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Genetic counselor: pay, job outlook and how to become one
- $78,270lowest 10% earn less
- $88,90025th percentile
- $100,040median
- $116,14075th percentile
- $138,760top 10% earn more
A genetic counselor earned a median of $100,040 a year in May 2025, about twice the median for all occupations[1][2]. BLS projects 10.4% job growth from 2025 to 2035, against 3.5% for all occupations[3][4].
How much do genetic counselors make?
The median wage for genetic counselors was $100,040 a year, or $48.09 an hour[1]. Half earned more and half earned less. The average was $104,620 a year, or $50.30 an hour[8]. For all occupations, the median was $50,980 a year[2].
The lowest-paid 10% earned less than $78,270 a year, and the highest-paid 10% earned more than $138,760[5]. The 25th percentile was $88,900 and the 75th was $116,140[5]. In hourly terms, the 10th percentile was $37.63 and the 90th was $66.71[9]. A percentile is a boundary, and BLS does not publish a starting salary[10].
These figures cover wage and salary workers. They leave out the self-employed, and they do not include bonuses or the cost of benefits[11].
Pay by state and city
California had the highest median among states with published data, at $137,650 a year[12]. New Jersey followed at $117,750, then New York at $107,450[12]. Georgia was the lowest listed, at $82,750[12].
California also had the most jobs, with 440[13]. Tennessee had 340, and New Jersey and New York had 240 each[13].
Among metro areas with at least 100 jobs, San Francisco-Oakland-Fremont, CA had the highest median, at $177,990[14]. Los Angeles-Long Beach-Anaheim, CA came next at $120,560[14]. The New York-Newark-Jersey City metro area had the most jobs, at 390[15].
Show median pay in 27 states and DC
| State | Median per year | Jobs |
|---|---|---|
| California[12] | $137,650 | 440 |
| New Jersey | $117,750 | 240 |
| New York | $107,450 | 240 |
| Colorado | $106,100 | 40 |
| Delaware | $106,010 | 40 |
| Washington | $102,920 | 100 |
| Arizona | $102,730 | 50 |
| Florida | $102,330 | 100 |
| Minnesota | $102,010 | 160 |
| Connecticut | $101,640 | 50 |
| Ohio | $100,670 | 120 |
| District of Columbia | $100,380 | 40 |
| Virginia | $99,960 | 100 |
| Kentucky | $99,770 | 50 |
| Texas | $99,450 | n/a |
| Utah | $98,430 | 50 |
| Massachusetts | $97,240 | 200 |
| Illinois | $95,880 | 90 |
| Pennsylvania | $94,930 | 230 |
| Tennessee | $94,380 | 340 |
| Maryland | $94,050 | 50 |
| South Carolina | $93,600 | 40 |
| North Carolina | $93,570 | 80 |
| Wisconsin | $92,170 | 110 |
| Indiana | $89,640 | 40 |
| Michigan | $84,970 | 80 |
| Missouri | $83,980 | 40 |
| Georgia | $82,750 | n/a |
How to become a genetic counselor
BLS lists a master's degree as the typical entry education, with no work experience or on-the-job training needed[7]. In an O*NET survey of 21 workers, 90% said a master's degree was required[16].
- First: finish a bachelor's degree. Some master's programs ask for a science-related field such as biology, and others ask for certain courses. Check each school[17].
- Next: complete a master's program in genetic counseling. These programs typically take 2 years after a bachelor's degree[18].
- Then: complete supervised clinical rotations, which students typically complete during the program[18].
- Finally: get licensed and certified. Nearly all states require a license, and licensure usually requires board certification[19]. Certification means finishing an accredited master's program and passing an exam[20]. Certified counselors take continuing education to keep it[20].
Even where certification is not required, employers may ask for it[21].
What genetic counselors do
Genetic counselors assess a person's or family's risk of inherited conditions and help them decide what to do with that information[22]. Common tasks include:
- Counseling patients and families, with information, education or reassurance[23].
- Studying genetic information to spot people or families at risk[23].
- Talking through testing options, including risks, benefits and limits[23].
- Taking family and medical histories and documenting what they find[23].
- Interpreting lab results and passing the findings to patients or physicians[23].
- Writing consultation reports on complex genetic ideas[23].
