Medical Imaging AI Specialist.
San Antonio.
$166,000
median salary, 13% below the national average
$124,000 to $217,000. Last updated April 2026.
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Data points to own the conversation.
San Antonio is 9% cheaper than the national average. For Medical Imaging AI Specialists, that shakes out to a median of $166,000, with the full range spanning $124,000 to $217,000. Deep knowledge of medical image analysis, FDA regulatory pathways, and clinical validation methodologies drives top compensation. Know the range before you walk in.
Salary range
Where do you fall?
Salary by experience
The gap between entry and lead level is typically $149,000. Where you land depends on years of experience and what you bring to the table.
Entry (0-2 yrs)
$108,000
to $133,000
Mid (3-5 yrs)
$141,000
to $174,000
Senior (6-9 yrs)
$183,000
to $216,000
Lead (10+ yrs)
$208,000
to $257,000
Salary trend
+4% YoYTotal compensation
Base salary is not the full picture. Equity, bonus, and signing can add $47,000 to the total package.
Base
$166,000
Equity
$27,000
Bonus
$17,000
Signing
$3,000
Estimated total: $213,000
How San Antonio compares
San Antonio, TX
$166,000
Cost of living: 9% below average
National Average
$190,000
San Antonio is $24,000 below
Medical Imaging AI Specialist salary by city
Salary by role in San Antonio
What you should know
Here is what the Medical Imaging AI Specialist market actually looks like in San Antonio. San Antonio has a major military presence with Joint Base San Antonio and a growing cybersecurity hub. The city is home to USAA headquarters and a cluster of healthcare systems. The extremely affordable cost of living and no state income tax make it attractive for professionals seeking purchasing power. Deep knowledge of medical image analysis, FDA regulatory pathways, and clinical validation methodologies drives top compensation. Specialists who understand radiology workflows and can navigate the 510(k) or De Novo approval process are extremely rare. Experience with specific modalities like CT, MRI, pathology, or ultrasound AI adds significant premiums.
Junior medical imaging engineers start at $115,000 to $150,000. Mid level specialists with regulatory submission experience earn $170,000 to $215,000. Senior specialists reach $220,000 to $275,000. VP of AI at medical imaging companies can exceed $350,000 in total compensation with equity. In San Antonio, cost of living sits near the national average, so the numbers you see are roughly what you keep.
Base salary is not the full picture. Equity at medical AI startups adds 20 to 40% of total compensation. Performance bonuses of 15 to 25% are standard. Signing bonuses of $25,000 to $75,000 are common. Benefits often include continuing medical education credits and conference travel budgets. And on the tax side: texas has no state income tax. San Antonio has no city income tax. The zero tax environment and very affordable housing create exceptional purchasing power relative to most metros. When someone quotes you $166,000, ask what the total package looks like. The gap between base and total comp is where real money hides.
On negotiation: Leverage the cybersecurity corridor. San Antonio's NSA facility and military cyber operations drive demand for cleared security professionals at premium rates. The range for Medical Imaging AI Specialists in San Antonio runs from $124,000 to $217,000. 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
Considering a related role?
- A ML Engineer in San Antonio earns $167,000 (1% more)
- The highest-paying role in San Antonio is Distinguished Engineer at $303,000
Common questions.
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