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The salary for a Substance Abuse Clinician in the United States averages at $50,155 per year. This figure can fluctuate based on various elements, including experience, education level, and geographic location. For instance, states such as California and New York typically offer higher salaries due to the cost of living and demand for services.
In terms of regional differences, clinicians in states like Alaska, Massachusetts, and Connecticut tend to earn more than their counterparts in other states. For example, clinicians in Alaska can earn upwards of $65,000 per year. Understanding these variations can help job seekers make informed decisions about where to apply.
Certain cities also stand out for offering higher wages. Areas like San Francisco, Boston, and Seattle are known for competitive salaries. The demand for skilled professionals in these urban centers often correlates with higher compensation packages.
Overall, the field of substance abuse treatment is growing, providing numerous job opportunities. With an increasing emphasis on mental health and addiction services, now is an excellent time to pursue a career as a Substance Abuse Clinician.
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The average substance abuse clinician salary in Hawaii, Alaska, and Oregon are the highest in the U.S. The lowest average substance abuse clinician salary states are Texas, South Carolina, and Nebraska.
| Rank | State | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | Alaska | $63,544 | $30.55 |
| 2 | Connecticut | $55,055 | $26.47 |
| 3 | Hawaii | $71,286 | $34.27 |
| 4 | Rhode Island | $51,581 | $24.80 |
| 5 | New York | $54,402 | $26.15 |
| 6 | Massachusetts | $51,912 | $24.96 |
| 7 | Indiana | $48,521 | $23.33 |
| 8 | Arizona | $49,896 | $23.99 |
| 9 | Oregon | $59,721 | $28.71 |
| 10 | Vermont | $50,845 | $24.44 |
| 11 | New Mexico | $49,214 | $23.66 |
| 12 | Washington | $53,866 | $25.90 |
| 13 | Nevada | $53,547 | $25.74 |
| 14 | Idaho | $49,152 | $23.63 |
| 15 | Mississippi | $51,187 | $24.61 |
| 16 | Wisconsin | $49,367 | $23.73 |
| 17 | Pennsylvania | $47,302 | $22.74 |
| 18 | California | $52,860 | $25.41 |
| 19 | New Jersey | $49,698 | $23.89 |
| 20 | Kentucky | $50,628 | $24.34 |
| 21 | Delaware | $50,296 | $24.18 |
| 22 | Oklahoma | $48,199 | $23.17 |
| 23 | Arkansas | $46,493 | $22.35 |
| 24 | New Hampshire | $47,794 | $22.98 |
| 25 | Illinois | $48,920 | $23.52 |
| 26 | West Virginia | $47,591 | $22.88 |
| 27 | Colorado | $46,367 | $22.29 |
| 28 | Wyoming | $45,902 | $22.07 |
| 29 | North Dakota | $45,908 | $22.07 |
| 30 | Kansas | $46,832 | $22.52 |
| 31 | South Dakota | $43,129 | $20.74 |
| 32 | District of Columbia | $49,019 | $23.57 |
| 33 | Maryland | $47,170 | $22.68 |
| 34 | Maine | $41,233 | $19.82 |
| 35 | Alabama | $45,993 | $22.11 |
| 36 | North Carolina | $43,805 | $21.06 |
| 37 | Tennessee | $43,625 | $20.97 |
| 38 | Utah | $45,128 | $21.70 |
| 39 | Missouri | $42,318 | $20.35 |
| 40 | Ohio | $42,969 | $20.66 |
| 41 | Minnesota | $42,954 | $20.65 |
| 42 | Montana | $42,915 | $20.63 |
| 43 | Florida | $39,403 | $18.94 |
| 44 | Michigan | $41,107 | $19.76 |
| 45 | Texas | $40,994 | $19.71 |
| 46 | Iowa | $42,239 | $20.31 |
| 47 | Georgia | $37,561 | $18.06 |
| 48 | Louisiana | $41,334 | $19.87 |
| 49 | Virginia | $38,794 | $18.65 |
| 50 | Nebraska | $39,705 | $19.09 |
| 51 | South Carolina | $39,853 | $19.16 |
The highest-paying cities for substance abuse clinicians are Danbury, CT, Olympia, WA, and Hempstead, NY.
| Rank | City | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | Danbury, CT | $55,008 | $26.45 |
| 2 | Olympia, WA | $54,485 | $26.19 |
| 3 | Hempstead, NY | $54,456 | $26.18 |
| 4 | Sacramento, CA | $53,483 | $25.71 |
| 5 | Dartmouth, MA | $52,316 | $25.15 |
| 6 | Warwick, RI | $51,592 | $24.80 |
| 7 | Dover, DE | $49,980 | $24.03 |
| 8 | Clifton, NJ | $49,885 | $23.98 |
| 9 | Scottsdale, AZ | $49,879 | $23.98 |
| 10 | Hobbs, NM | $48,859 | $23.49 |
| 11 | Indianapolis, IN | $48,404 | $23.27 |
| 12 | Boulder, CO | $46,425 | $22.32 |
| 13 | Orem, UT | $45,049 | $21.66 |
| 14 | Shreveport, LA | $41,887 | $20.14 |
| 15 | Portland, ME | $41,762 | $20.08 |
| 16 | Grand Rapids, MI | $41,055 | $19.74 |
| 17 | Hilton Head Island, SC | $39,121 | $18.81 |
| 18 | Richmond, VA | $38,781 | $18.64 |
| 19 | Atlanta, GA | $37,826 | $18.19 |
A substance abuse clinician's salary ranges from $36,000 a year at the 10th percentile to $68,000 at the 90th percentile.

