OT Assistant Salary

Greenville vs Lexington: Occupational Therapy Assistant Salary (2026)

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

Greenville, SC
$75,648
$36.37/hr
Lexington, SC
$71,817
$34.52/hr

Side-by-Side Comparison

MetricGreenville, SCLexington, SC
Median Salary$75,648$71,817
Hourly Rate$36.37$34.52
Entry Level (P10)$53,513$51,912
25th Percentile$66,426$61,079
75th Percentile$78,372$75,410
Top Earner (P90)$82,978$81,998
Total Employed2405
Side-by-side bar chart comparing Greenville ($75,648) and Lexington ($71,817) occupational therapy assistant salaries.GreenvilleLexingtonMedian Salary$75,648$71,817Entry Level (P10)$53,513$51,912Top Earner (P90)$82,978$81,998US Median $74,332

Verdict

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

The salary gap between Greenville and Lexington is $3,831 (5.33%). Greenville's median is +1.77% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Greenville spans $29,465,Lexington spans $30,086. Lexington has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapy assistants.

Greenville
P10 (Entry)$53,513
P25$66,426
Median$75,648
P75$78,372
P90 (Top)$82,978
Lexington
P10 (Entry)$51,912
P25$61,079
Median$71,817
P75$75,410
P90 (Top)$81,998

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Greenville ($81,115 effective) pays 3.35% more than Lexington ($78,489 effective).

Greenville
Nominal: $75,648
CoL Index: 93.26
Adjusted: $81,115
Lexington
Nominal: $71,817
CoL Index: 91.5
Adjusted: $78,489

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

Which City Is Right for You?

Choose Greenville if…

  • Higher median salary ($75,648/year)
  • Better top-earner potential ($82,978)
  • Larger job market (240 employed)
  • Better purchasing power (CoL-adjusted: $81,115)
  • You prefer the South Carolina area and lifestyle

Choose Lexington if…

  • You prefer the South Carolina area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Greenville grew 5.8% from 2019 to 2025, compared to 26.3% growth in Lexington over the same period.

Greenville, SC

+5.8%

$69,530 (2019) → $73,580 (2025)

Lexington, SC

+26.3%

$55,313 (2024) → $69,854 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Greenville or Lexington?

Greenville has a higher median occupational therapy assistant salary at $75,648/year, compared to Lexington at $71,817/year — a difference of $3,831 (5.33%).

What is the hourly rate difference between Greenville and Lexington?

Greenville occupational therapy assistants earn $36.37/hr while Lexington hygienists earn $34.52/hr (2026 est.).

Should I relocate from Greenville to Lexington as a occupational therapy assistant?

Consider more than just salary when comparing Greenville and Lexington. Factor in cost of living (CoL-adjusted: Greenville = $81,115, Lexington = $78,489), job availability (240 vs 5 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Greenville vs Lexington?

Entry-level (10th percentile) occupational therapy assistants earn $53,513 in Greenville and $51,912 in Lexington. The Greenville 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