OT Assistant Salary

Waltham vs Worcester: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Waltham, MA and Worcester, MA. All figures are 2026 estimates projected from BLS 2025 data.

Waltham, MA
$78,480
$37.73/hr
Worcester, MA
$78,722
$37.84/hr

Side-by-Side Comparison

MetricWaltham, MAWorcester, MA
Median Salary$78,480$78,722
Hourly Rate$37.73$37.84
Entry Level (P10)$57,172$49,513
25th Percentile$67,358$62,961
75th Percentile$87,640$80,932
Top Earner (P90)$96,871$84,808
Total Employed11180
Side-by-side bar chart comparing Waltham ($78,480) and Worcester ($78,722) occupational therapy assistant salaries.WalthamWorcesterMedian Salary$78,480$78,722Entry Level (P10)$57,172$49,513Top Earner (P90)$96,871$84,808US Median $74,332

Verdict

Worcester, MA offers better overall compensation for occupational therapy assistants, winning 3 out of 4 metrics compared to Waltham.

The salary gap between Waltham and Worcester is $242 (0.31%). Worcester's median is +5.91% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Waltham spans $39,699,Worcester spans $35,295. Waltham has a wider pay range, meaning more potential for high earners but also more variation.

Waltham
P10 (Entry)$57,172
P25$67,358
Median$78,480
P75$87,640
P90 (Top)$96,871
Worcester
P10 (Entry)$49,513
P25$62,961
Median$78,722
P75$80,932
P90 (Top)$84,808

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Worcester ($76,785 effective) pays 6.16% more than Waltham ($72,332 effective).

Waltham
Nominal: $78,480
CoL Index: 108.5
Adjusted: $72,332
Worcester
Nominal: $78,722
CoL Index: 102.523
Adjusted: $76,785

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

Which City Is Right for You?

Choose Waltham if…

  • Better top-earner potential ($96,871)
  • You prefer the Massachusetts area and lifestyle

Choose Worcester if…

  • Higher median salary ($78,722/year)
  • Larger job market (180 employed)
  • Better purchasing power (CoL-adjusted: $76,785)
  • You prefer the Massachusetts area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Waltham grew 0.4% from 2024 to 2025, compared to 24.4% growth in Worcester over the same period.

Waltham, MA

+0.4%

$76,018 (2024) → $76,335 (2025)

Worcester, MA

+24.4%

$61,530 (2019) → $76,570 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Waltham or Worcester?

Worcester has a higher median occupational therapy assistant salary at $78,722/year, compared to Waltham at $78,480/year — a difference of $242 (0.31%).

What is the hourly rate difference between Waltham and Worcester?

Waltham occupational therapy assistants earn $37.73/hr while Worcester hygienists earn $37.84/hr (2026 est.).

Should I relocate from Waltham to Worcester as a occupational therapy assistant?

Consider more than just salary when comparing Waltham and Worcester. Factor in cost of living (CoL-adjusted: Waltham = $72,332, Worcester = $76,785), job availability (11 vs 180 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Waltham vs Worcester?

Entry-level (10th percentile) occupational therapy assistants earn $57,172 in Waltham and $49,513 in Worcester. The Waltham 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