OT Assistant Salary

Houston vs Waco: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Houston, TX and Waco, TX. All figures are 2026 estimates projected from BLS 2025 data.

Houston, TX
$83,626
$40.21/hr
Waco, TX
$79,338
$38.14/hr

Side-by-Side Comparison

MetricHouston, TXWaco, TX
Median Salary$83,626$79,338
Hourly Rate$40.21$38.14
Entry Level (P10)$63,629$62,611
25th Percentile$77,190$74,486
75th Percentile$91,007$85,528
Top Earner (P90)$96,713$93,434
Total Employed90050
Side-by-side bar chart comparing Houston ($83,626) and Waco ($79,338) occupational therapy assistant salaries.HoustonWacoMedian Salary$83,626$79,338Entry Level (P10)$63,629$62,611Top Earner (P90)$96,713$93,434US Median $74,332

Verdict

Houston, TX offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to Waco.

The salary gap between Houston and Waco is $4,288 (5.40%). Houston's median is +12.50% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Houston spans $33,084,Waco spans $30,823. Houston has a wider pay range, meaning more potential for high earners but also more variation.

Houston
P10 (Entry)$63,629
P25$77,190
Median$83,626
P75$91,007
P90 (Top)$96,713
Waco
P10 (Entry)$62,611
P25$74,486
Median$79,338
P75$85,528
P90 (Top)$93,434

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Waco ($85,724 effective) pays 1.10% more than Houston ($84,788 effective).

Houston
Nominal: $83,626
CoL Index: 98.629
Adjusted: $84,788
Waco
Nominal: $79,338
CoL Index: 92.55
Adjusted: $85,724

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

Which City Is Right for You?

Choose Houston if…

  • Higher median salary ($83,626/year)
  • Better top-earner potential ($96,713)
  • Larger job market (900 employed)
  • You prefer the Texas area and lifestyle

Choose Waco if…

  • Better purchasing power (CoL-adjusted: $85,724)
  • You prefer the Texas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Houston grew 11.4% from 2019 to 2025, compared to 7.2% growth in Waco over the same period.

Houston, TX

+11.4%

$73,010 (2019) → $81,340 (2025)

Waco, TX

+7.2%

$72,020 (2019) → $77,170 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Houston or Waco?

Houston has a higher median occupational therapy assistant salary at $83,626/year, compared to Waco at $79,338/year — a difference of $4,288 (5.40%).

What is the hourly rate difference between Houston and Waco?

Houston occupational therapy assistants earn $40.21/hr while Waco hygienists earn $38.14/hr (2026 est.).

Should I relocate from Houston to Waco as a occupational therapy assistant?

Consider more than just salary when comparing Houston and Waco. Factor in cost of living (CoL-adjusted: Houston = $84,788, Waco = $85,724), job availability (900 vs 50 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Houston vs Waco?

Entry-level (10th percentile) occupational therapy assistants earn $63,629 in Houston and $62,611 in Waco. The Houston 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