OT Assistant Salary

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

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

San Diego, CA
$85,003
$40.87/hr
San Rafael, CA
$88,038
$42.33/hr

Side-by-Side Comparison

MetricSan Diego, CASan Rafael, CA
Median Salary$85,003$88,038
Hourly Rate$40.87$42.33
Entry Level (P10)$72,995$62,906
25th Percentile$79,123$74,708
75th Percentile$96,446$95,567
Top Earner (P90)$106,316$106,964
Total Employed36011
Side-by-side bar chart comparing San Diego ($85,003) and San Rafael ($88,038) occupational therapy assistant salaries.San DiegoSan RafaelMedian Salary$85,003$88,038Entry Level (P10)$72,995$62,906Top Earner (P90)$106,316$106,964US Median $74,332

Verdict

San Rafael, 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 San Rafael is $3,035 (3.57%). San Rafael's median is +18.44% 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,San Rafael spans $44,058. San Rafael has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapy assistants.

San Diego
P10 (Entry)$72,995
P25$79,123
Median$85,003
P75$96,446
P90 (Top)$106,316
San Rafael
P10 (Entry)$62,906
P25$74,708
Median$88,038
P75$95,567
P90 (Top)$106,964

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Rafael ($77,841 effective) pays 2.46% more than San Diego ($75,972 effective).

San Diego
Nominal: $85,003
CoL Index: 111.887
Adjusted: $75,972
San Rafael
Nominal: $88,038
CoL Index: 113.1
Adjusted: $77,841

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 San Rafael if…

  • Higher median salary ($88,038/year)
  • Better top-earner potential ($106,964)
  • Better purchasing power (CoL-adjusted: $77,841)
  • 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 -6.7% growth in San Rafael over the same period.

San Diego, CA

+22.6%

$67,450 (2019) → $82,680 (2025)

San Rafael, CA

+-6.7%

$91,800 (2024) → $85,632 (2025)

View Full Salary Data

Frequently Asked Questions

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

San Rafael has a higher median occupational therapy assistant salary at $88,038/year, compared to San Diego at $85,003/year — a difference of $3,035 (3.57%).

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

San Diego occupational therapy assistants earn $40.87/hr while San Rafael hygienists earn $42.33/hr (2026 est.).

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

Consider more than just salary when comparing San Diego and San Rafael. Factor in cost of living (CoL-adjusted: San Diego = $75,972, San Rafael = $77,841), job availability (360 vs 11 employed), commute, and career growth potential.

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

Entry-level (10th percentile) occupational therapy assistants earn $72,995 in San Diego and $62,906 in San Rafael. The San Diego 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