Career Rankings 2026

25 Best Cities for Dental Hygienists in 2026

Dental hygienists have strong earning potential relative to their training requirements, making the cost of living in their chosen city especially important. We heavily weighted affordability since hygienist salaries are regionally uniform enough that housing costs become the primary differentiator in real-wage outcomes.

Methodology

Scoring weights: rent-to-income ratio (40%, inverted), median income (20%), unemployment rate (25%, inverted), violent crime rate (15%, inverted).

1

Laconia

New Hampshire

93/100

Median Income

$97,692

Median Rent

$1,037/mo

Rent/Income

13%

Unemployment

2.1%

2

Bismarck

North Dakota

87/100

Median Income

$83,440

Median Rent

$951/mo

Rent/Income

14%

Unemployment

2.0%

3

Concord

New Hampshire

86/100

Median Income

$92,110

Median Rent

$1,398/mo

Rent/Income

18%

Unemployment

2.0%

4

Keene

New Hampshire

86/100

Median Income

$89,314

Median Rent

$1,259/mo

Rent/Income

17%

Unemployment

2.3%

5

Manchester-Nashua

New Hampshire

85/100

Median Income

$103,727

Median Rent

$1,668/mo

Rent/Income

19%

Unemployment

2.4%

6

Lexington Park

Maryland

85/100

Median Income

$116,297

Median Rent

$1,718/mo

Rent/Income

18%

Unemployment

2.0%

7

Torrington

Connecticut

85/100

Median Income

$91,020

Median Rent

$1,141/mo

Rent/Income

15%

Unemployment

3.0%

8

Watertown-Fort Atkinson

Wisconsin

84/100

Median Income

$82,864

Median Rent

$953/mo

Rent/Income

14%

Unemployment

2.5%

9

Heber

Utah

84/100

Median Income

$134,986

Median Rent

$2,434/mo

Rent/Income

22%

Unemployment

2.5%

10

Burlington-South Burlington

Vermont

84/100

Median Income

$95,497

Median Rent

$1,604/mo

Rent/Income

20%

Unemployment

1.6%

11

Lebanon-Claremont

New Hampshire

84/100

Median Income

$78,937

Median Rent

$1,218/mo

Rent/Income

19%

Unemployment

1.9%

12

Sioux Falls

South Dakota

84/100

Median Income

$76,226

Median Rent

$988/mo

Rent/Income

16%

Unemployment

1.7%

13

Appleton

Wisconsin

83/100

Median Income

$83,966

Median Rent

$1,087/mo

Rent/Income

16%

Unemployment

2.3%

14

Portland-South Portland

Maine

83/100

Median Income

$92,117

Median Rent

$1,551/mo

Rent/Income

20%

Unemployment

2.2%

15

Ogden

Utah

83/100

Median Income

$100,461

Median Rent

$1,528/mo

Rent/Income

18%

Unemployment

2.5%

16

Fargo

North Dakota

83/100

Median Income

$72,889

Median Rent

$989/mo

Rent/Income

16%

Unemployment

1.9%

17

Grand Forks

North Dakota

83/100

Median Income

$71,529

Median Rent

$908/mo

Rent/Income

15%

Unemployment

2.2%

18

Sheboygan

Wisconsin

83/100

Median Income

$72,902

Median Rent

$895/mo

Rent/Income

15%

Unemployment

2.3%

19

Grand Island

Nebraska

82/100

Median Income

$70,919

Median Rent

$947/mo

Rent/Income

16%

Unemployment

2.2%

20

Decatur

Alabama

82/100

Median Income

$72,956

Median Rent

$854/mo

Rent/Income

14%

Unemployment

2.1%

21

Manitowoc

Wisconsin

82/100

Median Income

$68,297

Median Rent

$752/mo

Rent/Income

13%

Unemployment

2.7%

22

Faribault-Northfield

Minnesota

82/100

Median Income

$81,455

Median Rent

$1,028/mo

Rent/Income

15%

Unemployment

2.8%

23

Provo-Orem-Lehi

Utah

82/100

Median Income

$100,791

Median Rent

$1,556/mo

Rent/Income

19%

Unemployment

2.7%

24

Minot

North Dakota

82/100

Median Income

$72,073

Median Rent

$985/mo

Rent/Income

16%

Unemployment

2.1%

25

Logan

Utah

82/100

Median Income

$85,111

Median Rent

$1,253/mo

Rent/Income

18%

Unemployment

2.4%

Frequently Asked Questions

Do dental hygienists need to work in a big city to earn well?

Not necessarily. Suburban and mid-size markets often pay competitively while offering much lower housing costs. Some suburban markets adjacent to major metro areas offer the best of both worlds.

What states have the highest dental hygienist salaries?

Alaska, California, Washington, and Nevada consistently rank highest for dental hygienist salaries. However, after adjusting for cost of living, states like Idaho, Utah, and Texas offer strong real income.

Is part-time work common for dental hygienists?

Very common. Many hygienists work in multiple offices on different days, which is easier in denser metros with more practices per square mile. This also provides income flexibility.