SLP Salary

Fairfax vs Roanoke: Speech-Language Pathologist Salary (2026)

Compare speech-language pathologist salaries between Fairfax, VA and Roanoke, VA. All figures are 2026 estimates projected from BLS 2025 data.

Fairfax, VA
$92,737
$44.58/hr
Roanoke, VA
$95,213
$45.78/hr

Side-by-Side Comparison

MetricFairfax, VARoanoke, VA
Median Salary$92,737$95,213
Hourly Rate$44.58$45.78
Entry Level (P10)$61,883$65,534
25th Percentile$74,439$78,939
75th Percentile$105,353$113,630
Top Earner (P90)$119,016$123,135
Total Employed4190
Side-by-side bar chart comparing Fairfax ($92,737) and Roanoke ($95,213) speech-language pathologist salaries.FairfaxRoanokeMedian Salary$92,737$95,213Entry Level (P10)$61,883$65,534Top Earner (P90)$119,016$123,135US Median $101,775

Verdict

Roanoke, VA offers better overall compensation for speech-language pathologists, winning 4 out of 4 metrics compared to Fairfax.

The salary gap between Fairfax and Roanoke is $2,476 (2.67%). Roanoke's median is -6.45% compared to the US national median of $101,775.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Fairfax spans $57,133,Roanoke spans $57,601. Roanoke has a wider pay range, suggesting more variation in pay between entry-level and experienced speech-language pathologists.

Fairfax
P10 (Entry)$61,883
P25$74,439
Median$92,737
P75$105,353
P90 (Top)$119,016
Roanoke
P10 (Entry)$65,534
P25$78,939
Median$95,213
P75$113,630
P90 (Top)$123,135

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Roanoke ($101,704 effective) pays 13.18% more than Fairfax ($89,861 effective).

Fairfax
Nominal: $92,737
CoL Index: 103.2
Adjusted: $89,861
Roanoke
Nominal: $95,213
CoL Index: 93.618
Adjusted: $101,704

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

Which City Is Right for You?

Choose Fairfax if…

  • You prefer the Virginia area and lifestyle

Choose Roanoke if…

  • Higher median salary ($95,213/year)
  • Better top-earner potential ($123,135)
  • Larger job market (190 employed)
  • Better purchasing power (CoL-adjusted: $101,704)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, speech-language pathologist salaries in Fairfax grew 5.2% from 2024 to 2025, compared to 11.8% growth in Roanoke over the same period.

Fairfax, VA

+5.2%

$84,732 (2024) → $89,179 (2025)

Roanoke, VA

+11.8%

$81,910 (2019) → $91,560 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays speech-language pathologists more: Fairfax or Roanoke?

Roanoke has a higher median speech-language pathologist salary at $95,213/year, compared to Fairfax at $92,737/year — a difference of $2,476 (2.67%).

What is the hourly rate difference between Fairfax and Roanoke?

Fairfax speech-language pathologists earn $44.58/hr while Roanoke hygienists earn $45.78/hr (2026 est.).

Should I relocate from Fairfax to Roanoke as a speech-language pathologist?

Consider more than just salary when comparing Fairfax and Roanoke. Factor in cost of living (CoL-adjusted: Fairfax = $89,861, Roanoke = $101,704), job availability (4 vs 190 employed), commute, and career growth potential.

What do entry-level speech-language pathologists earn in Fairfax vs Roanoke?

Entry-level (10th percentile) speech-language pathologists earn $61,883 in Fairfax and $65,534 in Roanoke. The Roanoke area offers higher starting salaries.
JL

Written by Jordan Lee, CCC-SLP

Career Analyst

Jordan has over 8 years of experience in speech-language pathology. He specializes in pediatric language disorders. He works in a community health clinic.

Clinically reviewed by Fatima Ali, CCC-SLPData verified by Miguel Torres, CCC-SLP

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.99% 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 Jordan Lee, CCC-SLP, a licensed speech-language pathologist with 10+ years of clinical experience. · View source data at BLS.gov