Optometrist.
Billings.
$109,000
median salary, 15% below the national average
$92,000 to $135,000. Last updated April 2026.
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Data points to own the conversation.
Billings is 11% cheaper than the national average. For Optometrists, that shakes out to a median of $109,000, with the full range spanning $92,000 to $135,000. Practice ownership versus employment is the largest income differentiator for optometrists. 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 $98,000. Where you land depends on years of experience and what you bring to the table.
Entry (0-2 yrs)
$71,000
to $87,000
Mid (3-5 yrs)
$93,000
to $114,000
Senior (6-9 yrs)
$120,000
to $142,000
Lead (10+ yrs)
$136,000
to $169,000
Salary trend
+4% YoYTotal compensation
Base salary is not the full picture. Equity, bonus, and signing can add $24,000 to the total package.
Base
$109,000
Equity
$13,000
Bonus
$9,000
Signing
$2,000
Estimated total: $133,000
How Billings compares
Billings, MT
$109,000
Cost of living: 11% below average
National Average
$128,000
Billings is $19,000 below
Optometrist salary by city
Salary by role in Billings
What you should know
Here is what the Optometrist market actually looks like in Billings. Billings is Montana's largest city and economic hub, driven by energy, agriculture, and healthcare. The city serves as a regional center for the Northern Plains. Remote work has brought a wave of tech professionals seeking Montana's quality of life, gradually diversifying the local job market. Practice ownership versus employment is the largest income differentiator for optometrists. States with expanded scope allowing therapeutic procedures and medical management increase earning potential. Optometrists specializing in ocular disease management, specialty contact lenses, or pediatric vision earn above those in routine refraction-only settings.
New associate optometrists start at $105,000 to $120,000 on base plus production models. Experienced ODs with strong patient loyalty earn $130,000 to $155,000 after five to seven years. Practice owners or partners in multi-doctor practices can reach $170,000 to $250,000 depending on revenue and overhead management. In Billings, your dollars stretch further. Cost of living runs 11% below the national average, which means even a median salary buys a stronger lifestyle.
Base salary is not the full picture. Employed optometrists typically receive production bonuses of 15 to 25% above a base salary guarantee. Benefits include vision and health insurance, CE allowances, malpractice coverage, and optical frame discounts. Practice owners retain higher gross income but manage significant overhead. And on the tax side: montana has a top income tax rate of 5.9% but no state sales tax. Billings has no city income tax. The no sales tax benefit helps offset the state income tax. When someone quotes you $109,000, ask what the total package looks like. The gap between base and total comp is where real money hides.
On negotiation: Negotiate remote work arrangements. Billings employers are increasingly open to remote and hybrid setups to attract talent from larger metros. The range for Optometrists in Billings runs from $92,000 to $135,000. 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
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Common questions.
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