Dietitian Pay

Alexandria vs Roanoke: Dietitian and Nutritionist Salary (2026)

Compare dietitian and nutritionist salaries between Alexandria, VA and Roanoke, VA. All figures are 2026 estimates projected from BLS 2025 data.

Alexandria, VA
$84,221
$40.49/hr
Roanoke, VA
$72,501
$34.86/hr

Side-by-Side Comparison

MetricAlexandria, VARoanoke, VA
Median Salary$84,221$72,501
Hourly Rate$40.49$34.86
Entry Level (P10)$55,459$50,381
25th Percentile$70,114$61,675
75th Percentile$100,409$80,928
Top Earner (P90)$117,250$98,913
Total Employed26100
Side-by-side bar chart comparing Alexandria ($84,221) and Roanoke ($72,501) dietitian and nutritionist salaries.AlexandriaRoanokeMedian Salary$84,221$72,501Entry Level (P10)$55,459$50,381Top Earner (P90)$117,250$98,913US Median $79,380

Verdict

Alexandria, VA offers better overall compensation for dietitians and nutritionists, winning 3 out of 4 metrics compared to Roanoke.

The salary gap between Alexandria and Roanoke is $11,720 (16.17%). Alexandria's median is +6.10% compared to the US national median of $79,380.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Alexandria spans $61,791,Roanoke spans $48,532. Alexandria has a wider pay range, meaning more potential for high earners but also more variation.

Alexandria
P10 (Entry)$55,459
P25$70,114
Median$84,221
P75$100,409
P90 (Top)$117,250
Roanoke
P10 (Entry)$50,381
P25$61,675
Median$72,501
P75$80,928
P90 (Top)$98,913

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Alexandria ($81,609 effective) pays 5.38% more than Roanoke ($77,443 effective).

Alexandria
Nominal: $84,221
CoL Index: 103.2
Adjusted: $81,609
Roanoke
Nominal: $72,501
CoL Index: 93.618
Adjusted: $77,443

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Alexandria if…

  • Higher median salary ($84,221/year)
  • Better top-earner potential ($117,250)
  • Better purchasing power (CoL-adjusted: $81,609)
  • You prefer the Virginia area and lifestyle

Choose Roanoke if…

  • Larger job market (100 employed)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, dietitian and nutritionist salaries in Alexandria grew 18.8% from 2024 to 2025, compared to 26.2% growth in Roanoke over the same period.

Alexandria, VA

+18.8%

$68,213 (2024) → $81,060 (2025)

Roanoke, VA

+26.2%

$55,310 (2019) → $69,780 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays dietitian and nutritionists more: Alexandria or Roanoke?

Alexandria has a higher median dietitian and nutritionist salary at $84,221/year, compared to Roanoke at $72,501/year — a difference of $11,720 (16.17%).

What is the hourly rate difference between Alexandria and Roanoke?

Alexandria dietitian and nutritionists earn $40.49/hr while Roanoke hygienists earn $34.86/hr (2026 est.).

Should I relocate from Alexandria to Roanoke as a dietitian and nutritionist?

Consider more than just salary when comparing Alexandria and Roanoke. Factor in cost of living (CoL-adjusted: Alexandria = $81,609, Roanoke = $77,443), job availability (26 vs 100 employed), commute, and career growth potential.

What do entry-level dietitian and nutritionists earn in Alexandria vs Roanoke?

Entry-level (10th percentile) dietitian and nutritionists earn $55,459 in Alexandria and $50,381 in Roanoke. The Alexandria area offers higher starting salaries.
AP

Written by Aisha Patel, MS, RD

Career Analyst

Aisha has 10 years of experience as a nutrition consultant. She specializes in sports nutrition. Aisha works with professional athletes and teams.

Clinically reviewed by Carlos Gomez, RDNData verified by Emily Chen, MS, RDN

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.90% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Aisha Patel, MS, RD, a licensed dietitian and nutritionist with 10+ years of clinical experience. · View source data at BLS.gov