Interpret medical images including X-rays, CT scans, and MRIs to diagnose conditions. Median salary in Sacramento: $437K/year. Data from BLS, O*NET, and H-1B disclosures.
Figures represent annual base salary in Sacramento, California. Reviewed by SalaryOptics Editorial · How we calculate this →
Analysis derived from the salary, COL, tax, and labor-market figures above — specific to this role and city.
Radiologists in Sacramento earn approximately 15% higher than the US national median for this role — a $57,000 premium on annual base salary. This reflects Sacramento's position as a higher-cost labor market where employers must match local wage norms.
Adjusted for Sacramento's cost-of-living index (128), the median Radiologist salary buys the equivalent of $341,406 in a US-average-cost city. That's $38,594 less purchasing power than the national median — the higher nominal salary doesn't fully offset local costs.
California's 9.3% state income tax reduces take-home by roughly $40,641 per year at the median salary. A Radiologist relocating to a no-tax state like Texas, Florida, or Tennessee would retain that amount without changing gross pay.
Based on BLS 2022–2032 Employment Projections and WEF Future of Jobs Report 2026. At current growth rates, median salary reaches $437K by 2030.
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The median Radiologist salary in Sacramento, CA is $437,000 per year as of Q1 2026. This figure represents the midpoint of all reported compensation for this role in the Sacramento–CA metropolitan area, based on data from the Bureau of Labor Statistics Occupational Employment Statistics, H-1B visa disclosures from the Department of Labor, and O*NET occupational data.
Entry-level Radiologists in Sacramento with 0–2 years of experience typically earn between $334,000 and $437,000 annually. Mid-career professionals with 3–7 years command $437,000 to $541,000, while senior-level practitioners with 8+ years of experience regularly earn $541,000 to $644,000 or more.
Sacramento has a cost of living index of 128 compared to the US national average of 100. Sacramento's cost of living is above the US average, so the salary figures above reflect local market rates. California has a 9.3% state income tax rate.
MD; radiology residency and fellowship. 35% of these roles offer some remote flexibility.