OT Assistant Salary

Charleston vs Simpsonville: Occupational Therapy Assistant Salary (2026)

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

Charleston, SC
$77,899
$37.45/hr
Simpsonville, SC
$73,218
$35.20/hr

Side-by-Side Comparison

MetricCharleston, SCSimpsonville, SC
Median Salary$77,899$73,218
Hourly Rate$37.45$35.20
Entry Level (P10)$60,175$55,607
25th Percentile$64,143$64,048
75th Percentile$83,235$78,605
Top Earner (P90)$96,148$86,120
Total Employed1105
Side-by-side bar chart comparing Charleston ($77,899) and Simpsonville ($73,218) occupational therapy assistant salaries.CharlestonSimpsonvilleMedian Salary$77,899$73,218Entry Level (P10)$60,175$55,607Top Earner (P90)$96,148$86,120US Median $74,332

Verdict

Charleston, SC offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to Simpsonville.

The salary gap between Charleston and Simpsonville is $4,681 (6.39%). Charleston's median is +4.80% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Charleston spans $35,973,Simpsonville spans $30,513. Charleston has a wider pay range, meaning more potential for high earners but also more variation.

Charleston
P10 (Entry)$60,175
P25$64,143
Median$77,899
P75$83,235
P90 (Top)$96,148
Simpsonville
P10 (Entry)$55,607
P25$64,048
Median$73,218
P75$78,605
P90 (Top)$86,120

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Simpsonville ($80,020 effective) pays 3.71% more than Charleston ($77,157 effective).

Charleston
Nominal: $77,899
CoL Index: 100.962
Adjusted: $77,157
Simpsonville
Nominal: $73,218
CoL Index: 91.5
Adjusted: $80,020

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

Which City Is Right for You?

Choose Charleston if…

  • Higher median salary ($77,899/year)
  • Better top-earner potential ($96,148)
  • Larger job market (110 employed)
  • You prefer the South Carolina area and lifestyle

Choose Simpsonville if…

  • Better purchasing power (CoL-adjusted: $80,020)
  • You prefer the South Carolina area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Charleston grew 31.8% from 2019 to 2025, compared to 26.3% growth in Simpsonville over the same period.

Charleston, SC

+31.8%

$57,470 (2019) → $75,770 (2025)

Simpsonville, SC

+26.3%

$56,392 (2024) → $71,217 (2025)

View Full Salary Data

Frequently Asked Questions

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

Charleston has a higher median occupational therapy assistant salary at $77,899/year, compared to Simpsonville at $73,218/year — a difference of $4,681 (6.39%).

What is the hourly rate difference between Charleston and Simpsonville?

Charleston occupational therapy assistants earn $37.45/hr while Simpsonville hygienists earn $35.20/hr (2026 est.).

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

Consider more than just salary when comparing Charleston and Simpsonville. Factor in cost of living (CoL-adjusted: Charleston = $77,157, Simpsonville = $80,020), job availability (110 vs 5 employed), commute, and career growth potential.

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

Entry-level (10th percentile) occupational therapy assistants earn $60,175 in Charleston and $55,607 in Simpsonville. 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