Surg Tech Salary

Billings vs Great Falls: Surgical Technologist Salary (2026)

Compare surgical technologist salaries between Billings, MT and Great Falls, MT. All figures are 2026 estimates projected from BLS 2025 data.

Billings, MT
$57,886
$27.83/hr
Great Falls, MT
$65,376
$31.43/hr

Side-by-Side Comparison

MetricBillings, MTGreat Falls, MT
Median Salary$57,886$65,376
Hourly Rate$27.83$31.43
Entry Level (P10)$39,725$44,586
25th Percentile$42,813$53,613
75th Percentile$69,258$82,563
Top Earner (P90)$82,476$100,743
Total Employed14012
Side-by-side bar chart comparing Billings ($57,886) and Great Falls ($65,376) surgical technologist salaries.BillingsGreat FallsMedian Salary$57,886$65,376Entry Level (P10)$39,725$44,586Top Earner (P90)$82,476$100,743US Median $68,141

Verdict

Great Falls, MT offers better overall compensation for surgical technologists, winning 3 out of 4 metrics compared to Billings.

The salary gap between Billings and Great Falls is $7,490 (12.94%). Great Falls's median is -4.06% compared to the US national median of $68,141.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Billings spans $42,751,Great Falls spans $56,157. Great Falls has a wider pay range, suggesting more variation in pay between entry-level and experienced surgical technologists.

Billings
P10 (Entry)$39,725
P25$42,813
Median$57,886
P75$69,258
P90 (Top)$82,476
Great Falls
P10 (Entry)$44,586
P25$53,613
Median$65,376
P75$82,563
P90 (Top)$100,743

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Great Falls ($67,958 effective) pays 9.80% more than Billings ($61,893 effective).

Billings
Nominal: $57,886
CoL Index: 93.526
Adjusted: $61,893
Great Falls
Nominal: $65,376
CoL Index: 96.2
Adjusted: $67,958

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

Which City Is Right for You?

Choose Billings if…

  • Larger job market (140 employed)
  • You prefer the Montana area and lifestyle

Choose Great Falls if…

  • Higher median salary ($65,376/year)
  • Better top-earner potential ($100,743)
  • Better purchasing power (CoL-adjusted: $67,958)
  • You prefer the Montana area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, surgical technologist salaries in Billings grew 27.5% from 2020 to 2025, compared to 36.5% growth in Great Falls over the same period.

Billings, MT

+27.5%

$43,080 (2020) → $54,920 (2025)

Great Falls, MT

+36.5%

$45,450 (2019) → $62,027 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays surgical technologists more: Billings or Great Falls?

Great Falls has a higher median surgical technologist salary at $65,376/year, compared to Billings at $57,886/year — a difference of $7,490 (12.94%).

What is the hourly rate difference between Billings and Great Falls?

Billings surgical technologists earn $27.83/hr while Great Falls hygienists earn $31.43/hr (2026 est.).

Should I relocate from Billings to Great Falls as a surgical technologist?

Consider more than just salary when comparing Billings and Great Falls. Factor in cost of living (CoL-adjusted: Billings = $61,893, Great Falls = $67,958), job availability (140 vs 12 employed), commute, and career growth potential.

What do entry-level surgical technologists earn in Billings vs Great Falls?

Entry-level (10th percentile) surgical technologists earn $39,725 in Billings and $44,586 in Great Falls. The Great Falls area offers higher starting salaries.
JT

Written by Jessica Thompson, BA, CST

Career Analyst

Jessica has over 10 years of experience as a surgical technologist. She specializes in orthopedic surgical procedures. Jessica works at a community hospital.

Clinically reviewed by Carlos Ramirez, AAS, CSTData verified by Fatima Ali, BS, CST

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 5.40% 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 Jessica Thompson, BA, CST, a licensed surgical technologist with 10+ years of clinical experience. · View source data at BLS.gov