Psychologist Pay

Clinical and Counseling Psychologist Salary in San Francisco, CA: $174,853 (2026)

Quick Answer:A full-time clinical and counseling psychologist in San Francisco, CA earns a median $174,853/year (≈ $84.06/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 19-3033). Once you factor in San Francisco's price level (16% above national, BEA RPP 115.6), that paycheck buys what $151,240 would nationally. Nominal pay sits 42.7% above the California state average.

$174,853
Median Annual Salary
$84.06/hr
Median Hourly Rate
$86,397
Entry Level (P10)
$211,452
Top Earners (P90)

Official BLS data · View source

Clinical and Counseling Psychologist Salary in San Francisco, CA — 2026 est., based on 2025 BLS
San Francisco, CA clinical and counseling psychologist salary overview (2026 est., based on 2025 BLS)

In 2026, the median annual salary for clinical and counseling psychologists in San Francisco, California, is projected to reach $174,853, significantly higher than the national median of $105,689, representing a remarkable 65.44% increase in purchasing power. With a salary range extending from $86,397 at the 10th percentile to $211,452 at the 90th percentile, this data reflects trends derived from the official Bureau of Labor Statistics (BLS) OEWS surveys. The city’s competitive job market reflects not only the high cost of living but also the increasing demand for mental health services, making San Francisco an attractive yet challenging locale for professionals in this field.

Salary Breakdown

PercentileAnnualHourly
Entry Level (P10)$86,397$41.54
Lower Range (P25)$117,826$56.65
Median (P50)(typical)$174,853$84.06
Upper Range (P75)$192,202$92.41
Top Earners (P90)$211,452$101.65

Median Salary Position

$86,397$211,452
City Median: $174,853
National: $105,689
P10–P90 Range

65.44% above the national average

2026 Salary Percentile Distribution in San Francisco

Vertical bar chart of 10th through 90th percentile salaries for clinical and counseling psychologists in San Francisco. The median salary is $174,853, compared to the national median of $105,689.$77.8K$113.8K$149.9K$186.0K$222.0K$86.4K10th Pctl$117.8K25th Pctl$174.9KMedian$192.2K75th Pctl$211.5K90th PctlUS Median$105.7K

In San Francisco, CA, the clinical and counseling psychologist salary spread from the 10th to 90th percentile is $125,055 (2026 est.). At $174,853, the local median is 65.44% above the national median of $105,689.

Source: BLS OEWS projected to 2026. Percentiles reflect the distribution of clinical and counseling psychologist pay in the San Francisco metro area.

Salary Calculator

8 hrs (1 day)24 hrs (3 days)40 hrs (full-time)
$3,363
per week
$14,571
per month
$174,853
per year

At 40 hours/week in San Francisco: You'd be above the median

How San Francisco Clinical and Counseling Psychologist Pay Compares

San Francisco median: $174,853/year (2026)

Compared ToMedian SalarySan Francisco Pays
California Average$122,532+42.70% more
National Average$105,689+65.44% more
Horizontal bar chart comparing clinical and counseling psychologist median salary in San Francisco ($174,853) with California average ($122,532) and the US national median ($105,689).San Francisco$174,853California Avg$122,532+42.70%US National$105,689+65.44%

Clinical and Counseling Psychologists in San Francisco, CA earn a median of $174,853 per year (2026 est.), which is 65.44% higher than the national median of $105,689 and 42.70% above the California state average of $122,532.

Cost-of-Living Adjusted Salary

$174,853
Nominal Salary
115.613
CoL Index
$151,240
Adjusted Salary

San Francisco has a cost of living 15.61% above the national average.

Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.

The nominal salary is $174,853. After adjusting for a cost-of-living index of 115.613, the purchasing-power equivalent is $151,240, a loss of $23,613.$89.8K$117.6K$145.5K$173.3K$201.1K$174,853NominalSalary$151,240CoL Adjusted(CoL: 115.613) -13.50%US Median $105.7K

San Francisco, CA has a cost-of-living index of 115.613 (above the national average of 100). While the nominal salary of $174,853 is competitive, the higher cost of living reduces purchasing power to an effective $151,240 — a 13.5% reduction.

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2021 BLS Actual

$129,980

2025 BLS Actual

$166,400

2026 Current Est.

$174,853

2021–2027 Growth

+41.4%

Salary Trajectory for Clinical and Counseling Psychologists in San Francisco (20212027)

2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.08% projection.

