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COL-adjusted ranking

Best Cities for Diagnostic Medical Sonographers by Take-Home Pay

The cities that pay Diagnostic Medical Sonographers the most on paper aren't usually the best deals once rent and prices are factored in. Vallejo ranks first with a COL-adjusted equivalent of $157,789/year, better purchasing power than San Jose-Sunnyvale-Santa Clara's higher nominal pay of $173,150. The table below uses BLS OEWS May 2025 salary data and BEA Regional Price Parities.

Highest nominal pay

#1 San Jose-Sunnyvale-Santa Clara$173,150
#2 Vallejo$171,170
#3 Sacramento-Roseville-Folsom$163,220

Best purchasing power

#1 Vallejo$157,789
#2 San Jose-Sunnyvale-Santa Clara$156,810
#3 Sacramento-Roseville-Folsom$153,014

Top 25 metros by purchasing power

Ranked by COL-adjusted salary. Metros with fewer than 100 employed diagnostic medical sonographers excluded.

Rank
Metro
Nominal
COL-adj.
#1
Vallejo
15% rent burden
$171,170
$157,789
#2
$173,150
$156,810
#3
$163,220
$153,014
#4
$160,270
$138,630
#5
Modesto
15% rent burden
$141,210
$135,635
#6
Stockton-Lodi
16% rent burden
$130,210
$123,903
#7
Salem
15% rent burden
$127,680
$123,184
#8
$128,420
$121,817
#9
$132,490
$121,774
#10
$129,960
$116,944
#11
$129,630
$115,855
#12
$125,750
$113,770
#13
Rochester
17% rent burden
$100,770
$110,956
#14
Urban Honolulu
26% rent burden
$123,070
$110,914
#15
Green Bay
14% rent burden
$102,530
$110,141
#16
Barnstable Town
27% rent burden
$108,020
$109,832
#17
Milwaukee-Waukesha
15% rent burden
$105,490
$108,820
#18
Kansas City
16% rent burden
$100,450
$108,548
#19
Champaign-Urbana
13% rent burden
$100,420
$108,328
#20
Bakersfield-Delano
16% rent burden
$108,990
$108,029
#21
Reno
21% rent burden
$107,980
$106,900
#22
Greensboro-High Point
16% rent burden
$98,890
$106,494
#23
Springfield
15% rent burden
$98,470
$106,167
#24
$112,980
$105,727
#25
Fresno
19% rent burden
$107,750
$105,472

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 Diagnostic Medical Sonographers?

COL-adjusted pay divides the BLS median salary by the BEA Regional Price Parity index (100 = national average). A salary of $173,150 in a city with RPP 120 has the same purchasing power as $144,292 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 diagnostic medical sonographers 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 Diagnostic Medical Sonographers?

Champaign-Urbana has one of the lowest rent burdens for Diagnostic Medical Sonographers in this dataset. HUD FMR for a 2-bedroom is $1,122/month, with a median salary of $100,420.

Where do Diagnostic Medical Sonographers get paid the most in nominal terms?

San Jose-Sunnyvale-Santa Clara pays the highest nominal median salary at $173,150/year, per BLS OEWS May 2025. But check the COL-adjusted column before accepting any relocation offer.

National salary breakdown for Diagnostic Medical SonographersView →How to become a diagnostic medical sonographersGuide →Compare two cities side by sideCompare →