Sacramento-Roseville-Folsom, CA metro area
Highest-Paying Occupations in Sacramento Metro
Source: BLS OEWS, May 2025Sacramento-Roseville-Folsom, CA metro area
Figures describe the Sacramento-Roseville-Folsom, CA metropolitan statistical area as defined by BLS/OMB — the whole multi-county metro region, not Sacramento city limits. Occupations are ranked by published median annual wage; occupations where BLS suppressed the annual median or publishes only hourly wages are not ranked (10 such occupations here).
Top 25 of 648 occupations
| # | Occupation | Median annual | Median hourly | Employment |
|---|---|---|---|---|
| 1 | Pediatricians, General | $395,040 | $189.92 | 100 |
| 2 | General Internal Medicine Physicians | $361,590 | $173.84 | Not published |
| 3 | Family Medicine Physicians | $345,310 | $166.02 | 830 |
| 4 | Orthopedic Surgeons, Except Pediatric | $312,610 | $150.29 | Not published |
| 5 | Physicians, All Other | $308,280 | $148.21 | 1,270 |
| 6 | Anesthesiologists | $239,200 or more | $115.00 or more | Not published |
| 7 | Obstetricians and Gynecologists | $239,200 or more | $115.00 or more | Not published |
| 8 | Surgeons, All Other | $239,200 or more | $115.00 or more | Not published |
| 9 | Psychiatrists | $230,560 | $110.85 | 320 |
| 10 | Podiatrists | $206,200 | $99.13 | 50 |
| 11 | Dentists, All Other Specialists | $199,300 | $95.82 | 30 |
| 12 | Air Traffic Controllers | $196,290 | $94.37 | 240 |
| 13 | Architectural and Engineering Managers | $193,970 | $93.25 | 1,570 |
| 14 | Nurse Midwives | $191,220 | $91.93 | 80 |
| 15 | Radiation Therapists | $182,240 | $87.61 | 110 |
| 16 | Lawyers | $178,540 | $85.84 | 7,620 |
| 17 | Nuclear Medicine Technologists | $173,260 | $83.30 | 130 |
| 18 | Pharmacists | $172,680 | $83.02 | 2,310 |
| 19 | Nurse Practitioners | $172,010 | $82.70 | 1,170 |
| 20 | Registered Nurses | $171,460 | $82.43 | 23,590 |
| 21 | Dentists, General | $170,500 | $81.97 | 970 |
| 22 | Natural Sciences Managers | $170,010 | $81.74 | 680 |
| 23 | Power Distributors and Dispatchers | $169,920 | $81.69 | 80 |
| 24 | Chief Executives | $169,770 | $81.62 | 3,680 |
| 25 | Social Sciences Teachers, Postsecondary, All Other | $169,660 | Not published | 50 |
The full list of every published occupation here is on the Sacramento metro area overview.
About this data. Estimates are from the U.S. Bureau of Labor Statistics Occupational Employment and Wage Statistics program, May 2025 release, retrieved from bls.gov/oes/tables.htm on July 24, 2026. OEWS estimates describe metropolitan/nonmetropolitan areas and states — not city limits — and are not designed for year-over-year comparisons. See BLS methodology, our plain-English methodology, and sources. CitySalaryData is independent and not affiliated with BLS.