- Checking patients' emotional needs and recommending referrals[23].
The OOH names communication, compassion, critical thinking, interpersonal and organizational skills as important[24][25][26][27][28].
Where they work
Their work involves individuals, families and other healthcare providers[29]. Hospitals were the largest employer group in 2025, at 37%[30]. Most genetic counselors work full time[31]. In 2025, 7.6% were self-employed[32].
Job outlook
BLS projects employment to grow 10.4% from 2025 to 2035, from about 4,200 to 4,600 jobs[3]. All occupations are projected to grow 3.5%[4]. That count includes self-employed workers[3].
About 300 openings a year are projected[6]. Openings include jobs left by people who retire or change occupations, as well as new jobs[6]. Each year, 2.5% of workers leave the labor force and 2.7% move to a different occupation[33].
BLS says advances in genetic research and the growing role of genetics in health raise demand. It adds that chatbots handling routine tasks will offset part of that demand[34].
Is it a good fit?
The pay is high next to all occupations, and projected growth is faster than average[1][2][3][4]. The job needs a master's degree that typically takes 2 years after a bachelor's degree[18]. It is also a small occupation, with about 3,740 wage and salary jobs in May 2025[35]. Counseling is the core of the work, so the listed skills of communication and compassion matter[23][24][25]. The facts here do not cover program costs or admission odds.
Frequently asked questions
- How much does a genetic counselor make an hour?
- The median hourly wage was $48.09 in May 2025[1]. The average was $50.30[8].
- What degree do you need to be a genetic counselor?
- BLS lists a master's degree as the typical entry education[7]. Programs typically take 2 years of study after a bachelor's degree[18].
- Is genetic counseling in demand?
- BLS projects 10.4% growth from 2025 to 2035, compared with 3.5% for all occupations[3][4]. About 300 openings a year are projected[6].
- What is the highest paying state for genetic counselors?
- California had the highest median among states with published data, at $137,650 a year[12].
- Do genetic counselors need a license?
- Nearly all states require one, and licensure usually requires board certification[19].
Facts and sources
- BLS OEWS, May 2025: the median wage for Genetic Counselors in the US was $100,040 per year and $48.09 per hour. Half of workers earned more and half earned less. BLS OEWS, May 2025
- BLS OEWS, May 2025: the median annual wage for all occupations in the US was $50,980. BLS OEWS, May 2025
- BLS Employment Projections: employment of Genetic Counselors is projected to grow 10.4% from 2025 to 2035, from about 4,200 to 4,600 jobs (a change of +400). These counts include self-employed workers. BLS Employment Projections
- BLS Employment Projections: employment in all occupations is projected to grow 3.5% from 2025 to 2035. BLS Employment Projections
- BLS OEWS, May 2025, annual wage percentiles for Genetic Counselors: 10th percentile $78,270, 25th percentile $88,900, 75th percentile $116,140, 90th percentile $138,760. The 10th percentile means 10% of workers earned less. BLS OEWS, May 2025
- BLS Employment Projections: about 300 openings for Genetic Counselors are projected each year, on average, from 2025 to 2035. Openings include jobs that open when workers retire or move to other occupations, not only new jobs. BLS Employment Projections
- BLS Employment Projections, typical path into Genetic Counselors: education needed for entry: Master's degree; work experience in a related occupation: None; typical on-the-job training: None. BLS Employment Projections
- BLS OEWS, May 2025: the mean (average) wage for Genetic Counselors was $104,620 per year and $50.30 per hour. BLS OEWS, May 2025
- BLS OEWS, May 2025, hourly wage percentiles for Genetic Counselors: 10th percentile $37.63, 25th percentile $42.74, 75th percentile $55.84, 90th percentile $66.71. BLS OEWS, May 2025
- BLS OEWS FAQ: a percentile wage is a boundary. The median (50th percentile) separates the highest-paid 50% from the lowest-paid 50% of workers in the occupation. OEWS publishes percentile wages, not a starting salary. BLS OEWS, May 2025
