Dental Assistant Pay

Alexandria vs Roanoke: Dental Assistant Salary (2026)

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

Alexandria, VA
$48,619
$23.37/hr
Roanoke, VA
$46,588
$22.40/hr

Side-by-Side Comparison

MetricAlexandria, VARoanoke, VA
Median Salary$48,619$46,588
Hourly Rate$23.37$22.40
Entry Level (P10)$38,206$37,254
25th Percentile$45,133$37,956
75th Percentile$59,883$49,064
Top Earner (P90)$64,581$57,820
Total Employed26300
Side-by-side bar chart comparing Alexandria ($48,619) and Roanoke ($46,588) dental assistant salaries.AlexandriaRoanokeMedian Salary$48,619$46,588Entry Level (P10)$38,206$37,254Top Earner (P90)$64,581$57,820US Median $49,579

Verdict

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

The salary gap between Alexandria and Roanoke is $2,031 (4.36%). Alexandria's median is -1.94% compared to the US national median of $49,579.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Alexandria spans $26,375,Roanoke spans $20,566. Alexandria has a wider pay range, meaning more potential for high earners but also more variation.

Alexandria
P10 (Entry)$38,206
P25$45,133
Median$48,619
P75$59,883
P90 (Top)$64,581
Roanoke
P10 (Entry)$37,254
P25$37,956
Median$46,588
P75$49,064
P90 (Top)$57,820

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Roanoke ($49,764 effective) pays 5.63% more than Alexandria ($47,111 effective).

Alexandria
Nominal: $48,619
CoL Index: 103.2
Adjusted: $47,111
Roanoke
Nominal: $46,588
CoL Index: 93.618
Adjusted: $49,764

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 ($48,619/year)
  • Better top-earner potential ($64,581)
  • You prefer the Virginia area and lifestyle

Choose Roanoke if…

  • Larger job market (300 employed)
  • Better purchasing power (CoL-adjusted: $49,764)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, dental assistant salaries in Alexandria grew 3.7% from 2024 to 2025, compared to 16.7% growth in Roanoke over the same period.

Alexandria, VA

+3.7%

$45,475 (2024) → $47,139 (2025)

Roanoke, VA

+16.7%

$38,710 (2019) → $45,170 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays dental assistants more: Alexandria or Roanoke?

Alexandria has a higher median dental assistant salary at $48,619/year, compared to Roanoke at $46,588/year — a difference of $2,031 (4.36%).

What is the hourly rate difference between Alexandria and Roanoke?

Alexandria dental assistants earn $23.37/hr while Roanoke hygienists earn $22.40/hr (2026 est.).

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

Consider more than just salary when comparing Alexandria and Roanoke. Factor in cost of living (CoL-adjusted: Alexandria = $47,111, Roanoke = $49,764), job availability (26 vs 300 employed), commute, and career growth potential.

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

Entry-level (10th percentile) dental assistants earn $38,206 in Alexandria and $37,254 in Roanoke. The Alexandria area offers higher starting salaries.
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Written by Maria Gonzalez, CDA, RDH

Career Analyst

Maria Gonzalez has over 10 years of experience in dental assisting. She specializes in pediatric dentistry. She works in a private dental practice.

Clinically reviewed by James Thompson, CDAData verified by Aisha Patel, CDA, MA

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.14% 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 Maria Gonzalez, CDA, RDH, a licensed dental assistant with 10+ years of clinical experience. · View source data at BLS.gov