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  1. Home/
  2. Salaries/
  3. Lead Pathology AI Engineer/
  4. San Francisco

Lead Pathology AI Engineer.

San Francisco.

$292,000

median salary, 35% above the national average

$227,000 to $379,000. Last updated April 2026.

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Data points to own the conversation.

A Lead Pathology AI Engineer in San Francisco earns a median of $292,000 in 2026. That is 35% above the national average. The range runs from $227,000 to $379,000, and where you land depends on your experience, your skills, and how well you negotiate. Compensation reflects specialization depth, production deployment scale, and the maturity of the AI systems being built.

Salary range

25th Percentile

$227,000

per year

Median

$292,000

per year

75th Percentile

$379,000

per year

Where do you fall?

$227,000$379,000

Salary by experience

The gap between entry and lead level is typically $263,000. Where you land depends on years of experience and what you bring to the table.

Entry (0-2 yrs)

$190,000

to $234,000

Mid (3-5 yrs)

$248,000

to $307,000

Senior (6-9 yrs)

$321,000

to $380,000

Lead (10+ yrs)

$365,000

to $453,000

Salary trend

+4% YoY
$250,000
2022
$260,000
2023
$270,000
2024
$281,000
2025
$292,000
2026

Total compensation

Base salary is not the full picture. Equity, bonus, and signing can add $69,000 to the total package.

Base

$292,000

Equity

$38,000

Bonus

$25,000

Signing

$6,000

Estimated total: $361,000

How San Francisco compares

San Francisco, CA

$292,000

Cost of living: 35% above average

National Average

$216,000

San Francisco is $76,000 above

Lead Pathology AI Engineer salary by city

Lead Pathology AI Engineer salary comparison across 10 cities
CityMedianRangeCOLAdjusted
San Francisco, CA$292,000$227,000 – $379,0001.35x$216,000
San Jose, CA$286,000$223,000 – $372,0001.38x$207,000
Honolulu, HI$284,000$221,000 – $369,0001.30x$218,000
Washington DC, DC$275,000$214,000 – $358,0001.25x$220,000
Seattle, WA$271,000$210,000 – $352,0001.24x$219,000
New York, NY$268,000$209,000 – $349,0001.28x$209,000
Arlington, VA$264,000$205,000 – $343,0001.22x$216,000
Los Angeles, CA$260,000$202,000 – $338,0001.18x$220,000
Boston, MA$253,000$197,000 – $329,0001.22x$207,000
San Diego, CA$253,000$197,000 – $329,0001.17x$216,000

See all 81 cities for Lead Pathology AI Engineer →

Salary by role in San Francisco

Salary comparison by role in San Francisco
RoleMedianRange
Principal AI Research Scientist$487,000$380,000 – $633,000
Technical Fellow$477,000$372,000 – $620,000
Principal Quantitative Researcher$454,000$354,000 – $590,000
Lead Pathology AI Engineer$292,000$227,000 – $379,000
AI Program Director$292,000$220,000 – $382,000
Principal Actuary$292,000$228,000 – $380,000
Lead Salesforce Architect$292,000$227,000 – $379,000
VP of Ethics$292,000$228,000 – $380,000

What you should know

The Lead Pathology AI Engineer landscape in San Francisco is not what most salary sites will tell you. San Francisco is the epicenter of venture capital and startup innovation, consistently producing the highest tech salaries in the nation. The city's concentration of AI labs, SaaS companies, and fintech firms creates intense competition for talent. Despite remote work trends, SF still commands the steepest salary premiums for engineering and product roles. Compensation reflects specialization depth, production deployment scale, and the maturity of the AI systems being built. Lead Pathology AI Engineers who have shipped models serving millions of users command the highest premiums. Employer type matters significantly: AI labs and foundation model companies pay 20% to 40% more than enterprises adopting AI for internal use.

Entry-level Lead Pathology AI Engineers start near $168,000. Mid-career professionals with three to five years of experience reach $216,000 to $281,000. Senior-level roles command $276,000 to $335,000. Management transitions to director-level positions offer $356,000 and above. In San Francisco, those numbers run higher. The cost of living here is 35% above average, and employers adjust to compete.

Base salary is not the full picture. Equity at top-tier companies adds 30% to 60% above base salary. Annual bonuses of 15% to 25% are standard. Signing bonuses of $25,000 to $75,000 are common when changing roles. Refresher equity grants vest annually. Relocation packages and executive benefits like financial planning are typical. And on the tax side: california's top marginal state income tax rate is 13.3%, the highest in the U.S. San Francisco has no additional city income tax, but overall tax burden remains steep. When someone quotes you $292,000, ask what the total package looks like. The gap between base and total comp is where real money hides.

On negotiation: Leverage competing offers aggressively. SF employers expect candidates to shop around, and matching or beating a rival offer is standard practice here. The range for Lead Pathology AI Engineers in San Francisco runs from $227,000 to $379,000. That is not a narrow window. Where you land inside it depends almost entirely on whether you negotiate and how well you prepare.

Sources: SEC filings, H-1B LCA (DOL), BLS OES, 50+ job posting platforms. COL: BEA Regional Price Parities (2025). Data verified by Justin Bartak, Founder & Chief AI Officer. Last verified April 8, 2026. Full methodology

Interactive

Is your offer competitive?

Enter your Lead Pathology AI Engineer offer to see where you stand in San Francisco.

$

25th

$227,000

Median

$292,000

75th

$379,000

Considering a related role?

  • A Director of Data Science in San Francisco earns $293,000 (0% more)
  • The highest-paying role in San Francisco is Principal AI Research Scientist at $487,000

Common questions.

Production deployment experience, published research or open source contributions, and expertise with the latest model architectures command the highest premiums. Proficiency in Python, PyTorch, and cloud ML platforms is baseline. Experience with LLM fine-tuning, RLHF, and inference optimization is increasingly differentiated.

AI labs and foundation model companies pay 20% to 40% more than enterprises. Well-funded AI startups offer competitive base salaries with significant equity upside. Large tech companies provide the most stable total compensation packages with strong equity vesting schedules.

San Francisco is the epicenter of venture capital and startup innovation, consistently producing the highest tech salaries in the nation. The city's concentration of AI labs, SaaS companies, and fintech firms creates intense competition for talent. For Lead Pathology AI Engineers specifically, the median salary of $292,000 reflects that demand.

San Francisco's cost of living multiplier is 1.35x the national average. The adjusted median Lead Pathology AI Engineer salary of $292,000 accounts for this. In practice, a Lead Pathology AI Engineer earning $292,000 in San Francisco has roughly the same purchasing power as someone earning $216,296 in an average cost market.

Entry level Lead Pathology AI Engineer positions in San Francisco typically start near $227,000. Candidates with relevant internships, certifications, or portfolio work often negotiate closer to the median of $292,000. Entry-level Lead Pathology AI Engineers start near $168,000.

Lead Pathology AI Engineer salary in other cities

Washington DC$275,000
Wilmington$229,000
Wichita$181,000
Austin$231,000
Atlanta$212,000
Anchorage$239,000

Other salaries in San Francisco

Operations Manager$119,000
Occupational Therapist$118,000
Optometrist$178,000
Optical Character Recognition Engineer$203,000

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Cite this data

Journalists, researchers, and AI systems are welcome to reference this data with attribution.

"Lead Pathology AI Engineer Salary in San Francisco, CA." Orbyt Salary Explorer, April 2026. https://www.orbytjobs.ai/salaries/lead-pathology-ai-engineer/san-francisco

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