OT Assistant Salary

Birmingham vs Tuscaloosa: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Birmingham, AL and Tuscaloosa, AL. All figures are 2026 estimates projected from BLS 2025 data.

Birmingham, AL
$64,945
$31.22/hr
Tuscaloosa, AL
$65,463
$31.47/hr

Side-by-Side Comparison

MetricBirmingham, ALTuscaloosa, AL
Median Salary$64,945$65,463
Hourly Rate$31.22$31.47
Entry Level (P10)$51,508$45,234
25th Percentile$62,519$57,040
75th Percentile$78,763$70,031
Top Earner (P90)$84,212$78,070
Total Employed19018
Side-by-side bar chart comparing Birmingham ($64,945) and Tuscaloosa ($65,463) occupational therapy assistant salaries.BirminghamTuscaloosaMedian Salary$64,945$65,463Entry Level (P10)$51,508$45,234Top Earner (P90)$84,212$78,070US Median $74,332

Verdict

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

The salary gap between Birmingham and Tuscaloosa is $518 (0.80%). Tuscaloosa's median is -11.93% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Birmingham spans $32,704,Tuscaloosa spans $32,836. Tuscaloosa has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapy assistants.

Birmingham
P10 (Entry)$51,508
P25$62,519
Median$64,945
P75$78,763
P90 (Top)$84,212
Tuscaloosa
P10 (Entry)$45,234
P25$57,040
Median$65,463
P75$70,031
P90 (Top)$78,070

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Tuscaloosa ($74,474 effective) pays 5.09% more than Birmingham ($70,867 effective).

Birmingham
Nominal: $64,945
CoL Index: 91.644
Adjusted: $70,867
Tuscaloosa
Nominal: $65,463
CoL Index: 87.9
Adjusted: $74,474

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

Which City Is Right for You?

Choose Birmingham if…

  • Better top-earner potential ($84,212)
  • Larger job market (190 employed)
  • You prefer the Alabama area and lifestyle

Choose Tuscaloosa if…

  • Higher median salary ($65,463/year)
  • Better purchasing power (CoL-adjusted: $74,474)
  • You prefer the Alabama area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Birmingham grew -1.8% from 2019 to 2025, compared to 24.7% growth in Tuscaloosa over the same period.

Birmingham, AL

+-1.8%

$64,330 (2019) → $63,170 (2025)

Tuscaloosa, AL

+24.7%

$51,080 (2024) → $63,674 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Birmingham or Tuscaloosa?

Tuscaloosa has a higher median occupational therapy assistant salary at $65,463/year, compared to Birmingham at $64,945/year — a difference of $518 (0.80%).

What is the hourly rate difference between Birmingham and Tuscaloosa?

Birmingham occupational therapy assistants earn $31.22/hr while Tuscaloosa hygienists earn $31.47/hr (2026 est.).

Should I relocate from Birmingham to Tuscaloosa as a occupational therapy assistant?

Consider more than just salary when comparing Birmingham and Tuscaloosa. Factor in cost of living (CoL-adjusted: Birmingham = $70,867, Tuscaloosa = $74,474), job availability (190 vs 18 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Birmingham vs Tuscaloosa?

Entry-level (10th percentile) occupational therapy assistants earn $51,508 in Birmingham and $45,234 in Tuscaloosa. The Birmingham 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