Surgical Technologist Salary in 2026: What Surgical Technologists Earn
Surgical technologists are the operating-room professionals who scrub in alongside surgeons, prepare the sterile field, set up instruments, and pass tools during a procedure. About 115,600 of them were working in the United States in 2024, according to the U.S. Bureau of Labor Statistics (BLS), most of them in hospital operating rooms. The role sits at the intersection of clinical training and technical skill — a position the surgical team cannot run a case without.
This guide breaks down what surgical technologists actually earn in 2026 — the national median, how pay shifts with work setting and specialty, and how location and certification change the number. All figures come from the most recent BLS data (the May 2024 release).
What the typical surgical technologist earns
The median annual wage for surgical technologists was $62,830 in May 2024. Median means half of all surgical techs earned more than that figure and half earned less. For comparison, the median wage across all U.S. occupations was $49,500, so a surgical tech earns roughly 27% more than the typical American worker.
The full range is wide:
- The lowest-paid 10% of surgical technologists earned less than $43,290.
- The highest-paid 10% earned more than $90,700.
That spread — roughly $43,000 to $91,000 — is the most important thing to understand about surgical tech pay. "Surgical technologist salary" is not a single number; it depends heavily on where a tech works, what surgical specialty they support, and how long they have been in the operating room.
Surgical technologist pay by work setting
Where a surgical tech works is one of the biggest factors in pay. BLS reports these median wages by employer type for surgical technologists:
| Work setting | Median pay (2024) |
|---|---|
| Outpatient care centers | $63,270 |
| Hospitals (state, local & private) | $63,260 |
| Offices of physicians | $61,350 |
| Administrative and support services | $61,040 |
| Offices of dentists | $48,910 |
Hospitals employ about 71% of all surgical technologists, and they pay essentially in line with the national median. Outpatient care centers — a category that includes the rapidly growing ambulatory surgery center sector — pay slightly more on average and account for about 11% of jobs. Offices of physicians employ another 10% and pay a bit below the hospital rate. The gap between the top setting and offices of dentists is more than $14,000 a year for the same core credential, which is why setting matters as much as experience when comparing offers.
It is worth noting that hospital roles, while paying in line with the median, often carry shift differentials, on-call pay, and overtime that the published median figure does not capture. A surgical tech on a hospital night-and-weekend rotation can earn meaningfully more than the same tech in a 9-to-5 outpatient center, even when the base wages look similar.
Experience and specialty
The other major factor is experience and specialty. New-graduate surgical technologists typically start near the lower end of the range, while techs with several years in the OR — especially in high-acuity specialties such as cardiothoracic, orthopedic, or neurosurgery — earn toward the top. These specialties involve longer cases, more complex instrumentation, and dedicated specialty rotations that hospitals reward financially.
Surgical technologists who advance into the surgical first assistant role earn more still. Surgical first assistants take a hands-on part in the procedure itself — suctioning, suturing, retracting — and BLS reports a separate median wage of $60,290 for surgical assistants as a distinct occupation, with the highest 10% earning more than $102,390. The first-assist track typically requires additional training and certification on top of a surgical technology credential, and it represents the clearest upward step within the operating-room career path.
Travel surgical tech contracts are another way experienced techs lift their pay. Hospitals struggling to fill OR positions often bring in contract techs at premium rates, sometimes with housing stipends on top of the hourly wage. These contracts usually require at least two years of experience and a current CST credential, and they tend to favor techs willing to relocate every few months.
Where surgical technologists earn the most
Surgical technologist wages vary widely from state to state, and even between metro areas within the same state. Two forces drive that: local cost of living and local demand for OR staff. A median wage in a high-cost coastal metro can sit well above the same role in a lower-cost rural area, and states with shortages of certified techs often pay sign-on bonuses on top of base pay.
Because those figures are updated every year and differ for all 50 states, the most reliable source for a location-specific number is the BLS Occupational Employment and Wage Statistics program, which publishes median surgical technologist wages for every state and metropolitan area. Anyone weighing a surgical tech job offer should check the figure for their specific state and city rather than relying on the national median.
The job outlook for surgical technologists
Pay is only half the picture; job security is the other. BLS projects employment of surgical technologists to grow 4% from 2024 to 2034, about on pace with the average for all occupations. The combined category of surgical assistants and technologists is projected to grow 5%, with about 8,700 openings every year over the decade.
Two forces drive that demand. The aging U.S. population is increasing the volume of surgical procedures across the board — joint replacements, cardiac procedures, cataract surgeries, and more. And outpatient surgery is shifting from hospital operating rooms into ambulatory surgery centers, which adds new tech positions in that fast-growing setting. Most projected openings will come from replacing workers who retire or move into other healthcare roles, which keeps the entry pipeline steady.
How surgical technologists qualify
Surgical technologists typically reach the role through a certificate or associate's degree program in surgical technology. The most widely recognized path is a program accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP), offered at community colleges, vocational schools, some hospitals, and a smaller number of universities. Coursework covers anatomy, microbiology, sterilization, instrument identification, and patient safety, and every program includes supervised clinical hours in a real operating room.
Certification is not legally required in every state, but most employers prefer or require it. The most common credential is the Certified Surgical Technologist (CST), issued by the National Board of Surgical Technology and Surgical Assisting (NBSTSA) after passing an exam. Holding the CST is widely treated as the baseline for hospital employment and is often a prerequisite for travel contracts. Maintaining the credential requires continuing education credits or periodic re-examination, which keeps techs current on new instruments, robotic platforms, and infection-control practices.
A growing number of states regulate the profession directly; requirements vary by state, so prospective techs should check with their state licensing agency before enrolling in a program. Most accredited programs take 12 to 24 months to complete, and many include a final clinical rotation that doubles as a job pipeline — students often receive offers from the hospital or surgery center where they trained.
A note on your surgical technology credential
A surgical technology credential is one many surgical techs want to display once they have earned it. If your original has been lost or damaged, your program or the NBSTSA can issue an official replacement for any formal purpose. For a framed copy to hang at home or in an office, DiplomaCraft also offers replica professional certificates for display and novelty use.
Sources
- Wage, employment, and outlook data: U.S. Bureau of Labor Statistics, Occupational Outlook Handbook, Surgical Assistants and Technologists, reflecting the May 2024 Occupational Employment and Wage Statistics release (updated August 2025).
- State and metro wage data: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS).
All wage figures are medians and reflect the most recent BLS data available as of 2026. Actual pay varies by employer, location, experience, and specialty.