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COL-adjusted ranking

Best Cities for Speech-Language Pathologistss by Take-Home Pay

The cities that pay Speech-Language Pathologistss the most on paper aren't usually the best deals once rent and prices are factored in. Sherman-Denison ranks first with a COL-adjusted equivalent of $123,643/year, better purchasing power than San Jose-Sunnyvale-Santa Clara's higher nominal pay of $132,720. The table below uses BLS OEWS May 2025 salary data and BEA Regional Price Parities.

Highest nominal pay

#1 San Jose-Sunnyvale-Santa Clara$132,720
#2 San Francisco-Oakland-Fremont$130,850
#3 Santa Rosa-Petaluma$127,470

Best purchasing power

#1 Sherman-Denison$123,643
#2 San Jose-Sunnyvale-Santa Clara$120,196
#3 Texarkana$119,022

Top 25 metros by purchasing power

Ranked by COL-adjusted salary. Metros with fewer than 100 employed speech-language pathologistss excluded.

Rank
Metro
Nominal
COL-adj.
#1
Sherman-Denison
14% rent burden
$115,940
$123,643
#2
$132,720
$120,196
#3
Texarkana
13% rent burden
$99,990
$119,022
#4
$126,360
$118,459
#5
Santa Rosa-Petaluma
27% rent burden
$127,470
$118,269
#6
Brownsville-Harlingen
12% rent burden
$100,940
$117,413
#7
$126,850
$116,590
#8
Bakersfield-Delano
15% rent burden
$117,350
$116,315
#9
Merced
16% rent burden
$114,220
$116,219
#10
Greenville
13% rent burden
$101,580
$114,910
#11
Vallejo
21% rent burden
$124,440
$114,712
#12
Las Cruces
12% rent burden
$102,850
$114,012
#13
$130,850
$113,182
#14
Stockton-Lodi
18% rent burden
$118,660
$112,913
#15
Salinas
26% rent burden
$122,770
$112,592
#16
Modesto
18% rent burden
$116,770
$112,160
#17
Huntington-Ashland
12% rent burden
$98,700
$111,626
#18
$118,560
$111,387
#19
$103,420
$111,121
#20
Laredo
14% rent burden
$96,340
$110,787
#21
El Paso
12% rent burden
$99,430
$110,588
#22
Chico
18% rent burden
$110,720
$109,407
#23
Columbia
14% rent burden
$97,610
$109,135
#24
Fresno
18% rent burden
$110,960
$108,614
#25
$106,290
$108,382

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 Speech-Language Pathologistss?

COL-adjusted pay divides the BLS median salary by the BEA Regional Price Parity index (100 = national average). A salary of $132,720 in a city with RPP 120 has the same purchasing power as $110,600 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 speech-language pathologists 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 Speech-Language Pathologistss?

Brownsville-Harlingen has one of the lowest rent burdens for Speech-Language Pathologistss in this dataset. HUD FMR for a 2-bedroom is $1,047/month, with a median salary of $100,940.

Where do Speech-Language Pathologistss get paid the most in nominal terms?

San Jose-Sunnyvale-Santa Clara pays the highest nominal median salary at $132,720/year, per BLS OEWS May 2025. But check the COL-adjusted column before accepting any relocation offer.

National salary breakdown for Speech-Language PathologistssView →How to become a speech-language pathologistsGuide →Compare two cities side by sideCompare →