OT Assistant Salary

Raleigh vs Wilmington: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Raleigh, NC and Wilmington, NC. All figures are 2026 estimates projected from BLS 2025 data.

Raleigh, NC
$77,745
$37.38/hr
Wilmington, NC
$65,223
$31.36/hr

Side-by-Side Comparison

MetricRaleigh, NCWilmington, NC
Median Salary$77,745$65,223
Hourly Rate$37.38$31.36
Entry Level (P10)$58,622$49,739
25th Percentile$65,233$61,049
75th Percentile$85,384$83,893
Top Earner (P90)$104,280$88,077
Total Employed17080
Side-by-side bar chart comparing Raleigh ($77,745) and Wilmington ($65,223) occupational therapy assistant salaries.RaleighWilmingtonMedian Salary$77,745$65,223Entry Level (P10)$58,622$49,739Top Earner (P90)$104,280$88,077US Median $74,332

Verdict

Raleigh, NC offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to Wilmington.

The salary gap between Raleigh and Wilmington is $12,522 (19.20%). Raleigh's median is +4.59% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Raleigh spans $45,658,Wilmington spans $38,338. Raleigh has a wider pay range, meaning more potential for high earners but also more variation.

Raleigh
P10 (Entry)$58,622
P25$65,233
Median$77,745
P75$85,384
P90 (Top)$104,280
Wilmington
P10 (Entry)$49,739
P25$61,049
Median$65,223
P75$83,893
P90 (Top)$88,077

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Raleigh ($79,205 effective) pays 17.09% more than Wilmington ($67,643 effective).

Raleigh
Nominal: $77,745
CoL Index: 98.157
Adjusted: $79,205
Wilmington
Nominal: $65,223
CoL Index: 96.422
Adjusted: $67,643

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

Which City Is Right for You?

Choose Raleigh if…

  • Higher median salary ($77,745/year)
  • Better top-earner potential ($104,280)
  • Larger job market (170 employed)
  • Better purchasing power (CoL-adjusted: $79,205)
  • You prefer the North Carolina area and lifestyle

Choose Wilmington if…

  • You prefer the North Carolina area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Raleigh grew 10.9% from 2019 to 2025, compared to 15.1% growth in Wilmington over the same period.

Raleigh, NC

+10.9%

$68,210 (2019) → $75,620 (2025)

Wilmington, NC

+15.1%

$55,120 (2019) → $63,440 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Raleigh or Wilmington?

Raleigh has a higher median occupational therapy assistant salary at $77,745/year, compared to Wilmington at $65,223/year — a difference of $12,522 (19.20%).

What is the hourly rate difference between Raleigh and Wilmington?

Raleigh occupational therapy assistants earn $37.38/hr while Wilmington hygienists earn $31.36/hr (2026 est.).

Should I relocate from Raleigh to Wilmington as a occupational therapy assistant?

Consider more than just salary when comparing Raleigh and Wilmington. Factor in cost of living (CoL-adjusted: Raleigh = $79,205, Wilmington = $67,643), job availability (170 vs 80 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Raleigh vs Wilmington?

Entry-level (10th percentile) occupational therapy assistants earn $58,622 in Raleigh and $49,739 in Wilmington. The Raleigh 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