Ultrasound Tech Pay

Middletown vs Rochester: Ultrasound Technologist Salary (2026)

Compare ultrasound technologist salaries between Middletown, NY and Rochester, NY. All figures are 2026 estimates projected from BLS 2025 data.

Middletown, NY
$99,107
$47.65/hr
Rochester, NY
$86,116
$41.41/hr

Side-by-Side Comparison

MetricMiddletown, NYRochester, NY
Median Salary$99,107$86,116
Hourly Rate$47.65$41.41
Entry Level (P10)$75,618$79,254
25th Percentile$83,701$82,097
75th Percentile$109,637$101,803
Top Earner (P90)$130,644$107,847
Total Employed7400
Side-by-side bar chart comparing Middletown ($99,107) and Rochester ($86,116) ultrasound technologist salaries.MiddletownRochesterMedian Salary$99,107$86,116Entry Level (P10)$75,618$79,254Top Earner (P90)$130,644$107,847US Median $101,352

Verdict

Middletown, NY offers better overall compensation for ultrasound technologists, winning 3 out of 4 metrics compared to Rochester.

The salary gap between Middletown and Rochester is $12,991 (15.09%). Middletown's median is -2.22% compared to the US national median of $101,352.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Middletown spans $55,026,Rochester spans $28,593. Middletown has a wider pay range, meaning more potential for high earners but also more variation.

Middletown
P10 (Entry)$75,618
P25$83,701
Median$99,107
P75$109,637
P90 (Top)$130,644
Rochester
P10 (Entry)$79,254
P25$82,097
Median$86,116
P75$101,803
P90 (Top)$107,847

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Rochester ($88,747 effective) pays 3.78% more than Middletown ($85,511 effective).

Middletown
Nominal: $99,107
CoL Index: 115.9
Adjusted: $85,511
Rochester
Nominal: $86,116
CoL Index: 97.035
Adjusted: $88,747

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

Which City Is Right for You?

Choose Middletown if…

  • Higher median salary ($99,107/year)
  • Better top-earner potential ($130,644)
  • You prefer the New York area and lifestyle

Choose Rochester if…

  • Larger job market (400 employed)
  • Better purchasing power (CoL-adjusted: $88,747)
  • You prefer the New York area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, ultrasound technologist salaries in Middletown grew -12.2% from 2024 to 2025, compared to 13.4% growth in Rochester over the same period.

Middletown, NY

+-12.2%

$107,542 (2024) → $94,451 (2025)

Rochester, NY

+13.4%

$72,370 (2019) → $82,070 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays ultrasound technologists more: Middletown or Rochester?

Middletown has a higher median ultrasound technologist salary at $99,107/year, compared to Rochester at $86,116/year — a difference of $12,991 (15.09%).

What is the hourly rate difference between Middletown and Rochester?

Middletown ultrasound technologists earn $47.65/hr while Rochester hygienists earn $41.41/hr (2026 est.).

Should I relocate from Middletown to Rochester as a ultrasound technologist?

Consider more than just salary when comparing Middletown and Rochester. Factor in cost of living (CoL-adjusted: Middletown = $85,511, Rochester = $88,747), job availability (7 vs 400 employed), commute, and career growth potential.

What do entry-level ultrasound technologists earn in Middletown vs Rochester?

Entry-level (10th percentile) ultrasound technologists earn $75,618 in Middletown and $79,254 in Rochester. The Rochester area offers higher starting salaries.

Related Comparisons

RP

Written by Ravi Patel, RDMS, RVT

Career Analyst

Ravi has 10 years of experience as an ultrasound technologist. He specializes in abdominal and pelvic imaging. He works in a community hospital.

Clinically reviewed by Maria Gonzalez, RDMS, RTData verified by James Kim, RDCS, RVT

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 4.93% 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 Ravi Patel, RDMS, RVT, a licensed ultrasound technologist with 10+ years of clinical experience. · View source data at BLS.gov