BLS Actual Estimated Projected
Salary trajectory chart for clinical and counseling psychologists in San Francisco. Baseline $129,980 in 2025, projected to $183,736 by 2027.$119.2K$138.0K$156.9K$175.7K$194.5K20212022202320242025202620272025 BLS$130.0K$133.5K$144.2K$160.2K$166.4K$174.9K$183.7K
YearAnnual SalaryStatus
2021$129,980Actual
2022$133,490Actual
2023$144,180Actual
2024$160,210Actual
2025$166,400Actual
2026(current)$174,853Estimated
2027$183,736Projected

Based on 5 years of BLS OEWS data for the San Francisco metropolitan area, the median clinical and counseling psychologist salary grew 28.0% from $129,980 (2021) to $166,400 (2025). At a 5.08% compound annual growth rate, salaries are projected to reach $183,736 by 2027 — a total increase of $53,756 (41.36%) from 2021.

Note: Historical values (20212025) are actual BLS OEWS figures for the San Francisco metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 20262026 figures are current estimates, and 2027 values are projections, calculated using a 5.08% CAGR derived from 5-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.

Salary by Experience Level

ExperienceEstimated Salary Range
0-2 years (New Graduate)$86,397$117,826
3-5 years (Mid Career)$117,826$174,853
5+ years (Experienced)$174,853$192,202
10+ years (Top Earner)$192,202$211,452

CCP salary ranges estimated from BLS percentile data. Individual clinical and counseling psychologist compensation varies by employer, certifications, and specialization.

Clinical and Counseling Psychologist Job Market in San Francisco

Despite the advantages of a larger salary, the cost of living index for San Francisco is 115.613, suggesting that take-home purchasing power may not be as expansive as salaries imply. With 1,540 clinical and counseling psychologists practicing in the area, competition may drive salaries and benefits to vary widely among employers. Private practices and large healthcare organizations often provide the highest compensation, while community health centers and specialty clinics may offer lower pay. Factors driving salary disparities include shift differentials for unsociable hours, specialty credentials, and the size of the employing organization affecting benefits structures. To maximize pay in San Francisco, professionals should consider pursuing advanced certifications that meet specific community needs while also examining employment negotiations carefully with larger institutions that may provide more substantial benefits.

Frequently Asked Questions

How much do clinical and counseling psychologists make in San Francisco, CA in 2026?

The estimated 2026 median clinical and counseling psychologist salary in San Francisco is $174,853/year ($84.06/hour), based on estimated 2026 salary (projected from 2025 BLS data at 5.08% annual growth). Salaries range from $86,397 at entry level (10th percentile) to $211,452 for experienced top earners (90th percentile). This puts San Francisco at 65.4% above the national median. Full-time clinical and counseling psychologists typically work 2,080 hours per year, though many positions offer part-time schedules with flexible hours across multiple practices.

Is San Francisco, CA a good place to work as a clinical and counseling psychologist?

San Francisco clinical and counseling psychologist salaries are 65.4% above the national average and 42.7% above the California state average. The metro area employs approximately 1,540 clinical and counseling psychologists. With a cost-of-living index of 115.613, you should factor in higher living costs when evaluating compensation. Job availability depends on population density, the number of practices, and retirement turnover in the area.

Can clinical and counseling psychologists make $100K in San Francisco?

Yes — the median clinical and counseling psychologist salary in San Francisco is already $174,853, meaning more than half of clinical and counseling psychologists here earn six figures. Top earners (90th percentile) make $211,452/year. Factors that push pay above $100K include years of experience, specialty certifications, and working at high-production practices or large organizations.

What is the cost-of-living adjusted clinical and counseling psychologist salary in San Francisco?

After adjusting for San Francisco's cost-of-living index of 115.613 (where 100 equals the national average), the $174,853 nominal salary has purchasing power equivalent to $151,240 in an average-cost city. This means living costs in San Francisco reduce the effective value of your salary by 13.5% compared to the national average — consider negotiating higher base pay or exploring nearby lower-cost metros.

How much does a clinical and counseling psychologist make per hour in San Francisco?

Clinical and Counseling Psychologists in San Francisco earn a median hourly rate of $84.06, which translates to approximately $174,853/year for full-time work (40 hours/week, 2,080 hours/year). Hourly rates range from $41.54 for entry-level positions to $101.65 for the most experienced practitioners. Part-time and per diem clinical and counseling psychologists sometimes command premium hourly rates because practices need flexible scheduling coverage.

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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

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 $166,400 for clinical and counseling psychologistsin the San Francisco metropolitan area. A 5.08% 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

Source: BLS, OEWS, 5-year dataset (). Per-city data from annual BLS metropolitan area surveys.

2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 5.08%, derived from historical BLS wage trends for clinical and counseling psychologists (SOC 19-3033).

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

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