OT Assistant Salary

Beckley vs Charleston: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Beckley, WV and Charleston, WV. All figures are 2026 estimates projected from BLS 2025 data.

Beckley, WV
$59,900
$28.80/hr
Charleston, WV
$59,136
$28.43/hr

Side-by-Side Comparison

MetricBeckley, WVCharleston, WV
Median Salary$59,900$59,136
Hourly Rate$28.80$28.43
Entry Level (P10)$47,255$54,037
25th Percentile$53,632$56,422
75th Percentile$62,027$64,349
Top Earner (P90)$72,329$77,005
Total Employed440
Side-by-side bar chart comparing Beckley ($59,900) and Charleston ($59,136) occupational therapy assistant salaries.BeckleyCharlestonMedian Salary$59,900$59,136Entry Level (P10)$47,255$54,037Top Earner (P90)$72,329$77,005US Median $74,332

Verdict

Beckley and Charleston are closely matched on overall occupational therapy assistant compensation, each winning on different metrics.

The salary gap between Beckley and Charleston is $764 (1.29%). Beckley's median is -19.42% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Beckley spans $25,074,Charleston spans $22,968. Beckley has a wider pay range, meaning more potential for high earners but also more variation.

Beckley
P10 (Entry)$47,255
P25$53,632
Median$59,900
P75$62,027
P90 (Top)$72,329
Charleston
P10 (Entry)$54,037
P25$56,422
Median$59,136
P75$64,349
P90 (Top)$77,005

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Beckley ($69,249 effective) pays 3.89% more than Charleston ($66,657 effective).

Beckley
Nominal: $59,900
CoL Index: 86.5
Adjusted: $69,249
Charleston
Nominal: $59,136
CoL Index: 88.717
Adjusted: $66,657

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Beckley if…

  • Higher median salary ($59,900/year)
  • Better purchasing power (CoL-adjusted: $69,249)
  • You prefer the West Virginia area and lifestyle

Choose Charleston if…

  • Better top-earner potential ($77,005)
  • Larger job market (40 employed)
  • You prefer the West Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Beckley grew 16.6% from 2024 to 2025, compared to 17.3% growth in Charleston over the same period.

Beckley, WV

+16.6%

$49,963 (2024) → $58,263 (2025)

Charleston, WV

+17.3%

$49,050 (2021) → $57,520 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Beckley or Charleston?

Beckley has a higher median occupational therapy assistant salary at $59,900/year, compared to Charleston at $59,136/year — a difference of $764 (1.29%).

What is the hourly rate difference between Beckley and Charleston?

Beckley occupational therapy assistants earn $28.80/hr while Charleston hygienists earn $28.43/hr (2026 est.).

Should I relocate from Beckley to Charleston as a occupational therapy assistant?

Consider more than just salary when comparing Beckley and Charleston. Factor in cost of living (CoL-adjusted: Beckley = $69,249, Charleston = $66,657), job availability (4 vs 40 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Beckley vs Charleston?

Entry-level (10th percentile) occupational therapy assistants earn $47,255 in Beckley and $54,037 in Charleston. The Charleston area offers higher starting salaries.
JL

Written by Jordan Lee, MS, OTR/L

Career Analyst

Jordan Lee has 10 years of experience as an occupational therapist. Their specialty is working with children with developmental disorders. They have worked in various healthcare settings including schools and rehabilitation facilities.

Clinically reviewed by Maria Gonzalez, COTA/LData verified by Samuel Chen, OTR/L

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.81% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Jordan Lee, MS, OTR/L, a licensed occupational therapy assistant with 10+ years of clinical experience. · View source data at BLS.gov