| Percentile | Annual salary | Monthly salary | Hourly rate |
|---|---|---|---|
| 90th Percentile | $68,000 | $5,667 | $33 |
| 75th Percentile | $58,000 | $4,833 | $28 |
| Average | $50,155 | $4,180 | $24 |
| 25th Percentile | $42,000 | $3,500 | $20 |
| 10th Percentile | $36,000 | $3,000 | $17 |
The highest paying types of substance abuse clinicians are behavior analyst, behavioral analyst, and clinical social worker.
| Job title | Annual salary | Monthly salary | Hourly rate | Job openings |
|---|---|---|---|---|
| Behavior Interventionist | $38,908 | $3,242 | $18.71 | 70,115 |
| Behavioral Therapist | $37,881 | $3,157 | $18.21 | 91,976 |
| Behavioral Analyst | $69,468 | $5,789 | $33.40 | 66,538 |
| Behavior Analyst | $73,616 | $6,135 | $35.39 | 67,013 |
| Addictions Counselor | $47,226 | $3,936 | $22.70 | 79,459 |
| Alcohol And Drug Counselor | $45,758 | $3,813 | $22.00 | 77,461 |
Top companies hiring substance abuse clinicians now:
Substance abuse clinician salaries at Boston Medical Center and Hackensack Meridian Health are the highest-paying according to our most recent salary estimates. In addition, the average substance abuse clinician salary at companies like DESC and Evergreen Treatment Services are highly competitive.
| Rank | Company | Average salary | Hourly rate |
|---|---|---|---|
| 1 | Boston Medical Center | $63,359 | $30.46 |
| 2 | Hackensack Meridian Health | $59,761 | $28.73 |
| 3 | DESC | $58,226 | $27.99 |
| 4 | Evergreen Treatment Services | $57,488 | $27.64 |
| 5 | Pine Street Inn | $57,370 | $27.58 |
| 6 | The Health & Hospital Corporation of Marion County | $57,200 | $27.50 |
| 7 | Universal Health Services | $56,193 | $27.02 |
| 8 | Aspire Health | $54,705 | $26.30 |
| 9 | Bay State Community Services | $53,009 | $25.49 |
| 10 | Advanced Recovery Systems | $52,968 | $25.47 |
| 11 | Northern Lights | $52,612 | $25.29 |
| 12 | Univ Of Colorado-Colorado Spgs | $52,460 | $25.22 |
| 13 | American Addiction Centers | $52,212 | $25.10 |
| 14 | City of Norfolk | $51,543 | $24.78 |
| 15 | Spurwinkri | $51,541 | $24.78 |
| 16 | LUK | $51,524 | $24.77 |
| 17 | Americorps | $51,102 | $24.57 |
| 18 | Ideal Option | $50,887 | $24.46 |
| 19 | The GEO Group | $50,830 | $24.44 |
| 20 | CommunityHealthlink | $50,424 | $24.24 |
The average substance abuse clinician salary has risen by $7,506 over the last ten years. In 2014, the average substance abuse clinician earned $42,649 annually, but today, they earn $50,155 a year. That works out to a 10% change in pay for substance abuse clinicians over the last decade.
Compare substance abuse clinician salaries for cities or states with the national average over time.
Compare substance abuse clinician salaries for individual cities or states with the national average.
| Year | Avg. salary | Hourly rate | % Change |
|---|---|---|---|
| 2025 | $50,200 | $24.11 | +3.0% |
| 2024 | $48,600 | $23.38 | +2.4% |
| 2023 | $47,500 | $22.82 | +2.4% |
| 2022 | $46,300 | $22.27 | +1.9% |
| 2021 | $45,400 | $21.84 | +2.7% |
| Company | Job | Location | Date added | Salary |
|---|---|---|---|---|
| State of Colorado | Cdoc (Social Work/Counselor III)-Substance USE Disorder Treatment | Boone, CO | 06/29/2025 | $81,000 |
| State of Washington | Substance USE Disorder Professional PS4 (Pn63)-WSP | Walla Walla, WA | 06/27/2025 | $61,404 |
| Comprehensive Life Resources | Substance USE Disorder Professional-Pact | Tacoma, WA | 06/27/2025 | $52,613 |
| High Point & Semcoa | Substance USE Clinician-BA Level | Brockton, MA | 06/24/2025 | $58,436 |
| Great Rivers Behavioral Health Orga | Substance USE Disorder Professional-(Sudpt/Sudp) | Aberdeen, WA | 06/21/2025 | $49,920 |
| Frontier Behavioral Health | Substance USE Disorder Professional-Program for Assertive Community Treatment (Pact) | Spokane, WA | 06/20/2025 | $57,580 |
| Triumph Treatment Services | Substance USE Disorder Professional | Yakima, WA | 06/17/2025 | $52,175 |
| Brockton Area Multi Services Inc. | [Ccbhc] Substance USE Disorder Clinician) | Whitman, MA | 06/16/2025 | $65,000 |
| Bamsi | [Ccbhc] Substance USE Disorder Clinician) | Whitman, MA | 06/16/2025 | $65,000 |
| Zinnia Health | LIV Program BHT-Substance Abuse Treatment | Riviera Beach, FL | 06/11/2025 | $37,566 |
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