Becoming a surgical technologist is a smart career decision in a world where healthcare jobs are growing faster than most other professions. Providing crucial assistance before, during, and after surgeries, surgical techs serve as the backbone of the operating room. But when it comes to your paycheck, there’s one key factor that can make a significant difference—certification.
TLDR: Certified surgical technologists typically earn more than their non-certified counterparts. National certification, such as CST from NBSTSA, increases not only salary but also job opportunities and career mobility. Salaries can vary by state, experience, and setting, but certification consistently boosts earning potential. Investing in your education and credentials often leads to better roles and long-term financial benefits.
The Role of a Surgical Technologist
Surgical technologists, sometimes called scrub techs or operating room technicians, assist in surgical operations. They prepare the operating room, sterilize equipment, and ensure everything runs smoothly during surgeries. Their role, while often behind the scenes, is critical to patient safety and surgical success.
The Bureau of Labor Statistics (BLS) reports the median annual wage for surgical technologists was approximately $55,960 as of May 2022. However, not all surgical techs are paid alike. One major differentiator? Whether or not the individual is certified.
Certification: What It Is and Why It Matters
In the United States, the primary certification for surgical technologists is the Certified Surgical Technologist (CST), offered by the National Board of Surgical Technology and Surgical Assisting (NBSTSA). Another recognized certification is the Technologist in Surgery-Certified (TS-C) designation offered by the National Center for Competency Testing (NCCT).
Certification typically requires graduating from an accredited program and passing a national exam. While not legally required in every state, many employers prefer—or even insist—that surgical techs be certified.
Impact of Certification on Salaries
The difference in salary between certified and non-certified surgical technologists is substantial. According to surveys and industry reports:
- Certified surgical technologists (CSTs) earn between 8% to 20% more annually than their non-certified peers.
- In high-cost or high-demand areas like California or New York, certified techs may earn up to $75,000 or more annually.
- Hospitals and surgical centers may offer signing bonuses or higher hourly wages to CSTs.
This wage boost reflects not only a CST’s verified technical competence but also a commitment to the profession. Many employers interpret certification as a marker for reliability, accountability, and a higher standard of care.
Geographic Variations and Certification
Salary levels for surgical techs, certified or not, vary widely based on location. States with a higher cost of living or greater demand for medical support staff typically offer higher wages. Here’s a look at how certification can strengthen earnings in different regions:
- California: Certified techs often make over $70,000 annually, especially in urban areas like San Francisco or Los Angeles.
- Texas and Florida: These states have growing healthcare industries. CSTs here can earn between $55,000 to $65,000.
- Rural states: While base pay may be lower, certification can still offer a $5,000 to $10,000 salary advantage compared to unlicensed peers.
Certification’s value increases in competitive job markets, giving applicants a leg up when applying for positions in top-tier hospitals or surgical centers.
Certification and Career Advancement
Beyond immediate salary gains, certification can open the door to promotions and specializations. Certified surgical techs are more likely to be considered for:
- Lead surgical technologist or team leadership roles
- Specialty areas such as neurosurgery, cardiovascular surgery, or orthopedics, which often pay more
- Educator or trainer positions within surgical tech programs or hospitals
Some CSTs even go on to pursue advanced careers like Surgical First Assistant, where salaries can soar beyond $90,000 annually. But these career paths are generally only accessible to those with credentials and experience.
What Employers Say About Certification
Employers are clear about their preferences. According to the Association of Surgical Technologists (AST):
- Over 80% of employers prefer or require certification.
- Certified technologists are viewed as more competent and compliant with safety standards.
Some hospitals even tie salary grids and job descriptions directly to certification status. In unionized environments, certified surgical techs may be placed on a higher pay tier by default.
The Cost of Getting Certified
Though the benefits are evident, certification comes with upfront costs:
- Accredited training programs: These can cost between $5,000 and $25,000, depending on location and program length.
- Exam fees: The NBSTSA charges $190 for members and $290 for non-members for the CST exam.
- Renewal and continuing education: Recertification requires ongoing education and fees every four years.
Despite these expenses, the return on investment is high. Certified surgical techs can recoup these costs within a few years due to increased wages.
Non-Monetary Benefits of Certification
While salary is important, certification also offers several intangible advantages:
- Job security: Employers are less likely to lay off certified professionals during times of downsizing.
- Professional credibility: Certified techs are seen as more invested in their career.
- Greater autonomy and responsibility: Certified techs may be trusted with more challenging cases or sensitive responsibilities.
This can translate to a more fulfilling work life—and opportunities that go beyond just a paycheck.
How to Pursue Certification
If you’re considering getting certified, here are the basic steps to take:
- Enroll in an accredited surgical technology program (CAAHEP or ABHES).
- Complete clinical training hours as required by the program.
- Apply for the CST exam through the NBSTSA.
- Take and pass the certification exam.
- Maintain your certification through education and timely renewal.
As the healthcare landscape grows more complex, professionals with verified skills will remain in high demand. Certification is one of the most direct ways to prove those skills.
Conclusion: Investing in Certification Pays Off
Whether you’re just starting out or looking to amplify your current surgical tech career, certification can be your ticket to higher income, better jobs, and long-term career satisfaction. While obtaining certification requires an investment in both time and money, the payoff is evident across the board—from enhanced job security to substantial salary increases.
Certification doesn’t just validate your skills—it amplifies your worth. In a competitive healthcare job market, that validation is worth every penny.