OT Assistant Salary

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

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

Mililani Town, HI
$87,961
$42.29/hr
Urban Honolulu, HI
$73,982
$35.57/hr

Side-by-Side Comparison

MetricMililani Town, HIUrban Honolulu, HI
Median Salary$87,961$73,982
Hourly Rate$42.29$35.57
Entry Level (P10)$64,564$67,505
25th Percentile$75,548$67,505
75th Percentile$93,908$78,907
Top Earner (P90)$103,336$79,554
Total Employed550
Side-by-side bar chart comparing Mililani Town ($87,961) and Urban Honolulu ($73,982) occupational therapy assistant salaries.Mililani TownUrban HonoluluMedian Salary$87,961$73,982Entry Level (P10)$64,564$67,505Top Earner (P90)$103,336$79,554US Median $74,332

Verdict

Mililani Town, HI offers better overall compensation for occupational therapy assistants, winning 3 out of 4 metrics compared to Urban Honolulu.

The salary gap between Mililani Town and Urban Honolulu is $13,979 (18.90%). Mililani Town's median is +18.34% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Mililani Town spans $38,772,Urban Honolulu spans $12,049. Mililani Town has a wider pay range, meaning more potential for high earners but also more variation.

Mililani Town
P10 (Entry)$64,564
P25$75,548
Median$87,961
P75$93,908
P90 (Top)$103,336
Urban Honolulu
P10 (Entry)$67,505
P25$67,505
Median$73,982
P75$78,907
P90 (Top)$79,554

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Mililani Town ($73,731 effective) pays 10.58% more than Urban Honolulu ($66,674 effective).

Mililani Town
Nominal: $87,961
CoL Index: 119.3
Adjusted: $73,731
Urban Honolulu
Nominal: $73,982
CoL Index: 110.961
Adjusted: $66,674

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

Which City Is Right for You?

Choose Mililani Town if…

  • Higher median salary ($87,961/year)
  • Better top-earner potential ($103,336)
  • Better purchasing power (CoL-adjusted: $73,731)
  • You prefer the Hawaii area and lifestyle

Choose Urban Honolulu if…

  • Larger job market (50 employed)
  • You prefer the Hawaii area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Mililani Town grew 0.4% from 2024 to 2025, compared to 19.5% growth in Urban Honolulu over the same period.

Mililani Town, HI

+0.4%

$85,202 (2024) → $85,557 (2025)

Urban Honolulu, HI

+19.5%

$60,220 (2019) → $71,960 (2025)

View Full Salary Data

Frequently Asked Questions

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

Mililani Town has a higher median occupational therapy assistant salary at $87,961/year, compared to Urban Honolulu at $73,982/year — a difference of $13,979 (18.90%).

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

Mililani Town occupational therapy assistants earn $42.29/hr while Urban Honolulu hygienists earn $35.57/hr (2026 est.).

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

Consider more than just salary when comparing Mililani Town and Urban Honolulu. Factor in cost of living (CoL-adjusted: Mililani Town = $73,731, Urban Honolulu = $66,674), job availability (5 vs 50 employed), commute, and career growth potential.

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

Entry-level (10th percentile) occupational therapy assistants earn $64,564 in Mililani Town and $67,505 in Urban Honolulu. The Urban Honolulu 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