California's dynamic healthcare industry offers a wealth of opportunities for skilled medical professionals. Among the most vital and in-demand roles is that of the Operating Room Technician (OR Tech), also known as a Surgical Technologist. If you are considering a career that places you at the heart of medical action, this path offers not only a rewarding experience but also a highly competitive salary. In the Golden State, OR Techs can expect to earn a significant income, with top professionals commanding salaries well over $90,000 annually.
This guide will break down everything you need to know about an OR Tech's salary in California, from average earnings to the key factors that can maximize your income potential.
What Does an Operating Room Technician Do?

An Operating Room Technician is an indispensable member of the surgical team. Working under the supervision of surgeons, registered nurses, and anesthesiologists, their primary role is to ensure the operating room environment is safe, sterile, and efficient.
Key responsibilities include:
- Preparing the Operating Room: Setting up sterile instruments, equipment, and supplies required for a specific surgical procedure.
- Assisting the Surgical Team: Passing instruments and sterile supplies to surgeons during an operation.
- Maintaining a Sterile Field: Ensuring strict adherence to sterile techniques to prevent patient infection.
- Managing Equipment: Operating and troubleshooting complex medical devices like sterilizers, lights, and suction machines.
- Patient Care: Assisting with patient positioning and preparation for surgery.
In essence, an OR Tech's precision and foresight allow the entire surgical procedure to run smoothly and safely.
Average OR Tech Salary in California

California stands out as one of the top-paying states in the nation for Operating Room Technicians. The high cost of living, particularly in major metropolitan areas, is matched by strong compensation for skilled healthcare professionals.
According to the most recent data from the U.S. Bureau of Labor Statistics (BLS) released in May 2023, the average annual salary for "Surgical Technologists" in California is $77,030, which translates to an average hourly wage of $37.03.
However, an average doesn't tell the whole story. The salary range is quite broad and depends heavily on factors we'll explore below:
- Entry-Level (Bottom 10%): Earn around $58,980 per year.
- Mid-Range (Median): The median salary, or the 50th percentile, is $76,980 per year.
- Experienced (Top 10%): Top earners in California can make $100,500 or more annually.
Data from salary aggregators reinforces this. As of early 2024, Salary.com reports the average OR Tech salary in California to be even higher, at $80,249, with a typical range falling between $72,168 and $88,629. This demonstrates the strong and growing demand for these professionals.
Key Factors That Influence Salary

Your specific salary as an OR Tech in California will be determined by a combination of factors. Understanding these variables is key to negotiating a higher salary and advancing your career.
### Level of Education and Certification
While you can enter the field with a postsecondary certificate or diploma, obtaining an Associate of Science (AS) degree in Surgical Technology can often lead to higher starting salaries and better job prospects. Furthermore, professional certification is the gold standard in this field. The most recognized credential is the Certified Surgical Technologist (CST), awarded by the National Board of Surgical Technology and Surgical Assisting (NBSTSA). Most top-tier hospitals and surgical centers in California require or strongly prefer CST-certified candidates, and this credential is a powerful tool for salary negotiation.
### Years of Experience
Experience is one of the most significant drivers of salary growth. As you gain more hands-on expertise and prove your reliability in high-pressure surgical environments, your value to employers increases substantially.
- Entry-Level (0-2 years): New graduates can expect to earn on the lower end of the state's salary range, typically starting between $60,000 and $70,000.
- Mid-Career (3-8 years): With several years of experience, OR Techs can comfortably earn the state average of $75,000 to $85,000.
- Senior/Lead Tech (8+ years): Highly experienced technicians, especially those who take on leadership or training responsibilities, can command salaries in the top percentiles, often exceeding $90,000 to $100,000.
### Geographic Location
In a state as large and diverse as California, where you work matters immensely. Metropolitan areas with a high cost of living and a concentration of world-class medical facilities offer the highest salaries.
Here is a comparison of average annual salaries in different California metropolitan areas, based on BLS May 2023 data:
- San Francisco-Oakland-Hayward: $95,740
- San Jose-Sunnyvale-Santa Clara: $93,310
- Sacramento-Roseville-Arden-Arcade: $84,330
- Los Angeles-Long Beach-Anaheim: $73,330
- San Diego-Carlsbad: $72,210
- Fresno: $68,360
As the data shows, an OR Tech in the Bay Area can earn over $20,000 more per year than one in the Central Valley, reflecting the vast differences in local economies and demand.
### Company Type
The type of facility you work for also plays a major role in your compensation.
- Large Hospitals and Trauma Centers: These facilities, particularly university-affiliated or major private hospitals, generally offer the highest salaries. They handle more complex and specialized surgeries, require a higher level of skill, and are often unionized, which can lead to structured pay scales and benefits.
- Outpatient Surgery Centers (Ambulatory Care): These centers are a rapidly growing source of employment for OR Techs. While salaries are competitive, they may be slightly lower than at major hospitals. However, they often offer a better work-life balance with more predictable hours.
- Physician and Dentist Offices: Some specialized surgical practices employ their own OR Techs, but these roles are less common and compensation can vary widely.
### Area of Specialization
Developing expertise in a high-demand surgical specialty can significantly boost your earning potential. OR Techs who can expertly assist in complex, delicate procedures are highly sought after. Lucrative specializations include:
- Cardiovascular and Open-Heart Surgery
- Neurosurgery
- Orthopedics (especially joint replacement)
- Transplant Surgery
- Robotics (e.g., assisting with Da Vinci surgical systems)
Technicians with these specialized skills are considered invaluable assets and are compensated accordingly.
Job Outlook

The future is incredibly bright for Operating Room Technicians, both nationally and within California. The U.S. Bureau of Labor Statistics projects that employment for surgical technologists will grow by 5% from 2022 to 2032, which is faster than the average for all occupations.
This growth is fueled by several factors:
- An aging baby-boomer population, which will require more surgeries.
- Advances in medical technology that are making surgery safer and more widely available for a variety of conditions.
- An increasing focus on outpatient surgery as a cost-effective alternative to hospital stays.
In a large, populous state like California with a leading-edge healthcare sector, the demand for skilled OR Techs is expected to remain robust for the foreseeable future, ensuring strong job security for those entering the field.
Conclusion

A career as an Operating Room Technician in California is a fantastic choice for individuals seeking a hands-on, fast-paced, and meaningful role in medicine. The profession offers a clear path to a stable, upper-middle-class income, with the state providing some of the highest salaries in the country.
Key Takeaways:
- The average OR Tech salary in California is approximately $77,030, with top earners surpassing $100,000.
- Maximize your earnings by pursuing certification (CST), gaining experience, and considering work in high-paying metropolitan areas like the San Francisco Bay Area.
- Specializing in complex fields like cardiovascular or neurosurgery can significantly increase your salary potential.
- With a strong job outlook and high demand, a career as an OR Tech offers excellent long-term security.
If you are looking for a profession that combines technical skill with a direct impact on patient outcomes, becoming an Operating Room Technician in California is a highly rewarding and financially sound career to pursue.