SOC 29-1127 · Winston-Salem, NC metro

Speech-Language Pathologists Salary in Winston-Salem, NC

The average salary for speech-language pathologists in Winston-Salem, North Carolina is $89,380 a year ($42.97 an hour), according to BLS estimates for May 2025. The median is $85,890: half of the 340 people in this job in the Winston-Salem, NC metro area earn more than that, half earn less. That average is 9% less than the U.S. average for this job ($98,170).

$89,380average per year

$42.97 / hourMedian $85,890Take-home ≈ $68,651

  • $63K10th
  • $69K25th
  • $86KMedian
  • $106K75th
  • $123K90th

median average · bar = middle 50% of workers · how to read it

340people in this job
-9%vs U.S. average
#4 of 14North Carolina metros
92cost of living (U.S. = 100)
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Speech-Language Pathologists pay range in Winston-Salem

New workers and the lowest-paid 10% earn about $62,590 a year or less, while the top 10% make $123,390 or more. The middle half of speech-language pathologists in Winston-Salem earn between $69,020 and $106,380.

  • $63K10th
  • $69K25th
  • $86KMedian
  • $106K75th
  • $123K90th

median average · bar = middle 50% of workers · how to read it

Pay levelPer yearPer monthPer hour*
Average$89,380$7,448$42.97
Median$85,890$7,158$41.29
Entry level (25th percentile)$69,020$5,752$33.18
Experienced (75th percentile)$106,380$8,865$51.14

*Hourly figures assume 2,080 paid hours a year. Hourly to annual salary.

Speech-Language Pathologists pay in Winston-Salem vs. North Carolina and the U.S.

Speech-language pathologists in Winston-Salem earn about the same as the North Carolina average ($88,640) and 9% less than the U.S. average ($98,170). At the median the gap is -12% against the U.S. median of $97,870.

AreaAverageMedian10th pct.90th pct.Jobs
Winston-Salem$89,380$85,890$62,590$123,390340
North Carolina$88,640$86,460$60,800$121,0405,600
United States$98,170$97,870$62,900$134,160183,390

State and U.S. rows: BLS statewide and national estimates, May 2025, which include rural areas.

Speech-Language Pathologists salary after taxes in Winston-Salem

On the average salary of $89,380, a single filer in Winston-Salem takes home about $68,651 a year, or $5,721 a month and $2,640 every two weeks. Taxes take 23% of gross pay.

Single filer, standard deduction: federal income tax (2026 brackets), Social Security, Medicare and state income tax (2026 rules).

North Carolina paycheck calculator: try your own salary

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Is Winston-Salem a good place for speech-language pathologists? Pay vs. cost of living

Prices in the Winston-Salem area are 8% below the U.S. average (BEA price parity 92.0), so the average $89,380 buys what about $97,107 would buy in a typical U.S. metro. This job pays 1.9 times the median wage of all jobs in Winston-Salem ($46,380). A typical home costs $283,871, or 3.2 years of this average salary before tax.

See what $89,380 is worth in another city

Speech-Language Pathologists salary in other North Carolina cities

Winston-Salem ranks 4th of 14 North Carolina metro areas for this job; Greenville pays the most ($96,470).

All Speech-Language Pathologists salaries in North Carolina

Highest-paying cities for speech-language pathologists

El Centro, CA pays this job the most of the metro areas we cover ($139,700).

Speech-Language Pathologists salary by city

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Speech-Language Pathologists salary in Winston-Salem: questions

How much do speech-language pathologists make an hour in Winston-Salem?

$42.97 an hour on average, and $41.29 at the median (BLS, May 2025).

What is the entry-level speech-language pathologists salary in Winston-Salem?

The lowest-paid 10% earn about $62,590 a year and the 25th percentile is $69,020, a fair guide to starting pay.

What is the speech-language pathologists take-home pay in Winston-Salem?

About $68,651 a year ($5,721 a month) for a single filer on the average salary of $89,380.

Do speech-language pathologists earn more in Winston-Salem than elsewhere?

The average here is 9% less than the U.S. average for this job ($98,170).

Sources and how to read this page

  • Wages: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates for metropolitan areas. SOC code 29-1127; area Winston-Salem, NC (49180). Relative standard error of the mean wage: 2.7%.
  • U.S. and statewide figures: BLS OEWS national and state estimates, May 2025, every employer including rural areas.
  • Cost of living: Bureau of Economic Analysis regional price parities (RPP), 2024; 100 = U.S. average.
  • Home value: Zillow Home Value Index. Typical-wage figure: OEWS all occupations, same metro.
  • Take-home pay: Single filer, standard deduction: federal income tax (2026 brackets), Social Security, Medicare and state income tax (2026 rules).
  • Job concentration: location quotient 1.07, this job is about as common as in the U.S. overall.

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