Psychologist Pay

Sacramento vs San Mateo: Clinical and Counseling Psychologist Salary (2026)

Compare clinical and counseling psychologist salaries between Sacramento, CA and San Mateo, CA. All figures are 2026 estimates projected from BLS 2025 data.

Sacramento, CA
$160,825
$77.32/hr
San Mateo, CA
$123,844
$59.54/hr

Side-by-Side Comparison

MetricSacramento, CASan Mateo, CA
Median Salary$160,825$123,844
Hourly Rate$77.32$59.54
Entry Level (P10)$67,503$71,830
25th Percentile$100,593$92,440
75th Percentile$189,249$158,521
Top Earner (P90)$216,087$191,958
Total Employed63021
Side-by-side bar chart comparing Sacramento ($160,825) and San Mateo ($123,844) clinical and counseling psychologist salaries.SacramentoSan MateoMedian Salary$160,825$123,844Entry Level (P10)$67,503$71,830Top Earner (P90)$216,087$191,958US Median $105,689

Verdict

Sacramento, CA offers better overall compensation for clinical and counseling psychologists, winning 4 out of 4 metrics compared to San Mateo.

The salary gap between Sacramento and San Mateo is $36,981 (29.86%). Sacramento's median is +52.17% compared to the US national median of $105,689.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Sacramento spans $148,584,San Mateo spans $120,128. Sacramento has a wider pay range, meaning more potential for high earners but also more variation.

Sacramento
P10 (Entry)$67,503
P25$100,593
Median$160,825
P75$189,249
P90 (Top)$216,087
San Mateo
P10 (Entry)$71,830
P25$92,440
Median$123,844
P75$158,521
P90 (Top)$191,958

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Sacramento ($150,769 effective) pays 37.69% more than San Mateo ($109,500 effective).

Sacramento
Nominal: $160,825
CoL Index: 106.67
Adjusted: $150,769
San Mateo
Nominal: $123,844
CoL Index: 113.1
Adjusted: $109,500

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

Which City Is Right for You?

Choose Sacramento if…

  • Higher median salary ($160,825/year)
  • Better top-earner potential ($216,087)
  • Larger job market (630 employed)
  • Better purchasing power (CoL-adjusted: $150,769)
  • You prefer the California area and lifestyle

Choose San Mateo if…

  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, clinical and counseling psychologist salaries in Sacramento grew 18.3% from 2021 to 2025, compared to -10.0% growth in San Mateo over the same period.

Sacramento, CA

+18.3%

$129,380 (2021) → $153,050 (2025)

San Mateo, CA

+-10.0%

$130,896 (2024) → $117,857 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays clinical and counseling psychologists more: Sacramento or San Mateo?

Sacramento has a higher median clinical and counseling psychologist salary at $160,825/year, compared to San Mateo at $123,844/year — a difference of $36,981 (29.86%).

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

Sacramento clinical and counseling psychologists earn $77.32/hr while San Mateo hygienists earn $59.54/hr (2026 est.).

Should I relocate from Sacramento to San Mateo as a clinical and counseling psychologist?

Consider more than just salary when comparing Sacramento and San Mateo. Factor in cost of living (CoL-adjusted: Sacramento = $150,769, San Mateo = $109,500), job availability (630 vs 21 employed), commute, and career growth potential.

What do entry-level clinical and counseling psychologists earn in Sacramento vs San Mateo?

Entry-level (10th percentile) clinical and counseling psychologists earn $67,503 in Sacramento and $71,830 in San Mateo. The San Mateo area offers higher starting salaries.

Related Comparisons

MG

Written by Maria Gonzalez, PhD, LPC

Career Analyst

Maria has 10 years of experience in clinical psychology. She specializes in cognitive behavioral therapy. Maria works at a mental health clinic in Chicago.

Clinically reviewed by James Wu, PsyD, LCSWData verified by Fatima Khan, PhD, LCPC

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 5.08% 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 Maria Gonzalez, PhD, LPC, a licensed clinical and counseling psychologist with 10+ years of clinical experience. · View source data at BLS.gov