OT Assistant Salary

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

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

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

Side-by-Side Comparison

MetricSan Diego, CASacramento, CA
Median Salary$85,003$97,855
Hourly Rate$40.87$47.05
Entry Level (P10)$72,995$79,328
25th Percentile$79,123$87,327
75th Percentile$96,446$103,478
Top Earner (P90)$106,316$110,757
Total Employed360170
Side-by-side bar chart comparing San Diego ($85,003) and Sacramento ($97,855) occupational therapy assistant salaries.San DiegoSacramentoMedian Salary$85,003$97,855Entry Level (P10)$72,995$79,328Top Earner (P90)$106,316$110,757US 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 San Diego and Sacramento 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 San Diego spans $33,321,Sacramento spans $31,429. San Diego has a wider pay range, meaning more potential for high earners but also more variation.

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

Cost-of-Living Adjusted Comparison

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

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

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

Which City Is Right for You?

Choose San Diego if…

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

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

Historical Salary Growth Comparison

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

San Diego, CA

+22.6%

$67,450 (2019) → $82,680 (2025)

Sacramento, CA

+5.9%

$89,910 (2019) → $95,180 (2025)

View Full Salary Data

Frequently Asked Questions

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

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 San Diego and Sacramento?

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

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

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

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

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