VA · Roanoke · Updated October 15, 2026

Speech-Language Pathologist jobs in Roanoke, VA

Speech-Language Pathologists in the Roanoke area earn a median of $40.49 per hour, about $84,210 a year, and the middle half of them earn between $31.03 and $49.71. That ranks 195th of 362 U.S. metro areas for speech-language pathologist pay, and 187th of 328 once local prices are factored in. 2 open roles with published pay are listed for Roanoke. The free report below lists employers near Roanoke and what they pay.

Open Speech-Language Pathologist roles in Roanoke

More open Speech-Language Pathologist roles in Roanoke

1 more open role from employers in Roanoke. Each employer’s range arrives with your free pay report.

PermanentPosted 24 days ago

Speech Therapist

Genesis Healthcare · Roanoke, VA

Pay range with your report
  • Full-Time Powerback USD $50.00/Hr.
  • Req 55051
View role

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Named employers near Roanoke, what they pay and the roles open now. Free for candidates, email only.

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Speech-Language Pathologist pay in Roanoke, VA

The metro median is 11% below the Virginia statewide median of $45.37 per hour. Nationally the median is $45.87 per hour. BLS counts about 180 speech-language pathologists employed in the Roanoke metro area, 1.2 per 1,000 jobs. Employment is about as concentrated here than in the country as a whole (location quotient 1.00).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$29.50$61,36036% below U.S. median
Lower quartile$31.03$64,54032% below U.S. median
Median$40.49$84,21012% below U.S. median
Upper quartile$49.71$103,4008% above U.S. median
Top 10%$55.77$116,00022% above U.S. median

How Roanoke ranks

  • 195th of 362 U.S. metro areas by median hourly pay
  • 187th of 328 after adjusting for local prices
  • 7th of 8 Virginia metro areas

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Speech-Language Pathologists (SOC 29-1127), all industries. This is what employers report paying, not an offer for a specific role.

What your pay buys in Roanoke

  • Overall prices in Roanoke run 6% below the U.S. average (index 93.6, U.S. = 100).
  • Housing is the biggest driver: 21% below the U.S. average (index 78.5).
  • Adjusted for local prices, a $40.49 median hour buys what $43.25 buys at the national price level, 6% below the national median.

Source: U.S. Bureau of Economic Analysis, Regional Price Parities by metropolitan area, 2024. Prices are for the metro area, not for a single neighborhood.

Estimate your Roanoke paycheck

Estimated weekly gross$1,458
  • Per year: $72,882
  • Per month: $6,074

Gross pay before taxes and benefits, from BLS pay levels for the Roanoke metro area. For take-home pay use the take-home pay calculator.

Travel assignment per diem in Roanoke

ItemFederal rate
Lodging per night$119
Meals and incidentals per day$74
Per week (7 nights, 7 days)$1,351
13-week assignment$17,563

Travel speech-language pathologist assignments commonly pay housing and meals stipends. The GSA per diem is the federal benchmark for what those stipends can be tax-free. Whether a stipend is tax-free for you depends on keeping a valid tax home, so confirm with your recruiter and a tax professional. Compare with your offer in the travel pay calculator.

Source: U.S. General Services Administration per diem rates, fiscal year 2026 (average across months).

Hospitals in Roanoke

CMS lists 1 hospital in Roanoke, 0 of the 1 rated ones with 4 or 5 stars. Hospitals are a major employer of speech-language pathologists.

HospitalTypeOwnershipCMS ratingEmergency
Carilion Medical Center
Roanoke, VA
Acute careNonprofit3 of 5Yes

Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.

Speech-Language Pathologist pay in nearby cities

CityDistanceMedian payPopulation
Lynchburg, VA43 mi$42.30/hr80,301
Greensboro, NC82 mi$41.56/hr307,381
Winston-Salem, NC83 mi$39.72/hr255,769
Burlington, NC87 mi$33.81/hr61,365
High Point, NC89 mi$41.56/hr118,601
Harrisonburg, VA100 mi$38.98/hr51,164

Speech-Language Pathologist jobs in Virginia · Speech-Language Pathologist jobs nationwide

License and tax basics in Virginia

Master’s degree in speech-language pathology. Credentials are issued state by state, so confirm what Virginia requires for your role with the Virginia licensing board and with your recruiter before you commit to a start date.

Virginia taxes wage income. Use your own rates in the take-home pay calculator.

Virginia state guide

Other healthcare roles in Roanoke

Roanoke city guide: hospitals, employers and licensing

Common questions

How much do speech-language pathologists make in Roanoke, VA?

Speech-Language Pathologists in the Roanoke metro area have a median pay of $40.49 per hour, about $84,210 a year. The middle half earn between $31.03 and $49.71 per hour (BLS, May 2024).

Is Roanoke a good place for speech-language pathologists once cost of living is counted?

Roanoke ranks 187th of 328 metro areas for speech-language pathologist pay after adjusting for local prices, and 195th of 362 before adjusting. Overall prices run 6% below the U.S. average.

Who is hiring speech-language pathologists in Roanoke?

We list 2 open roles with published pay from 1 employer in Roanoke. Your free report adds named employers and pay near Roanoke.

Do I need a Virginia license to work in Roanoke as a speech-language pathologist?

Master’s degree in speech-language pathology. Credentials are issued state by state, so confirm what Virginia requires for your role with the Virginia licensing board and with your recruiter before you commit to a start date. Confirm with the board before you accept a role.

What is the per diem for a travel assignment in Roanoke?

The federal per diem benchmark in Roanoke is $119 a night for lodging and $74 a day for meals and incidentals, about $1,351 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.

Does Valorem Health place speech-language pathologists in Roanoke?

Yes. We place healthcare staff in Roanoke and across Virginia. Tell us your profession and we email the roles open near Roanoke.

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The Joint Commission Gold Seal of Approval: Health Care Staffing Services Certification, since 2022American Staffing Association memberNATHO member: National Association of Travel Healthcare OrganizationsNALTO member: National Association of Locum Tenens Organizations

Pay report · SLP near Roanoke, VA
Valorem Health Shift ReportFrom your recruiting team · [email protected]

Your SLP pay reportRoanoke, VA · pay published by hospitals, collected October 15, 2026

1Pay for your role at other hospitals

  • Carilion ClinicRoanoke, VA · 2 postings$51.05/ hr$37–$56
  • Riverside Health SystemSmithfield Cypress Run Plaza, VA · 2 postings$59.00/ hr$55–$63
  • Sentara HealthcareNewport News, VA · 5 postings$56.09/ hr$45–$67
  • Mary Washington HealthcareVirginia · 2 postings$52.50/ hr$50–$55

Median posted pay per hour, with the range each employer published.

2What they are offering now

Low$41Median$56.05High$67

16 SLP postings with published pay in Virginia, 13 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 16 SLP roles

  1. AudiologistPermanent
    $75k–$116k/ year
    Veterans Health Administration · Salem, VA · posted today
  2. Speech Language PathologistPermanent
    $94k–$139k/ year
    Sentara Healthcare · Newport News, VA · posted 2 days ago

+ 14 more in your report. Each one has pay, shift and start date.

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