OT Assistant Salary

Winston vs Winston-Salem: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Winston, NC and Winston-Salem, NC. All figures are 2026 estimates projected from BLS 2025 data.

Winston, NC
$72,121
$34.68/hr
Winston-Salem, NC
$72,657
$34.93/hr

Side-by-Side Comparison

MetricWinston, NCWinston-Salem, NC
Median Salary$72,121$72,657
Hourly Rate$34.68$34.93
Entry Level (P10)$52,577$47,451
25th Percentile$63,948$58,583
75th Percentile$80,521$80,754
Top Earner (P90)$98,009$92,872
Total Employed9059
Side-by-side bar chart comparing Winston ($72,121) and Winston-Salem ($72,657) occupational therapy assistant salaries.WinstonWinston-SalemMedian Salary$72,121$72,657Entry Level (P10)$52,577$47,451Top Earner (P90)$98,009$92,872US Median $74,332

Verdict

Winston and Winston-Salem are closely matched on overall occupational therapy assistant compensation, each winning on different metrics.

The salary gap between Winston and Winston-Salem is $536 (0.74%). Winston-Salem's median is -2.25% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Winston spans $45,432,Winston-Salem spans $45,421. Winston has a wider pay range, meaning more potential for high earners but also more variation.

Winston
P10 (Entry)$52,577
P25$63,948
Median$72,121
P75$80,521
P90 (Top)$98,009
Winston-Salem
P10 (Entry)$47,451
P25$58,583
Median$72,657
P75$80,754
P90 (Top)$92,872

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Winston ($78,356 effective) pays 0.94% more than Winston-Salem ($77,625 effective).

Winston
Nominal: $72,121
CoL Index: 92.043
Adjusted: $78,356
Winston-Salem
Nominal: $72,657
CoL Index: 93.6
Adjusted: $77,625

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

Which City Is Right for You?

Choose Winston if…

  • Better top-earner potential ($98,009)
  • Larger job market (90 employed)
  • Better purchasing power (CoL-adjusted: $78,356)
  • You prefer the North Carolina area and lifestyle

Choose Winston-Salem if…

  • Higher median salary ($72,657/year)
  • You prefer the North Carolina area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Winston grew 4.7% from 2019 to 2025, compared to 7.1% growth in Winston-Salem over the same period.

Winston, NC

+4.7%

$66,990 (2019) → $70,150 (2025)

Winston-Salem, NC

+7.1%

$65,964 (2024) → $70,671 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Winston or Winston-Salem?

Winston-Salem has a higher median occupational therapy assistant salary at $72,657/year, compared to Winston at $72,121/year — a difference of $536 (0.74%).

What is the hourly rate difference between Winston and Winston-Salem?

Winston occupational therapy assistants earn $34.68/hr while Winston-Salem hygienists earn $34.93/hr (2026 est.).

Should I relocate from Winston to Winston-Salem as a occupational therapy assistant?

Consider more than just salary when comparing Winston and Winston-Salem. Factor in cost of living (CoL-adjusted: Winston = $78,356, Winston-Salem = $77,625), job availability (90 vs 59 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Winston vs Winston-Salem?

Entry-level (10th percentile) occupational therapy assistants earn $52,577 in Winston and $47,451 in Winston-Salem. The Winston 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