OT Assistant Salary

Bellingham vs Spokane: Occupational Therapy Assistant Salary (2026)

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

Bellingham, WA
$79,764
$38.35/hr
Spokane, WA
$72,553
$34.88/hr

Side-by-Side Comparison

MetricBellingham, WASpokane, WA
Median Salary$79,764$72,553
Hourly Rate$38.35$34.88
Entry Level (P10)$54,759$59,877
25th Percentile$66,193$63,701
75th Percentile$86,808$82,803
Top Earner (P90)$102,654$85,836
Total Employed13110
Side-by-side bar chart comparing Bellingham ($79,764) and Spokane ($72,553) occupational therapy assistant salaries.BellinghamSpokaneMedian Salary$79,764$72,553Entry Level (P10)$54,759$59,877Top Earner (P90)$102,654$85,836US Median $74,332

Verdict

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

The salary gap between Bellingham and Spokane is $7,211 (9.94%). Bellingham's median is +7.31% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Bellingham spans $47,895,Spokane spans $25,959. Bellingham has a wider pay range, meaning more potential for high earners but also more variation.

Bellingham
P10 (Entry)$54,759
P25$66,193
Median$79,764
P75$86,808
P90 (Top)$102,654
Spokane
P10 (Entry)$59,877
P25$63,701
Median$72,553
P75$82,803
P90 (Top)$85,836

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Bellingham ($74,268 effective) pays 2.72% more than Spokane ($72,303 effective).

Bellingham
Nominal: $79,764
CoL Index: 107.4
Adjusted: $74,268
Spokane
Nominal: $72,553
CoL Index: 100.346
Adjusted: $72,303

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

Which City Is Right for You?

Choose Bellingham if…

  • Higher median salary ($79,764/year)
  • Better top-earner potential ($102,654)
  • Better purchasing power (CoL-adjusted: $74,268)
  • You prefer the Washington area and lifestyle

Choose Spokane if…

  • Larger job market (110 employed)
  • You prefer the Washington area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Bellingham grew 0.4% from 2024 to 2025, compared to 17.5% growth in Spokane over the same period.

Bellingham, WA

+0.4%

$77,262 (2024) → $77,584 (2025)

Spokane, WA

+17.5%

$60,070 (2019) → $70,570 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Bellingham or Spokane?

Bellingham has a higher median occupational therapy assistant salary at $79,764/year, compared to Spokane at $72,553/year — a difference of $7,211 (9.94%).

What is the hourly rate difference between Bellingham and Spokane?

Bellingham occupational therapy assistants earn $38.35/hr while Spokane hygienists earn $34.88/hr (2026 est.).

Should I relocate from Bellingham to Spokane as a occupational therapy assistant?

Consider more than just salary when comparing Bellingham and Spokane. Factor in cost of living (CoL-adjusted: Bellingham = $74,268, Spokane = $72,303), job availability (13 vs 110 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Bellingham vs Spokane?

Entry-level (10th percentile) occupational therapy assistants earn $54,759 in Bellingham and $59,877 in Spokane. The Spokane 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