OT Assistant Salary

East Honolulu vs Kailua: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between East Honolulu, HI and Kailua, HI. All figures are 2026 estimates projected from BLS 2025 data.

East Honolulu, HI
$86,929
$41.79/hr
Kailua, HI
$87,907
$42.27/hr

Side-by-Side Comparison

MetricEast Honolulu, HIKailua, HI
Median Salary$86,929$87,907
Hourly Rate$41.79$42.27
Entry Level (P10)$61,718$64,337
25th Percentile$73,390$75,433
75th Percentile$91,441$95,578
Top Earner (P90)$108,748$106,219
Total Employed126
Side-by-side bar chart comparing East Honolulu ($86,929) and Kailua ($87,907) occupational therapy assistant salaries.East HonoluluKailuaMedian Salary$86,929$87,907Entry Level (P10)$61,718$64,337Top Earner (P90)$108,748$106,219US Median $74,332

Verdict

East Honolulu and Kailua are closely matched on overall occupational therapy assistant compensation, each winning on different metrics.

The salary gap between East Honolulu and Kailua is $978 (1.13%). Kailua's median is +18.26% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in East Honolulu spans $47,030,Kailua spans $41,882. East Honolulu has a wider pay range, meaning more potential for high earners but also more variation.

East Honolulu
P10 (Entry)$61,718
P25$73,390
Median$86,929
P75$91,441
P90 (Top)$108,748
Kailua
P10 (Entry)$64,337
P25$75,433
Median$87,907
P75$95,578
P90 (Top)$106,219

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Kailua ($73,686 effective) pays 1.13% more than East Honolulu ($72,866 effective).

East Honolulu
Nominal: $86,929
CoL Index: 119.3
Adjusted: $72,866
Kailua
Nominal: $87,907
CoL Index: 119.3
Adjusted: $73,686

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

Which City Is Right for You?

Choose East Honolulu if…

  • Better top-earner potential ($108,748)
  • Larger job market (12 employed)
  • You prefer the Hawaii area and lifestyle

Choose Kailua if…

  • Higher median salary ($87,907/year)
  • Better purchasing power (CoL-adjusted: $73,686)
  • You prefer the Hawaii area and lifestyle

Historical Salary Growth Comparison

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

East Honolulu, HI

+0.4%

$84,202 (2024) → $84,553 (2025)

Kailua, HI

+0.4%

$85,149 (2024) → $85,504 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: East Honolulu or Kailua?

Kailua has a higher median occupational therapy assistant salary at $87,907/year, compared to East Honolulu at $86,929/year — a difference of $978 (1.13%).

What is the hourly rate difference between East Honolulu and Kailua?

East Honolulu occupational therapy assistants earn $41.79/hr while Kailua hygienists earn $42.27/hr (2026 est.).

Should I relocate from East Honolulu to Kailua as a occupational therapy assistant?

Consider more than just salary when comparing East Honolulu and Kailua. Factor in cost of living (CoL-adjusted: East Honolulu = $72,866, Kailua = $73,686), job availability (12 vs 6 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in East Honolulu vs Kailua?

Entry-level (10th percentile) occupational therapy assistants earn $61,718 in East Honolulu and $64,337 in Kailua. The Kailua 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