OT Assistant Salary

Honolulu vs Mililani Town: Occupational Therapy Assistant Salary (2026)

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

Honolulu, HI
$94,359
$45.37/hr
Mililani Town, HI
$87,961
$42.29/hr

Side-by-Side Comparison

MetricHonolulu, HIMililani Town, HI
Median Salary$94,359$87,961
Hourly Rate$45.37$42.29
Entry Level (P10)$62,660$64,564
25th Percentile$76,877$75,548
75th Percentile$105,710$93,908
Top Earner (P90)$118,426$103,336
Total Employed685
Side-by-side bar chart comparing Honolulu ($94,359) and Mililani Town ($87,961) occupational therapy assistant salaries.HonoluluMililani TownMedian Salary$94,359$87,961Entry Level (P10)$62,660$64,564Top Earner (P90)$118,426$103,336US Median $74,332

Verdict

Honolulu, HI offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to Mililani Town.

The salary gap between Honolulu and Mililani Town is $6,398 (7.27%). Honolulu's median is +26.94% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Honolulu spans $55,766,Mililani Town spans $38,772. Honolulu has a wider pay range, meaning more potential for high earners but also more variation.

Honolulu
P10 (Entry)$62,660
P25$76,877
Median$94,359
P75$105,710
P90 (Top)$118,426
Mililani Town
P10 (Entry)$64,564
P25$75,548
Median$87,961
P75$93,908
P90 (Top)$103,336

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Honolulu ($79,094 effective) pays 7.27% more than Mililani Town ($73,731 effective).

Honolulu
Nominal: $94,359
CoL Index: 119.3
Adjusted: $79,094
Mililani Town
Nominal: $87,961
CoL Index: 119.3
Adjusted: $73,731

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

Which City Is Right for You?

Choose Honolulu if…

  • Higher median salary ($94,359/year)
  • Better top-earner potential ($118,426)
  • Larger job market (68 employed)
  • Better purchasing power (CoL-adjusted: $79,094)
  • You prefer the Hawaii area and lifestyle

Choose Mililani Town if…

  • You prefer the Hawaii area and lifestyle

Historical Salary Growth Comparison

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

Honolulu, HI

+0.4%

$91,399 (2024) → $91,780 (2025)

Mililani Town, HI

+0.4%

$85,202 (2024) → $85,557 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Honolulu or Mililani Town?

Honolulu has a higher median occupational therapy assistant salary at $94,359/year, compared to Mililani Town at $87,961/year — a difference of $6,398 (7.27%).

What is the hourly rate difference between Honolulu and Mililani Town?

Honolulu occupational therapy assistants earn $45.37/hr while Mililani Town hygienists earn $42.29/hr (2026 est.).

Should I relocate from Honolulu to Mililani Town as a occupational therapy assistant?

Consider more than just salary when comparing Honolulu and Mililani Town. Factor in cost of living (CoL-adjusted: Honolulu = $79,094, Mililani Town = $73,731), job availability (68 vs 5 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Honolulu vs Mililani Town?

Entry-level (10th percentile) occupational therapy assistants earn $62,660 in Honolulu and $64,564 in Mililani Town. The Mililani Town 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