Senior Ultrasound Technologist Salary in Urban Honolulu, HI: $142,348 (2026)
Quick Answer:The top tier of ultrasound technologists working in Urban Honolulu, HI — those at or above the 90th percentile — pull in $142,348/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-2032. Strip back Urban Honolulu's price premium (BEA RPP 111.0, 11% above national) and that top-decile pay carries the same buying power as $128,287 in average-cost America. The 10% spread above city median typically rewards 7+ years of practice or specialty credentials.
Official BLS data · View source
In 2026, experienced ultrasound technologists in Urban Honolulu, Hawaii, can expect a median annual salary of $129,137, with top earners reaching up to $142,348. This remarkable figure places Urban Honolulu significantly above the national median for senior ultrasound technologist pay, which stands at $101,352. Achieving top-tier compensation in this market requires a deep understanding of advanced ultrasound technologies as well as years of dedicated experience, typically seven or more. The disparity between the median and the highest earners emphasizes the rewarding journey that experienced ultrasound professionals can undertake, especially as they refine their specialized skills and gain leadership roles over time.
2026 Salary Percentile Distribution in Urban Honolulu
Experienced ultrasound technologists at the top of the pay scale in Urban Honolulu earn between $136,042 and $142,348 per year (2026 est.). This $57,019 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Urban Honolulu median of $129,137 sits 27.41% above the US median.
Top Ultrasound Tech Salary Comparison
| Level | Urban Honolulu | National |
|---|---|---|
| Median (P50) | $129,137 | $101,352 |
| 75th Percentile | $136,042 | $112,202 |
| 90th Percentile (Top 10%) | $142,348 | $135,748 |
In Urban Honolulu, experienced ultrasound technologists (P90) earn 10.23% more than the local median — reflecting the significant value of specialization and tenure in this market.
What Drives Top Ultrasound Technologist Pay in Urban Honolulu
Advanced Certifications in Hawaii
HI ultrasound technologists with additional specialty certifications within the medical imaging field earn significantly above the $129,137 median. Expanded-scope credentials are increasingly valued by Urban Honolulu employers.
Specialty Focus
Ultrasound Technologists focusing on high-acuity or specialty areas within the medical imaging field in Urban Honolulu command premium compensation, often reaching the $136,042–$142,348 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Urban Honolulu metro area often pay above-market rates for experienced ultrasound technologists who demonstrate efficiency and leadership.
Employer Loyalty & Patient Relationships
Long-tenured ultrasound technologists in Urban Honolulu with established relationships have strong negotiating leverage. In this developing market, retention bonuses and annual raises are common for top performers.
Continuing Education & Leadership
Ultrasound Technologists in Hawaii who pursue advanced degrees, mentor junior staff, or lead clinical education programs position themselves for the highest compensation tiers and management roles.
Ultrasound Technologist Career & Wage Growth Path in Urban Honolulu
Clinical Ultrasound Technologist
0-5 yearsSenior/Lead Ultrasound Technologist
5-10 yearsUltrasound Technologist Department Manager
10+ yearsEducator / Specialty Leadership
AdvancedUrban Honolulu ranks #9 of 10 Hawaii cities for top earner ultrasound technologist salary (90th percentile: $142,348).
Top 10% ultrasound technologist compensation in Urban Honolulu ($142,348) is 5.92% below the Hawaii average P90 ($151,298).
2019 BLS Actual
$126,650
2025 BLS Actual
$135,660
2026 Current Est.
$142,348
2019–2027 Growth
+17.9%
Salary Trajectory for Ultrasound Technologists in Urban Honolulu (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.93% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $126,650 | Actual |
| 2020 | $128,420 | Actual |
| 2021 | $125,950 | Actual |
| 2022 | $118,600 | Actual |
| 2023 | $126,050 | Actual |
| 2024 | $131,030 | Actual |
| 2025 | $135,660 | Actual |
| 2026(current) | $142,348 | Estimated |
| 2027 | $149,366 | Projected |
Top-earning ultrasound technologists (90th percentile) in Urban Honolulu saw their compensation grow 7.1% from $126,650 in 2019 to $135,660 in 2025, based on 7 years of BLS OEWS data for this metropolitan area. At a 4.93% annual growth rate, senior-level pay is projected to reach $149,366 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Urban Honolulu metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 4.93% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Maximizing Your Ultrasound Technologist Earnings in Urban Honolulu
Compensation structures for senior ultrasound technologists vary widely depending on the type of employer. Urban Honolulu offers various settings, including private practices, large healthcare organizations, community health centers, and specialty clinics, each providing different compensation packages. Those who specialize in niche areas within ultrasound technology often command higher salaries, reflecting the added expertise required in these fields. Leadership roles such as lead practitioner, clinical coordinator, or department director present viable pathways for advancement, often coupled with significant increases in pay. Additional credentials, such as state licensure and optional advanced certifications, further enhance earning potential in HI. Non-salary benefits, including shift differentials and specialized training, make the compensation picture even more attractive for experienced ultrasound technologists in Urban Honolulu.
More salary data for Urban Honolulu, HI:
Frequently Asked Questions
How much do experienced ultrasound technologists make in Urban Honolulu in 2026?
What drives higher ultrasound technologist pay in Urban Honolulu?
What certifications boost ultrasound technologist salary in Urban Honolulu?
Can experienced ultrasound technologists make six figures in Urban Honolulu?
How much does ultrasound technologist salary increase over time in Urban Honolulu?
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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.
Methodology & Data Source
Top-earner salary figures on this page are 2026 projections derived from the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. BLS reported a 90th percentile salary of $135,660 for ultrasound technologists in the Urban Honolulu metro area. A 4.93% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 senior-level compensation. Individual earnings depend on certifications, specialization, practice type, and years of clinical experience.
Data Sources & Methodology
Source: BLS, OEWS, 7-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 4.93%, derived from historical BLS wage trends for ultrasound technologists (SOC 29-2032).
Compiled and verified by Ravi Patel, RDMS, RVT, a licensed ultrasound technologist with 10+ years of clinical experience. · View source data at BLS.gov