PT Assistant Salary

San Francisco vs Sacramento: Physical Therapist Assistant Salary (2026)

Compare physical therapist assistant salaries between San Francisco, CA and Sacramento, CA. All figures are 2026 estimates projected from BLS 2025 data.

San Francisco, CA
$98,539
$47.38/hr
Sacramento, CA
$86,591
$41.64/hr

Side-by-Side Comparison

MetricSan Francisco, CASacramento, CA
Median Salary$98,539$86,591
Hourly Rate$47.38$41.64
Entry Level (P10)$68,418$65,747
25th Percentile$84,023$77,982
75th Percentile$104,076$98,272
Top Earner (P90)$120,040$105,719
Total Employed1,040570
Side-by-side bar chart comparing San Francisco ($98,539) and Sacramento ($86,591) physical therapist assistant salaries.San FranciscoSacramentoMedian Salary$98,539$86,591Entry Level (P10)$68,418$65,747Top Earner (P90)$120,040$105,719US Median $70,247

Verdict

San Francisco, CA offers better overall compensation for physical therapist assistants, winning 4 out of 4 metrics compared to Sacramento.

The salary gap between San Francisco and Sacramento is $11,948 (13.80%). San Francisco's median is +40.28% compared to the US national median of $70,247.

Salary Range Comparison

The full salary range (10th to 90th percentile) in San Francisco spans $51,622,Sacramento spans $39,972. San Francisco has a wider pay range, meaning more potential for high earners but also more variation.

San Francisco
P10 (Entry)$68,418
P25$84,023
Median$98,539
P75$104,076
P90 (Top)$120,040
Sacramento
P10 (Entry)$65,747
P25$77,982
Median$86,591
P75$98,272
P90 (Top)$105,719

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Francisco ($85,232 effective) pays 5.00% more than Sacramento ($81,177 effective).

San Francisco
Nominal: $98,539
CoL Index: 115.613
Adjusted: $85,232
Sacramento
Nominal: $86,591
CoL Index: 106.67
Adjusted: $81,177

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose San Francisco if…

  • Higher median salary ($98,539/year)
  • Better top-earner potential ($120,040)
  • Larger job market (1,040 employed)
  • Better purchasing power (CoL-adjusted: $85,232)
  • You prefer the California area and lifestyle

Choose Sacramento if…

  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, physical therapist assistant salaries in San Francisco grew 43.1% from 2019 to 2025, compared to 11.3% growth in Sacramento over the same period.

San Francisco, CA

+43.1%

$67,030 (2019) → $95,920 (2025)

Sacramento, CA

+11.3%

$75,760 (2019) → $84,290 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays physical therapist assistants more: San Francisco or Sacramento?

San Francisco has a higher median physical therapist assistant salary at $98,539/year, compared to Sacramento at $86,591/year — a difference of $11,948 (13.80%).

What is the hourly rate difference between San Francisco and Sacramento?

San Francisco physical therapist assistants earn $47.38/hr while Sacramento hygienists earn $41.64/hr (2026 est.).

Should I relocate from San Francisco to Sacramento as a physical therapist assistant?

Consider more than just salary when comparing San Francisco and Sacramento. Factor in cost of living (CoL-adjusted: San Francisco = $85,232, Sacramento = $81,177), job availability (1,040 vs 570 employed), commute, and career growth potential.

What do entry-level physical therapist assistants earn in San Francisco vs Sacramento?

Entry-level (10th percentile) physical therapist assistants earn $68,418 in San Francisco and $65,747 in Sacramento. The San Francisco area offers higher starting salaries.

Related Comparisons

JL

Written by Jordan Lee, DPT

Career Analyst

Jordan has 10 years of experience in outpatient physical therapy. They specialize in orthopedic rehabilitation. Jordan works in a private practice setting.

Clinically reviewed by Maria Gonzalez, PTAData verified by Ahmed Khan, DPT

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.73% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Jordan Lee, DPT, a licensed physical therapist assistant with 10+ years of clinical experience. · View source data at BLS.gov