Healthcare Practitioners and Technical

Orthoptist Salary (2026), outlook and how to become one

Diagnose and treat visual system disorders such as binocular vision and eye movement impairments.

Median pay
$115,210
Growth to 2035
+5.5%
Openings a year
1,900
Typical entry
Master's

Orthoptists earn a median of $115,210 per year ($55.39/hr) (BLS OEWS, May 2025). Employment is projected to grow 5.5% through 2035, with about 1,900 openings a year (BLS EP, 2025–2035). Typical entry-level education: Master's degree.

  • SOC 29-1299
  • Healthcare Practitioners and Technical
  • Last updated October 9, 2026

At a glance

Orthoptist in four numbers

Median pay
$115,210a year, or $55.39/hr
Lowest 10% $65KTop 10% $195K

US median, all jobs: $50,980

BLS OEWS, May 2025
Projected growth
+5.5%Faster than average
This career
+5.5%
All jobs
+3.5%
Projected employment change, 2025–2035
ItemValue
This career+5.5%
All jobs+3.5%
BLS EP, 2025–2035
Openings a year
1,90039,600 jobs today
  • Jobs in 202539.6K
  • Projected 203541.8K
Employment, 2025–2035
ItemValue
Jobs in 202539.6K
Projected 203541.8K
BLS EP, 2025–2035
Typical education
Master'sneeded to enterBLS EP, 2025–2035; mix: O*NET

Also advertised as: Clinical Orthoptist (CO), CO (Certified Orthoptist).

Pay

How much do Orthoptists make?

Annual pay, lowest-paid to highest-paid

Every orthoptist in the US, by percentile of annual wage

Median

$115,210

Middle half earn $83,780 to $161,470

10th
$65,210
25th
$83,780
75th
$161,470
90th
$195,190

All US occupations: $50,980

Orthoptist annual wages
PercentileValue
10th$65,210
25th$83,780
Median$115,210
75th$161,470
90th$195,190
All US occupations$50,980

Source: BLS OEWS, May 2025

Median annual wage
$115,210
Median hourly wage
$55.39/hr
Mean annual wage
$127,660
People employed
28,630

Versus all US occupations

At $115,210, Orthoptists earn 126% above the $50,980 median across all US occupations, a difference of $64,230 a year.

Versus healthcare practitioners and technical occupations

Inside the Healthcare Practitioners and Technical group, where the middle occupation pays $102,760, this is 12% above the group median.

Pay range

The top 10% earn $195,190 or more while the bottom 10% earn $65,210, a gap of 3.0×. That is a typical spread for a US occupation.

Rank in the bank

This median pays more than 82% of the 1,741 occupations in the NueCareer career bank.

Highest-paying state

Maryland pays the most at $164,670, and still leads at $156,890 once local prices are taken into account.

Pay by state

Which states pay Orthoptists the most?

State medians come from the same OEWS release as the national figures. The cost-of-living column divides each state median by that state's BEA Regional Price Parity, restating pay in national-average dollars so a high-cost state and a low-cost one can be compared directly.

Top 10 states by median annual wage for Orthoptists
StateMedianCOL-adjustedEmployed
1Maryland$164,670$156,8905,840
2District of Columbia$151,990$138,297490
3New York$127,360$118,012750
4Georgia$126,300$131,1623,130
5California$125,550$113,3941,600
6Montana$122,930$129,885110
7Connecticut$119,970$115,790410
8Hawaii$119,520$108,70390
9Utah$119,430$120,802310
10North Carolina$117,210$124,261800
See all 44 states, sortable, with cost-of-living adjustments

Job outlook

Is Orthoptist a growing career?

Projected change in jobs

Employment change over 2025–2035, against every US occupation

Orthoptists
+5.5%
All US occupations
+3.5%

Faster than average. +5.5% projected growth vs 3.5% for all occupations.

Projected employment change, 2025–2035
ItemValue
Orthoptists+5.5%
All US occupations+3.5%

Source: BLS EP, 2025–2035

Faster than average

BLS projects employment of Orthoptists to change 5.5% over 2025–2035, against 3.5% projected for all occupations. That is 2,200 more jobs.

Annual openings

About 1,900 openings are projected each year, 4.8% of the 39,600 jobs that existed in 2025. Most come from workers leaving the occupation, not from growth alone.

Getting in

How to become an Orthoptist

  1. 1

    Typical entry-level education

    Master's degree

  2. 2

    Work experience in a related occupation

    None

  3. 3

    Typical on-the-job training

    None

  4. 4

    Preparation needed (O*NET job zone)

    Considerable preparation

BLS Employment Projections, 2025–2035; job zone from O*NET 31.0 Database.

The work

What does an Orthoptist do?

Diagnose and treat visual system disorders such as binocular vision and eye movement impairments.

Day-to-day tasks

  1. Evaluate, diagnose, or treat disorders of the visual system with an emphasis on binocular vision or abnormal eye movements.
  2. Examine patients with problems related to ocular motility, binocular vision, amblyopia, or strabismus.
  3. Perform diagnostic tests or measurements, such as motor testing, visual acuity testing, lensometry, retinoscopy, and color vision testing.
  4. Provide nonsurgical interventions, including corrective lenses, patches, drops, fusion exercises, or stereograms, to treat conditions such as strabismus, heterophoria, and convergence insufficiency.
  5. Develop nonsurgical treatment plans for patients with conditions such as strabismus, nystagmus, and other visual disorders.
  6. Provide instructions to patients or family members concerning diagnoses or treatment plans.
  7. Develop or use special test and communication techniques to facilitate diagnosis and treatment of children or patients with disabilities.
  8. Prepare diagnostic or treatment reports for other medical practitioners or therapists.

