska

National median
$136,570

BLS OEWS, May 2025

Lowest median
$97,350

Oklahoma

States reporting
52

of 54 OEWS areas

Top 5 states for Optometrists

  1. 1. Alaska$170,310 median · $166,385 adjusted · 60 employed
  2. 2. Maryland$165,840 median · $158,005 adjusted · 780 employed
  3. 3. North Carolina$161,560 median · $171,278 adjusted · 1,140 employed
  4. 4. Delaware$161,270 median · $161,580 adjusted · 190 employed
  5. 5. New York$161,140 median · $149,313 adjusted · 2,390 employed

Lowest-paying states for Optometrists

  1. 52. Oklahoma$97,350 median · $110,823 adjusted · 570 employed
  2. 51. South Dakota$102,320 median · $115,504 adjusted · 190 employed
  3. 50. Idaho$103,390 median · $108,269 adjusted · 160 employed
  4. 49. Montana$104,280 median · $110,180 adjusted · 140 employed
  5. 48. Mississippi$108,070 median · $124,286 adjusted · 240 employed

Optometrist salary in every state

Sort by any column. Employment is the number of optometrists OEWS estimates in that state; blank cells are estimates BLS suppressed because the sample was too small.

Annual wages by state, sortable by median, quartiles, employment and cost-of-living adjusted median
#
1Alaska$170,310$134,480$203,51060$166,385
2Maryland$165,840$81,780$201,810780$158,005
3North Carolina$161,560$123,250$193,7901,140$171,278
4Delaware$161,270$107,880$175,750190$161,580
5New York$161,140$127,900$175,7402,390$149,313
6New Jersey$159,040$134,560$165,9601,380$146,170
7Minnesota$158,700$125,860$174,370710$160,919
8Washington$157,560$126,730$171,200760$147,234
9Hawaii$154,620$120,980$162,070230$140,626
10Maine$154,110$115,870$177,630180$158,794
11Colorado$152,000$110,020$169,190880$147,498
12Massachusetts$151,730$130,480$166,920950$143,470
13Florida$151,670$122,730$167,2702,350$146,663
14Connecticut$150,340$133,420$157,760490$145,102
15South Carolina$145,950$93,980$163,510480$155,682
16Illinois$145,620$129,310$162,6501,540$145,681
17Alabama$145,090$104,730$166,870460$163,347
18New Mexico$144,660$109,260$178,060130$156,878
19Wisconsin$139,720$113,620$171,280790$148,488
20Kansas$138,580$118,910$160,270660$153,862
21Vermont$137,290$127,010$165,38090$140,152
22California$136,300$122,960$166,3006,890$123,103
23Michigan$135,650$125,000$161,9701,410$140,983
24Nevada$135,650$101,030$175,380430$135,678
25Indiana$135,500$102,840$161,8201,040$145,185
26Pennsylvania$135,400$110,990$163,8901,720$138,769
27Ohio$134,850$93,560$163,0501,300$145,353
28District of Columbia$134,840$113,030$163,07050$122,692
29Rhode Island$134,520$114,090$167,930250$131,521
30Tennessee$134,170$63,510$160,150660$146,043
31Missouri$133,810$103,720$159,870630$147,340
32Puerto Rico$132,790$78,000$168,210280N/A
33North Dakota$132,110$109,990$151,970140$148,507
34Oregon$132,020$102,030$143,500560$127,727
35Virginia$131,570$106,900$163,8901,110$130,133
36Kentucky$128,860$97,290$168,030430$142,925
37Georgia$128,830$104,850$159,140870$133,790
38Texas$126,000$101,700$155,0904,110$129,821
39New Hampshire$125,560$117,580$155,580210$120,540
40Iowa$125,380$90,330$140,630450$142,864
41Nebraska$125,040$76,020$162,760340$138,775
42Arkansas$124,470$84,140$147,590320$143,173
43Arizona$122,250$104,480$165,0301,080$121,428
44Utah$119,070$50,040$160,330380$120,438
45Louisiana$118,060$101,270$148,030250$133,844
46West Virginia$118,010$98,710$161,820150$131,859
47Wyoming$111,400$51,840$136,05090$120,184
48Mississippi$108,070$94,360$165,540240$124,286
49Montana$104,280$60,870$132,580140$110,180
50Idaho$103,390$64,610$155,100160$108,269
51South Dakota$102,320$94,350$133,200190$115,504
52Oklahoma$97,350$76,690$149,660570$110,823

How the cost-of-living adjustment works

The adjusted column divides each state median by that state's BEA Regional Price Parity (RPP) and multiplies by 100. RPPs measure how much a fixed basket of goods, services and rents costs in one state relative to the national average, so the result restates local pay in national-average dollars.

For Optometrists, that changes the ranking: Alaska leads on raw pay at $170,310, while North Carolina leads once prices are taken into account at $171,278.

Source: BEA Regional Price Parities by State, 2024 (public domain). The adjustment is NueCareer's calculation, not a BLS or BEA published statistic.

Optometrist pay by state: FAQ

Which state pays Optometrists the most?

Alaska reports the highest median wage for Optometrists at $170,310 a year (BLS OEWS, May 2025), followed by Maryland ($165,840) and North Carolina ($161,560).

Which state pays Optometrists the least?

Oklahoma reports the lowest median for Optometrists at $97,350 a year, $72,960 below the highest-paying state (BLS OEWS, May 2025).

Where do Optometrists earn the most after cost of living?

Dividing each state median by that state's BEA Regional Price Parity puts North Carolina first at $171,278 in national-average dollars, from a raw median of $161,560. BEA Regional Price Parities, 2024.

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