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COL-adjusted ranking

Best Cities for Clinical and Counseling Psychologists by Take-Home Pay

The cities that pay Clinical and Counseling Psychologists the most on paper aren't usually the best deals once rent and prices are factored in. San Francisco-Oakland-Fremont ranks first with a COL-adjusted equivalent of $143,932/year, better purchasing power than San Francisco-Oakland-Fremont's higher nominal pay of $166,400. The table below uses BLS OEWS May 2025 salary data and BEA Regional Price Parities.

Highest nominal pay

#1 San Francisco-Oakland-Fremont$166,400
#2 Sacramento-Roseville-Folsom$153,050
#3 Salem$143,980

Best purchasing power

#1 San Francisco-Oakland-Fremont$143,932
#2 Sacramento-Roseville-Folsom$143,480
#3 Salem$138,910

Top 25 metros by purchasing power

Ranked by COL-adjusted salary. Metros with fewer than 100 employed clinical and counseling psychologists excluded.

Rank
Metro
Nominal
COL-adj.
#1
$166,400
$143,932
#2
$153,050
$143,480
#3
Salem
13% rent burden
$143,980
$138,910
#4
Rochester
14% rent burden
$123,870
$136,391
#5
Vallejo
18% rent burden
$143,600
$132,375
#6
Provo-Orem-Lehi
14% rent burden
$129,330
$131,660
#7
Lincoln
11% rent burden
$120,000
$131,033
#8
Tucson
14% rent burden
$124,250
$128,225
#9
Fresno
15% rent burden
$129,120
$126,390
#10
Trenton-Princeton
18% rent burden
$128,850
$124,879
#11
$115,690
$124,814
#12
Stockton-Lodi
16% rent burden
$129,860
$123,570
#13
$117,170
$120,360
#14
$122,130
$115,851
#15
Bakersfield-Delano
15% rent burden
$116,550
$115,522
#16
Milwaukee-Waukesha
15% rent burden
$109,940
$113,410
#17
Spokane-Spokane Valley
12% rent burden
$112,500
$112,108
#18
$121,270
$112,007
#19
Phoenix-Mesa-Chandler
19% rent burden
$115,570
$111,856
#20
Syracuse
16% rent burden
$106,440
$111,176
#21
Buffalo-Cheektowaga
15% rent burden
$106,440
$111,060
#22
Madison
13% rent burden
$107,480
$110,474
#23
$112,690
$109,888
#24
Columbus
16% rent burden
$104,370
$109,322
#25
Worcester
22% rent burden
$112,060
$109,306

COL-adjusted = nominal salary divided by (BEA RPP divided by 100). Rent burden = annual 2BR FMR as % of nominal salary. Sources: BLS OEWS May 2025, BEA Regional Price Parities, HUD Fair Market Rents.

Common questions

What does "COL-adjusted pay" mean for Clinical and Counseling Psychologists?

COL-adjusted pay divides the BLS median salary by the BEA Regional Price Parity index (100 = national average). A salary of $166,400 in a city with RPP 120 has the same purchasing power as $138,667 at national average prices.

Why doesn't New York or San Francisco top this list?

Both cities pay above-average salaries, but rent and everyday costs eat most of that premium. A clinical and counseling psychologists in New York might earn 30% more but pay 60-80% more in rent. The net result is often less purchasing power than mid-cost metros.

How is purchasing power calculated?

Purchasing power equals nominal median salary divided by (BEA RPP divided by 100). BEA's Regional Price Parities measure relative price levels across metro areas, updated annually from the National Income and Product Accounts.

What's the most affordable metro for Clinical and Counseling Psychologists?

Lincoln has one of the lowest rent burdens for Clinical and Counseling Psychologists in this dataset. HUD FMR for a 2-bedroom is $1,141/month, with a median salary of $120,000.

Where do Clinical and Counseling Psychologists get paid the most in nominal terms?

San Francisco-Oakland-Fremont pays the highest nominal median salary at $166,400/year, per BLS OEWS May 2025. But check the COL-adjusted column before accepting any relocation offer.

National salary breakdown for Clinical and Counseling PsychologistsView →How to become a clinical and counseling psychologistsGuide →Compare two cities side by sideCompare →