Dental Hygienist Pay

Alexandria vs Roanoke: Dental Hygienist Salary (2026)

Compare dental hygienist salaries between Alexandria, VA and Roanoke, VA. All figures are 2026 estimates projected from BLS 2025 data.

Alexandria, VA
$124,001
$59.62/hr
Roanoke, VA
$103,418
$49.72/hr

Side-by-Side Comparison

MetricAlexandria, VARoanoke, VA
Median Salary$124,001$103,418
Hourly Rate$59.62$49.72
Entry Level (P10)$96,335$83,973
25th Percentile$106,451$99,368
75th Percentile$139,875$107,647
Top Earner (P90)$163,439$128,016
Total Employed26170
Side-by-side bar chart comparing Alexandria ($124,001) and Roanoke ($103,418) dental hygienist salaries.AlexandriaRoanokeMedian Salary$124,001$103,418Entry Level (P10)$96,335$83,973Top Earner (P90)$163,439$128,016US Median $102,946

Verdict

Alexandria, VA offers better overall compensation for dental hygienists, winning 3 out of 4 metrics compared to Roanoke.

The salary gap between Alexandria and Roanoke is $20,583 (19.90%). Alexandria's median is +20.45% compared to the US national median of $102,946.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Alexandria spans $67,104,Roanoke spans $44,043. Alexandria has a wider pay range, meaning more potential for high earners but also more variation.

Alexandria
P10 (Entry)$96,335
P25$106,451
Median$124,001
P75$139,875
P90 (Top)$163,439
Roanoke
P10 (Entry)$83,973
P25$99,368
Median$103,418
P75$107,647
P90 (Top)$128,016

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Alexandria ($120,156 effective) pays 8.77% more than Roanoke ($110,468 effective).

Alexandria
Nominal: $124,001
CoL Index: 103.2
Adjusted: $120,156
Roanoke
Nominal: $103,418
CoL Index: 93.618
Adjusted: $110,468

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

Which City Is Right for You?

Choose Alexandria if…

  • Higher median salary ($124,001/year)
  • Better top-earner potential ($163,439)
  • Better purchasing power (CoL-adjusted: $120,156)
  • You prefer the Virginia area and lifestyle

Choose Roanoke if…

  • Larger job market (170 employed)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, dental hygienist salaries in Alexandria grew 52.4% from 2020 to 2025, compared to 34.5% growth in Roanoke over the same period.

Alexandria, VA

+52.4%

$77,553 (2020) → $118,164 (2025)

Roanoke, VA

+34.5%

$73,270 (2020) → $98,550 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays dental hygienists more: Alexandria or Roanoke?

Alexandria has a higher median dental hygienist salary at $124,001/year, compared to Roanoke at $103,418/year — a difference of $20,583 (19.90%).

What is the hourly rate difference between Alexandria and Roanoke?

Alexandria dental hygienists earn $59.62/hr while Roanoke hygienists earn $49.72/hr (2026 est.).

Should I relocate from Alexandria to Roanoke as a dental hygienist?

Consider more than just salary when comparing Alexandria and Roanoke. Factor in cost of living (CoL-adjusted: Alexandria = $120,156, Roanoke = $110,468), job availability (26 vs 170 employed), commute, and career growth potential.

What do entry-level dental hygienists earn in Alexandria vs Roanoke?

Entry-level (10th percentile) dental hygienists earn $96,335 in Alexandria and $83,973 in Roanoke. The Alexandria area offers higher starting salaries.
SCSarah Chen

Written by Sarah Chen, RDH, BSDH

Dental Career Analyst

Sarah Chen is a registered dental hygienist with over 12 years of clinical experience. She specializes in salary benchmarking and career strategy, helping dental professionals make data-driven career decisions using official BLS statistics.

Clinically reviewed by Amanda Doucette, RDHData verified by David Oh

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 4.94% 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 Sarah Chen, RDH, BSDH, a licensed dental hygienist with 10+ years of clinical experience. · View source data at BLS.gov