While the average annual salary for surgical technologists in many regions is around $50,000 to $60,000, it is possible to earn a six-figure income in certain high-paying states like California, particularly in major cities such as Los Angeles, San Francisco, and San Diego. In these areas, salaries for experienced surgical techs can exceed $76,000 per year, especially for those with specialized skills, extensive experience, or working in high-demand healthcare facilities. Additionally, factors such as overtime, bonuses, and working in specialized surgical units can contribute to reaching a six-figure income. However, it is important to consider that the high cost of living in these cities often correlates with higher salaries, making it feasible for surgical techs to earn a six-figure income while managing expenses effectively.