Massage Therapist Salary in San Mateo, CA: $53,738 (2026)
Quick Answer:A full-time massage therapist in San Mateo, CA earns a median $53,738/year (≈ $25.84/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 31-9011). Once you factor in San Mateo's price level (13% above national, BEA RPP 113.1), that paycheck buys what $47,514 would nationally. Nominal pay sits 1.1% above the California state average.
Based on BLS state-level estimates · View source

Massage therapists in San Mateo, CA, are projected to earn a median annual salary of $53,738 in 2026. This figure reflects local estimates based on BLS state-level data and regional price changes, with salaries ranging from $31,169 (10th percentile) to $83,294 (90th percentile). When considering the variation in income, it's essential to recognize that tip income, especially in spa settings, can significantly enhance overall earnings. Many therapists in this city benefit from additional compensation through gratuities, which can often constitute 15-25% of service fees. Given this context, the earning potential for massage therapists in San Mateo needs to be viewed not only through base salaries but also in light of these supplementary incomes.
About the San Mateo Market
Salary estimated from California average ($58,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $31,169 | $14.98 |
| Lower Range (P25) | $40,963 | $19.69 |
| Median (P50)(typical) | $53,738 | $25.84 |
| Upper Range (P75) | $68,785 | $33.07 |
| Top Earners (P90) | $83,294 | $40.05 |
Median Salary Position
13.29% below the national average
2026 Salary Percentile Distribution in San Mateo
In San Mateo, CA, the massage therapist salary spread from the 10th to 90th percentile is $52,125 (2026 est.). At $53,738, the local median is 13.29% below the national median of $61,975.
Salary Calculator
At 40 hours/week in San Mateo: You'd be in the lower-middle range
How San Mateo Massage Therapist Pay Compares
San Mateo median: $53,738/year (2026)
| Compared To | Median Salary | San Mateo Pays |
|---|---|---|
| California Average | $53,153 | +1.10% more |
| National Average | $61,975 | -13.29% less |
Massage Therapists in San Mateo, CA earn a median of $53,738 per year (2026 est.), which is 13.29% lower than the national median of $61,975 and 1.10% above the California state average of $53,153.
Cost-of-Living Adjusted Salary
San Mateo has a cost of living 13.10% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
San Mateo, CA has a cost-of-living index of 113.1 (above the national average of 100). While the nominal salary of $53,738 is competitive, the higher cost of living reduces purchasing power to an effective $47,514 — a 11.58% reduction.
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2019 BLS Actual
$37,129
2025 BLS Actual
$50,682
2026 Current Est.
$53,738
2019–2027 Growth
+53.5%
Salary Trajectory for Massage Therapists in San Mateo (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 6.03% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $37,129 | Actual |
| 2020 | $37,823 | Actual |
| 2021 | $40,676 | Actual |
| 2022 | $43,234 | Actual |
| 2023 | $47,959 | Actual |
| 2024 | $66,294 | Actual |
| 2025 | $50,682 | Actual |
| 2026(current) | $53,738 | Estimated |
| 2027 | $56,979 | Projected |
Based on 7 years of BLS OEWS data for the San Mateo metropolitan area, the median massage therapist salary grew 36.5% from $37,129 (2019) to $50,682 (2025). At a 6.03% compound annual growth rate, salaries are projected to reach $56,979 by 2027 — a total increase of $19,850 (53.46%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the San Mateo metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 6.03% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $31,169 – $40,963 |
| 3-5 years (Mid Career) | $40,963 – $53,738 |
| 5+ years (Experienced) | $53,738 – $68,785 |
| 10+ years (Top Earner) | $68,785 – $83,294 |
LMT salary ranges estimated from BLS percentile data. Individual massage therapist compensation varies by employer, certifications, and specialization.
Massage Therapist Job Market in San Mateo
In San Mateo, there are currently 21 massage therapists employed, illustrating a modest local job market despite competitive pay systems. The cost of living index for the area stands at 113.1, indicating that while salaries are slightly lower than the national average, the higher cost of living can shrink take-home pay considerably. Among various employers, spas—especially high-end resort and day spas—often provide the best compensation due to their tip structures, while franchise chains like Massage Envy and Hand & Stone typically offer lower pay rates. The wide salary range is largely driven by factors such as employment type, with self-employed therapists able to charge premium rates for specialty services, significantly boosting their income potential compared to those working in lower-paying settings. To maximize earnings in this San Mateo market, therapists may consider expanding their services into niche areas like oncology or sports massage, as well as developing a strong personal brand to attract private clients.
More salary data for San Mateo, CA:
Frequently Asked Questions
How much do massage therapists make in San Mateo, CA in 2026?
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Can massage therapists make $100K in San Mateo?
What is the cost-of-living adjusted massage therapist salary in San Mateo?
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Related Pages
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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.
Methodology & Data Source
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $50,682 for massage therapistsin the San Mateo metropolitan area. A 6.03% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for San Mateo is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 6.03%, derived from historical BLS wage trends for massage therapists (SOC 31-9011).
Compiled and verified by Jordan Lee, LMT, a licensed massage therapist with 10+ years of clinical experience. · View source data at BLS.gov