OT Assistant Salary

Fresno vs Riverside: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Fresno, CA and Riverside, CA. All figures are 2026 estimates projected from BLS 2025 data.

Fresno, CA
$78,166
$37.58/hr
Riverside, CA
$82,320
$39.58/hr

Side-by-Side Comparison

MetricFresno, CARiverside, CA
Median Salary$78,166$82,320
Hourly Rate$37.58$39.58
Entry Level (P10)$65,891$67,505
25th Percentile$74,496$78,352
75th Percentile$84,829$87,872
Top Earner (P90)$103,581$101,083
Total Employed90400
Side-by-side bar chart comparing Fresno ($78,166) and Riverside ($82,320) occupational therapy assistant salaries.FresnoRiversideMedian Salary$78,166$82,320Entry Level (P10)$65,891$67,505Top Earner (P90)$103,581$101,083US Median $74,332

Verdict

Riverside, CA offers better overall compensation for occupational therapy assistants, winning 3 out of 4 metrics compared to Fresno.

The salary gap between Fresno and Riverside is $4,154 (5.31%). Riverside's median is +10.75% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Fresno spans $37,690,Riverside spans $33,578. Fresno has a wider pay range, meaning more potential for high earners but also more variation.

Fresno
P10 (Entry)$65,891
P25$74,496
Median$78,166
P75$84,829
P90 (Top)$103,581
Riverside
P10 (Entry)$67,505
P25$78,352
Median$82,320
P75$87,872
P90 (Top)$101,083

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Riverside ($77,338 effective) pays 1.08% more than Fresno ($76,515 effective).

Fresno
Nominal: $78,166
CoL Index: 102.158
Adjusted: $76,515
Riverside
Nominal: $82,320
CoL Index: 106.442
Adjusted: $77,338

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

Which City Is Right for You?

Choose Fresno if…

  • Better top-earner potential ($103,581)
  • You prefer the California area and lifestyle

Choose Riverside if…

  • Higher median salary ($82,320/year)
  • Larger job market (400 employed)
  • Better purchasing power (CoL-adjusted: $77,338)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Fresno grew 11.9% from 2019 to 2025, compared to 9.5% growth in Riverside over the same period.

Fresno, CA

+11.9%

$67,930 (2019) → $76,030 (2025)

Riverside, CA

+9.5%

$73,120 (2019) → $80,070 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Fresno or Riverside?

Riverside has a higher median occupational therapy assistant salary at $82,320/year, compared to Fresno at $78,166/year — a difference of $4,154 (5.31%).

What is the hourly rate difference between Fresno and Riverside?

Fresno occupational therapy assistants earn $37.58/hr while Riverside hygienists earn $39.58/hr (2026 est.).

Should I relocate from Fresno to Riverside as a occupational therapy assistant?

Consider more than just salary when comparing Fresno and Riverside. Factor in cost of living (CoL-adjusted: Fresno = $76,515, Riverside = $77,338), job availability (90 vs 400 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Fresno vs Riverside?

Entry-level (10th percentile) occupational therapy assistants earn $65,891 in Fresno and $67,505 in Riverside. The Riverside area offers higher starting salaries.

Related Comparisons

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