OT Assistant Salary

Spokane Valley vs Spokane: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Spokane Valley, WA and Spokane, WA. All figures are 2026 estimates projected from BLS 2025 data.

Spokane Valley, WA
$73,949
$35.55/hr
Spokane, WA
$72,553
$34.88/hr

Side-by-Side Comparison

MetricSpokane Valley, WASpokane, WA
Median Salary$73,949$72,553
Hourly Rate$35.55$34.88
Entry Level (P10)$51,228$59,877
25th Percentile$61,642$63,701
75th Percentile$82,291$82,803
Top Earner (P90)$93,598$85,836
Total Employed21110
Side-by-side bar chart comparing Spokane Valley ($73,949) and Spokane ($72,553) occupational therapy assistant salaries.Spokane ValleySpokaneMedian Salary$73,949$72,553Entry Level (P10)$51,228$59,877Top Earner (P90)$93,598$85,836US Median $74,332

Verdict

Spokane Valley, WA offers better overall compensation for occupational therapy assistants, winning 3 out of 4 metrics compared to Spokane.

The salary gap between Spokane Valley and Spokane is $1,396 (1.92%). Spokane Valley's median is -0.52% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Spokane Valley spans $42,370,Spokane spans $25,959. Spokane Valley has a wider pay range, meaning more potential for high earners but also more variation.

Spokane Valley
P10 (Entry)$51,228
P25$61,642
Median$73,949
P75$82,291
P90 (Top)$93,598
Spokane
P10 (Entry)$59,877
P25$63,701
Median$72,553
P75$82,803
P90 (Top)$85,836

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Spokane ($72,303 effective) pays 5.01% more than Spokane Valley ($68,854 effective).

Spokane Valley
Nominal: $73,949
CoL Index: 107.4
Adjusted: $68,854
Spokane
Nominal: $72,553
CoL Index: 100.346
Adjusted: $72,303

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

Which City Is Right for You?

Choose Spokane Valley if…

  • Higher median salary ($73,949/year)
  • Better top-earner potential ($93,598)
  • You prefer the Washington area and lifestyle

Choose Spokane if…

  • Larger job market (110 employed)
  • Better purchasing power (CoL-adjusted: $72,303)
  • You prefer the Washington area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Spokane Valley grew -9.6% from 2024 to 2025, compared to 17.5% growth in Spokane over the same period.

Spokane Valley, WA

+-9.6%

$79,604 (2024) → $71,928 (2025)

Spokane, WA

+17.5%

$60,070 (2019) → $70,570 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Spokane Valley or Spokane?

Spokane Valley has a higher median occupational therapy assistant salary at $73,949/year, compared to Spokane at $72,553/year — a difference of $1,396 (1.92%).

What is the hourly rate difference between Spokane Valley and Spokane?

Spokane Valley occupational therapy assistants earn $35.55/hr while Spokane hygienists earn $34.88/hr (2026 est.).

Should I relocate from Spokane Valley to Spokane as a occupational therapy assistant?

Consider more than just salary when comparing Spokane Valley and Spokane. Factor in cost of living (CoL-adjusted: Spokane Valley = $68,854, Spokane = $72,303), job availability (21 vs 110 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Spokane Valley vs Spokane?

Entry-level (10th percentile) occupational therapy assistants earn $51,228 in Spokane Valley and $59,877 in Spokane. The Spokane 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