Highest Paying Jobs in Sacramento, CA for 2026
As we move into 2026, Sacramento’s job market showcases a diverse array of high-paying careers across various sectors, including healthcare, technology, and finance. If you’re seeking lucrative employment opportunities in Sacramento, this comprehensive list will guide you in identifying the most rewarding professions available.
We have compiled data from the Bureau of Labor Statistics (BLS) to present the 20 highest-paying jobs in Sacramento for 2026. While many of these roles demand significant experience, there are also attractive entry-level positions for candidates with the appropriate educational background.
Leading the list of top earners in Sacramento is the Anesthesiologist, boasting an average annual salary of $368,752 and an entry-level salary of $188,000.
Whether you’re contemplating a career transition, considering relocating to Sacramento, or a recent graduate contemplating your future, this guide to the highest-paying jobs and lucrative industries in Sacramento will assist you in mapping out your next steps.
Here’s a brief overview of the top 10 highest-paying jobs in Sacramento, California:
Detailed List of Highest Paying Jobs in Sacramento
| Rank | Job Title | Average Salary | Entry Level Salary |
|---|---|---|---|
| 1 | Anesthesiologist | $368,752 | $188,000 |
| 2 | Dermatologist | $296,588 | $152,000 |
| 3 | Psychiatrist | $277,210 | $157,000 |
| 4 | Assistant Professor of Surgery | $265,454 | $137,000 |
| 5 | Clinical Sciences Professor | $248,845 | $135,000 |
| 6 | Orthodontist | $247,395 | $143,000 |
| 7 | Medical Director | $243,518 | $158,000 |
| 8 | Hospitalist | $235,478 | $153,000 |
| 9 | Physician | $231,957 | $127,000 |
| 10 | Primary Care Physician | $225,786 | $127,000 |
| 11 | Family Medicine Physician | $223,981 | $132,000 |
| 12 | Associate Professor, Physician | $222,402 | $121,000 |
| 13 | Internal Medicine Physician | $220,882 | $131,000 |
| 14 | Urologist | $219,742 | $115,000 |
| 15 | Pediatrician | $218,132 | $140,000 |
| 16 | Senior Physician | $214,615 | $119,000 |
| 17 | Family Practice Physician | $205,545 | $125,000 |
| 18 | Engineering Director | $196,401 | $128,000 |
| 19 | Ob/Gyn Physician | $195,446 | $103,000 |
| 20 | Product Management Director | $195,220 | $139,000 |
How We Determined the Highest Paid Jobs in Sacramento for 2026
To identify the highest-paying jobs in Sacramento, we utilized the latest data from the Bureau of Labor Statistics (BLS), Foreign Labor Certification Data Center (FLC), Office of Personnel Management (OPM), and additional reputable sources.
Zippia’s data science team enhances this information by continuously analyzing millions of job postings daily to extract published salaries. We match these salaries with companies, locations, and job titles in our datasets.
Ultimately, we calculate a weighted average from these inputs to provide an estimated salary for each job title in Sacramento.
In total, our analysis covered salary data for over 1,000 job titles in Sacramento to pinpoint the jobs that offer the highest compensation.
Editor’s Note: Article updated for 2026. This marks the eighth iteration of our ranking of the highest paying jobs in Sacramento.
Author
Chris Kolmar is a co-founder of Zippia and the editor-in-chief of the Zippia career advice blog. He has hired over 50 people in his career, been hired five times, and wants to help you land your next job. His research has been featured on the New York Times, Thrillist, VOX, The Atlantic, and a host of local news. More recently, he's been quoted on USA Today, BusinessInsider, and CNBC.
