Ultrasound Tech Pay

Hilo vs Urban Honolulu: Ultrasound Technologist Salary (2026)

Compare ultrasound technologist salaries between Hilo, HI and Urban Honolulu, HI. All figures are 2026 estimates projected from BLS 2025 data.

Hilo, HI
$114,738
$55.16/hr
Urban Honolulu, HI
$129,137
$62.09/hr

Side-by-Side Comparison

MetricHilo, HIUrban Honolulu, HI
Median Salary$114,738$129,137
Hourly Rate$55.16$62.09
Entry Level (P10)$84,107$85,329
25th Percentile$96,912$118,539
75th Percentile$127,113$136,042
Top Earner (P90)$150,981$142,348
Total Employed7160
Side-by-side bar chart comparing Hilo ($114,738) and Urban Honolulu ($129,137) ultrasound technologist salaries.HiloUrban HonoluluMedian Salary$114,738$129,137Entry Level (P10)$84,107$85,329Top Earner (P90)$150,981$142,348US Median $101,352

Verdict

Urban Honolulu, HI offers better overall compensation for ultrasound technologists, winning 3 out of 4 metrics compared to Hilo.

The salary gap between Hilo and Urban Honolulu is $14,399 (12.55%). Urban Honolulu's median is +27.41% compared to the US national median of $101,352.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Hilo spans $66,874,Urban Honolulu spans $57,019. Hilo has a wider pay range, meaning more potential for high earners but also more variation.

Hilo
P10 (Entry)$84,107
P25$96,912
Median$114,738
P75$127,113
P90 (Top)$150,981
Urban Honolulu
P10 (Entry)$85,329
P25$118,539
Median$129,137
P75$136,042
P90 (Top)$142,348

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Urban Honolulu ($116,381 effective) pays 21.01% more than Hilo ($96,176 effective).

Hilo
Nominal: $114,738
CoL Index: 119.3
Adjusted: $96,176
Urban Honolulu
Nominal: $129,137
CoL Index: 110.961
Adjusted: $116,381

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

Which City Is Right for You?

Choose Hilo if…

  • Better top-earner potential ($150,981)
  • You prefer the Hawaii area and lifestyle

Choose Urban Honolulu if…

  • Higher median salary ($129,137/year)
  • Larger job market (160 employed)
  • Better purchasing power (CoL-adjusted: $116,381)
  • You prefer the Hawaii area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, ultrasound technologist salaries in Hilo grew -7.1% from 2024 to 2025, compared to 16.3% growth in Urban Honolulu over the same period.

Hilo, HI

+-7.1%

$117,736 (2024) → $109,347 (2025)

Urban Honolulu, HI

+16.3%

$105,840 (2019) → $123,070 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays ultrasound technologists more: Hilo or Urban Honolulu?

Urban Honolulu has a higher median ultrasound technologist salary at $129,137/year, compared to Hilo at $114,738/year — a difference of $14,399 (12.55%).

What is the hourly rate difference between Hilo and Urban Honolulu?

Hilo ultrasound technologists earn $55.16/hr while Urban Honolulu hygienists earn $62.09/hr (2026 est.).

Should I relocate from Hilo to Urban Honolulu as a ultrasound technologist?

Consider more than just salary when comparing Hilo and Urban Honolulu. Factor in cost of living (CoL-adjusted: Hilo = $96,176, Urban Honolulu = $116,381), job availability (7 vs 160 employed), commute, and career growth potential.

What do entry-level ultrasound technologists earn in Hilo vs Urban Honolulu?

Entry-level (10th percentile) ultrasound technologists earn $84,107 in Hilo and $85,329 in Urban Honolulu. The Urban Honolulu area offers higher starting salaries.
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