You have bigger talent pools in the tech hubs, at the very least. And recent college graduates from top-tier institutions are most likely to either stay put (depending on the source, I saw 40-60%) or move to a hub, so you have a lot of untapped potential.
Talent being "better" is too subjective to really quantify, though.
Something like 15% of devs worldwide are in the US, so if you don't want to play ball, you're losing a nontrivial chunk of the total talent pool (even without accounting for timezone affinity or English fluency).
If you think paying market rate for a Bay Area dev is overpaying, are you exclusively hiring devs in Argentina (with the rapidly-devaluing peso)? You can get 10 devs for the price of one person based in SF! Even paying Amsterdam's market rate is drastically overpaying in comparison to the areas with the lowest cost of labor.