O*NET core tasks, ordered by reported importance.

Working conditions and hours

Where the work happens

  • Indoors, climate-controlled

    NeverEvery day

    Indoors, in a climate-controlled space, every day.

  • Outdoors in all weather

    NeverEvery day

    Almost never works outdoors.

Physical demands

  • Sitting

    NeverAlmost all the time
  • Standing

    NeverAlmost all the time
  • Bending or twisting

    NeverAlmost all the time

    Regular bending or twisting.

Working with people

  • Contact with other people

    NoneConstant

    Constant contact with other people.

  • Face-to-face discussions

    NeverEvery day

    Face-to-face discussions every day.

  • Dealing with the public

    Not importantExtremely important

    Dealing with customers or the public is very important.

Pressure and stakes

  • Strict deadlines

    NeverEvery day
  • Conflict situations

    NeverEvery day
  • Cost of a mistake

    Not seriousExtremely serious

Autonomy

  • Freedom to decide

    NoneA lot

    A lot of freedom to make decisions without checking first.

Conditions: O*NET Work Context survey. Each item has its own scale, so each dot is read against the two answers that end its own line.

Core skills

O*NET importance, 1 to 5

  • Reading Comprehension4.0
  • Active Listening4.0
  • Speaking3.9
  • Critical Thinking3.9
  • Writing3.8
  • Science3.5
  • Active Learning3.4
  • Learning Strategies3.1
Core skills for Orthoptists
ItemValue
Reading Comprehension4.0
Active Listening4.0
Speaking3.9
Critical Thinking3.9
Writing3.8
Science3.5
Active Learning3.4
Learning Strategies3.1

Source: O*NET 31.0 Database

Transferable skills

O*NET importance, 1 to 5

  • Social Perceptiveness3.8
  • Complex Problem Solving3.4
  • Service Orientation3.3
  • Judgment and Decision Making3.3
  • Instructing3.1
  • Coordination3.0
  • Systems Analysis3.0
  • Systems Evaluation3.0
Transferable skills for Orthoptists
ItemValue
Social Perceptiveness3.8
Complex Problem Solving3.4
Service Orientation3.3
Judgment and Decision Making3.3
Instructing3.1
Coordination3.0
Systems Analysis3.0
Systems Evaluation3.0

Source: O*NET 31.0 Database

Tools and software

  • Presentation software · in demand
  • Spreadsheet software · in demand
  • Word processing software · in demand
  • Computer based training software
  • Electronic mail software
  • Eye tracking software
  • Medical software

“In demand” marks an O*NET Employer-Based Hot Technology, software named in real job postings for this occupation.

Personality fit

What personality type suits an Orthoptist?

Interest profile

O*NET Occupational Interests (RIASEC), scored 1 to 7

Orthoptist · Realistic: 5Orthoptist · Investigative: 6Orthoptist · Artistic: 2Orthoptist · Social: 5Orthoptist · Enterprising: 1Orthoptist · Conventional: 4
Orthoptist interest profile
AxisOrthoptist
Realistic5
Investigative6
Artistic2
Social5
Enterprising1
Conventional4

Source: O*NET 31.0 Database

What the work is built around

Day to day this is work built around investigating, analysing and solving problems with ideas and data, combined with hands-on, practical work with tools, machines or the outdoors.

  • Investigative5.7
  • Realistic4.9
  • Social4.8
  • Conventional3.8
  • Artistic1.9
  • Enterprising1.5

Closest MBTI types

NueCareer fit scores: cosine similarity between each MBTI type's interest vector and this occupation's O*NET interest profile. Not a BLS or O*NET figure; the method is documented on our methodology page.

Questions

Orthoptist: frequently asked questions

How much do Orthoptists make?

Orthoptists earn a median of $115,210 a year (BLS OEWS, May 2025). That is 126% above the $50,980 median for all US occupations. That works out at $55.39/hr. The middle half earn between $83,780 and $161,470. The top 10% earn $195,190 or more.

Do you need a degree to become an Orthoptist?

Yes. BLS reports a master's degree as the typical entry-level education for Orthoptists, and O*NET rates the preparation needed as considerable preparation.

Is Orthoptist a growing career?

Yes. Employment is projected to grow 5.5% over 2025–2035, faster than the 3.5% average for all occupations (BLS EP, 2025–2035). BLS still projects about 1,900 openings a year, mostly from workers retiring or moving to other work.

What does an Orthoptist do?

Diagnose and treat visual system disorders such as binocular vision and eye movement impairments. A core O*NET task: evaluate, diagnose, or treat disorders of the visual system with an emphasis on binocular vision or abnormal eye movements. Employers most often ask for Presentation software, Spreadsheet software, Word processing software.

Which states pay Orthoptists the most?

The highest state medians for Orthoptists are Maryland ($164,670), District of Columbia ($151,990), New York ($127,360) (BLS OEWS, May 2025).

What personality type suits an Orthoptist?

O*NET scores Orthoptists highest on the Investigative, Realistic and Social interest areas, so the work mixes investigating, analysing and solving problems with ideas and data with hands-on, practical work with tools, machines or the outdoors. On NueCareer's MBTI-to-interest mapping the closest types are ISTJ, ISFJ. Personality is a fit signal, not a gate. The free NueCareer quiz scores your own profile against all 1,731 careers in the bank.