- BLS OEWS FAQ: OEWS covers part-time and full-time workers paid a wage or salary. It does not cover the self-employed, owners and partners in unincorporated firms, household workers or unpaid family workers. OEWS wages do not include nonproduction bonuses or employer costs of benefits such as health insurance or retirement contributions. BLS OEWS, May 2025
- Median annual wage for Genetic Counselors in every state with published data, May 2025 (table on this page). BLS OEWS, May 2025
- BLS OEWS, May 2025, states with the most Genetic Counselors jobs: California 440; Tennessee 340; New Jersey 240; New York 240; Pennsylvania 230. BLS OEWS, May 2025
- BLS OEWS, May 2025, metro areas with the highest median annual wage for Genetic Counselors (areas with at least 100 jobs): San Francisco-Oakland-Fremont, CA $177,990; Los Angeles-Long Beach-Anaheim, CA $120,560; New York-Newark-Jersey City, NY-NJ $109,130; Philadelphia-Camden-Wilmington, PA-NJ-DE-MD $106,010; Pittsburgh, PA $99,030; Boston-Cambridge-Newton, MA-NH $97,240. BLS OEWS, May 2025
- BLS OEWS, May 2025, metro areas with the most Genetic Counselors jobs: New York-Newark-Jersey City, NY-NJ 390 (median $109,130); Boston-Cambridge-Newton, MA-NH 180 (median $97,240); Los Angeles-Long Beach-Anaheim, CA 130 (median $120,560); Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 130 (median $106,010); San Francisco-Oakland-Fremont, CA 120 (median $177,990); Pittsburgh, PA 100 (median $99,030). BLS OEWS, May 2025
- O*NET 29-9092.00 survey of workers (21 respondents), education level they say is required: Master's Degree 90% (levels under 5% not listed). O*NET OnLine
- Occupational Outlook Handbook, How to Become One: Education. BLS Occupational Outlook Handbook
- Occupational Outlook Handbook, How to Become One: Education. BLS Occupational Outlook Handbook
- Occupational Outlook Handbook, How to Become One. BLS Occupational Outlook Handbook
- Occupational Outlook Handbook, How to Become One: Licenses, Certifications, and Registrations. BLS Occupational Outlook Handbook
- Occupational Outlook Handbook, How to Become One: Licenses, Certifications, and Registrations. BLS Occupational Outlook Handbook
- O*NET description of Genetic Counselors. O*NET OnLine
- O*NET task list for Genetic Counselors. O*NET OnLine
- Occupational Outlook Handbook, How to Become One: Important Qualities. BLS Occupational Outlook Handbook
- Occupational Outlook Handbook, How to Become One: Important Qualities. BLS Occupational Outlook Handbook
- Occupational Outlook Handbook, How to Become One: Important Qualities. BLS Occupational Outlook Handbook
- Occupational Outlook Handbook, How to Become One: Important Qualities. BLS Occupational Outlook Handbook
- Occupational Outlook Handbook, How to Become One: Important Qualities. BLS Occupational Outlook Handbook
- Occupational Outlook Handbook, Work Environment. BLS Occupational Outlook Handbook
- BLS Occupational Outlook Handbook, largest employers of genetic counselors in 2025: Hospitals; state, local, and private 37%. BLS Occupational Outlook Handbook
- Occupational Outlook Handbook, Work Environment: Work Schedules. BLS Occupational Outlook Handbook
- BLS Employment Projections: 7.6% of Genetic Counselors were self-employed in 2025. BLS Employment Projections
- BLS Employment Projections, 2025-35 annual average for Genetic Counselors: 2.5% of workers leave the labor force each year and 2.7% move to a different occupation. BLS Employment Projections
- BLS Employment Projections, factor affecting employment of Genetic Counselors: Demand change, productivity change - share increases as advances in genetic research and technology and the growing recognition of the role genetics plays in health increase the demand for genetic counseling services. This demand will be partially offset by the growing use of chatbots to handle routine tasks. BLS Employment Projections
- BLS OEWS, May 2025: about 3,740 people were employed as Genetic Counselors in the US (wage and salary jobs, not counting self-employed workers). BLS OEWS, May 2025
- Related occupations (O*NET) with BLS pay, growth and entry education. O*NET OnLine
This page includes information from the O*NET 31.0 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA). Used under the CC BY 4.0 license. O*NET® is a trademark of USDOL/ETA. CareerFacts has modified all or some of this information. USDOL/ETA has not approved, endorsed, or tested these modifications.