OT Assistant Salary

Bellevue vs Seattle: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Bellevue, WA and Seattle, WA. All figures are 2026 estimates projected from BLS 2025 data.

Bellevue, WA
$80,552
$38.73/hr
Seattle, WA
$79,770
$38.35/hr

Side-by-Side Comparison

MetricBellevue, WASeattle, WA
Median Salary$80,552$79,770
Hourly Rate$38.73$38.35
Entry Level (P10)$54,286$67,968
25th Percentile$66,242$76,840
75th Percentile$88,591$84,119
Top Earner (P90)$105,833$93,238
Total Employed26350
Side-by-side bar chart comparing Bellevue ($80,552) and Seattle ($79,770) occupational therapy assistant salaries.BellevueSeattleMedian Salary$80,552$79,770Entry Level (P10)$54,286$67,968Top Earner (P90)$105,833$93,238US Median $74,332

Verdict

Bellevue, WA offers better overall compensation for occupational therapy assistants, winning 3 out of 4 metrics compared to Seattle.

The salary gap between Bellevue and Seattle is $782 (0.98%). Bellevue's median is +8.37% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Bellevue spans $51,547,Seattle spans $25,270. Bellevue has a wider pay range, meaning more potential for high earners but also more variation.

Bellevue
P10 (Entry)$54,286
P25$66,242
Median$80,552
P75$88,591
P90 (Top)$105,833
Seattle
P10 (Entry)$67,968
P25$76,840
Median$79,770
P75$84,119
P90 (Top)$93,238

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Bellevue ($75,002 effective) pays 4.49% more than Seattle ($71,779 effective).

Bellevue
Nominal: $80,552
CoL Index: 107.4
Adjusted: $75,002
Seattle
Nominal: $79,770
CoL Index: 111.133
Adjusted: $71,779

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

Which City Is Right for You?

Choose Bellevue if…

  • Higher median salary ($80,552/year)
  • Better top-earner potential ($105,833)
  • Better purchasing power (CoL-adjusted: $75,002)
  • You prefer the Washington area and lifestyle

Choose Seattle if…

  • Larger job market (350 employed)
  • You prefer the Washington area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Bellevue grew -0.7% from 2024 to 2025, compared to 19.6% growth in Seattle over the same period.

Bellevue, WA

+-0.7%

$78,867 (2024) → $78,350 (2025)

Seattle, WA

+19.6%

$64,870 (2019) → $77,590 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Bellevue or Seattle?

Bellevue has a higher median occupational therapy assistant salary at $80,552/year, compared to Seattle at $79,770/year — a difference of $782 (0.98%).

What is the hourly rate difference between Bellevue and Seattle?

Bellevue occupational therapy assistants earn $38.73/hr while Seattle hygienists earn $38.35/hr (2026 est.).

Should I relocate from Bellevue to Seattle as a occupational therapy assistant?

Consider more than just salary when comparing Bellevue and Seattle. Factor in cost of living (CoL-adjusted: Bellevue = $75,002, Seattle = $71,779), job availability (26 vs 350 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Bellevue vs Seattle?

Entry-level (10th percentile) occupational therapy assistants earn $54,286 in Bellevue and $67,968 in Seattle. The Seattle 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