OT Assistant Salary

Sacramento vs San Diego: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Sacramento, CA and San Diego, CA. All figures are 2026 estimates projected from BLS 2025 data.

Sacramento, CA
$97,855
$47.05/hr
San Diego, CA
$85,003
$40.87/hr

Side-by-Side Comparison

MetricSacramento, CASan Diego, CA
Median Salary$97,855$85,003
Hourly Rate$47.05$40.87
Entry Level (P10)$79,328$72,995
25th Percentile$87,327$79,123
75th Percentile$103,478$96,446
Top Earner (P90)$110,757$106,316
Total Employed170360
Side-by-side bar chart comparing Sacramento ($97,855) and San Diego ($85,003) occupational therapy assistant salaries.SacramentoSan DiegoMedian Salary$97,855$85,003Entry Level (P10)$79,328$72,995Top Earner (P90)$110,757$106,316US Median $74,332

Verdict

Sacramento, CA offers better overall compensation for occupational therapy assistants, winning 3 out of 4 metrics compared to San Diego.

The salary gap between Sacramento and San Diego is $12,852 (15.12%). Sacramento's median is +31.65% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Sacramento spans $31,429,San Diego spans $33,321. San Diego has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapy assistants.

Sacramento
P10 (Entry)$79,328
P25$87,327
Median$97,855
P75$103,478
P90 (Top)$110,757
San Diego
P10 (Entry)$72,995
P25$79,123
Median$85,003
P75$96,446
P90 (Top)$106,316

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Sacramento ($91,736 effective) pays 20.75% more than San Diego ($75,972 effective).

Sacramento
Nominal: $97,855
CoL Index: 106.67
Adjusted: $91,736
San Diego
Nominal: $85,003
CoL Index: 111.887
Adjusted: $75,972

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

Which City Is Right for You?

Choose Sacramento if…

  • Higher median salary ($97,855/year)
  • Better top-earner potential ($110,757)
  • Better purchasing power (CoL-adjusted: $91,736)
  • You prefer the California area and lifestyle

Choose San Diego if…

  • Larger job market (360 employed)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Sacramento grew 5.9% from 2019 to 2025, compared to 22.6% growth in San Diego over the same period.

Sacramento, CA

+5.9%

$89,910 (2019) → $95,180 (2025)

San Diego, CA

+22.6%

$67,450 (2019) → $82,680 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Sacramento or San Diego?

Sacramento has a higher median occupational therapy assistant salary at $97,855/year, compared to San Diego at $85,003/year — a difference of $12,852 (15.12%).

What is the hourly rate difference between Sacramento and San Diego?

Sacramento occupational therapy assistants earn $47.05/hr while San Diego hygienists earn $40.87/hr (2026 est.).

Should I relocate from Sacramento to San Diego as a occupational therapy assistant?

Consider more than just salary when comparing Sacramento and San Diego. Factor in cost of living (CoL-adjusted: Sacramento = $91,736, San Diego = $75,972), job availability (170 vs 360 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Sacramento vs San Diego?

Entry-level (10th percentile) occupational therapy assistants earn $79,328 in Sacramento and $72,995 in San Diego. The Sacramento 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