Average Speech-Language Pathologist Salary in North Carolina

Speech-language pathologists (SLPs) assess, diagnose, and treat communication and swallowing disorders in patients across the lifespan — from infants with feeding difficulties to stroke survivors relearning to speak to professionals managing voice disorders. With a median salary around $84,140 and projected growth of 19% through 2032, SLP is one of the most stable and personally rewarding healthcare professions. The scope of practice spans articulation, fluency (stuttering), language development, voice, cognitive-communication, and dysphagia (swallowing), making SLPs essential members of healthcare and educational teams.

In North Carolina, speech-language pathologists earn an average of $88,343 per year as of 2026, with salaries ranging from $57,758 for entry-level roles to $124,796 for the most experienced professionals — +1.1% below the national average. Pay is influenced most by work setting — private practice and home health often pay more than school districts; acute care hospitals pay a premium for dysphagia expertise, geographic location — california, new york, and new jersey lead slp salaries; rural areas often pay lower base but offer loan repayment incentives, and the specific metro area within North Carolina.