Massage Therapist Pay

San Francisco vs Visalia: Massage Therapist Salary (2026)

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

San Francisco, CA
$42,709
$20.54/hr
Visalia, CA
$53,669
$25.81/hr

Side-by-Side Comparison

MetricSan Francisco, CAVisalia, CA
Median Salary$42,709$53,669
Hourly Rate$20.54$25.81
Entry Level (P10)$39,157$31,128
25th Percentile$40,609$40,831
75th Percentile$73,977$68,697
Top Earner (P90)$101,259$83,187
Total Employed1,80035
Side-by-side bar chart comparing San Francisco ($42,709) and Visalia ($53,669) massage therapist salaries.San FranciscoVisaliaMedian Salary$42,709$53,669Entry Level (P10)$39,157$31,128Top Earner (P90)$101,259$83,187US Median $61,975

Verdict

San Francisco and Visalia are closely matched on overall massage therapist compensation, each winning on different metrics.

The salary gap between San Francisco and Visalia is $10,960 (25.66%). Visalia's median is -13.40% compared to the US national median of $61,975.

Salary Range Comparison

The full salary range (10th to 90th percentile) in San Francisco spans $62,102,Visalia spans $52,059. San Francisco has a wider pay range, meaning more potential for high earners but also more variation.

San Francisco
P10 (Entry)$39,157
P25$40,609
Median$42,709
P75$73,977
P90 (Top)$101,259
Visalia
P10 (Entry)$31,128
P25$40,831
Median$53,669
P75$68,697
P90 (Top)$83,187

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Visalia ($47,453 effective) pays 28.45% more than San Francisco ($36,941 effective).

San Francisco
Nominal: $42,709
CoL Index: 115.613
Adjusted: $36,941
Visalia
Nominal: $53,669
CoL Index: 113.1
Adjusted: $47,453

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

Which City Is Right for You?

Choose San Francisco if…

  • Better top-earner potential ($101,259)
  • Larger job market (1,800 employed)
  • You prefer the California area and lifestyle

Choose Visalia if…

  • Higher median salary ($53,669/year)
  • Better purchasing power (CoL-adjusted: $47,453)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, massage therapist salaries in San Francisco grew -13.6% from 2019 to 2025, compared to 45.2% growth in Visalia over the same period.

San Francisco, CA

+-13.6%

$46,600 (2019) → $40,280 (2025)

Visalia, CA

+45.2%

$34,860 (2019) → $50,617 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays massage therapists more: San Francisco or Visalia?

Visalia has a higher median massage therapist salary at $53,669/year, compared to San Francisco at $42,709/year — a difference of $10,960 (25.66%).

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

San Francisco massage therapists earn $20.54/hr while Visalia hygienists earn $25.81/hr (2026 est.).

Should I relocate from San Francisco to Visalia as a massage therapist?

Consider more than just salary when comparing San Francisco and Visalia. Factor in cost of living (CoL-adjusted: San Francisco = $36,941, Visalia = $47,453), job availability (1,800 vs 35 employed), commute, and career growth potential.

What do entry-level massage therapists earn in San Francisco vs Visalia?

Entry-level (10th percentile) massage therapists earn $39,157 in San Francisco and $31,128 in Visalia. The San Francisco area offers higher starting salaries.

Related Comparisons

JL

Written by Jordan Lee, LMT

Career Analyst

Jordan Lee has 10 years of experience in massage therapy. They specialize in sports massage. They work in a wellness center.

Clinically reviewed by Amina Patel, LMTData verified by Carlos Ramirez, LMT

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 6.03% 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, LMT, a licensed massage therapist with 10+ years of clinical experience. · View source data at BLS.gov