Occupational Therapy Assistant Hourly Pay in Sacramento, CA: $47.05 (2026)

Looking beyond the standard hourly pay, many occupational therapy assistants might find part-time work typically nets around $47,052 annually for those working three days a week, but this can be less stable compared to full-time positions. Per-diem and agency contracts often feature variable hourly rates, with per diem occupational therapy assistant pay in Sacramento ranging from $30 to $45 per hour, while travel COTA contracts can earn $1,100 to $1,700 per week. However, the recent Medicare cut of 15% for occupational therapy services may have a lingering effect on hourly wages in skilled nursing facilities and outpatient settings. Different employer types also exhibit varied pay structures, with outpatient clinics generally offering higher rates compared to school districts. For COTAs, the trade-off between accepting lower pay for comprehensive benefits versus opting for higher hourly rates without insurance remains a key consideration. Negotiating for a better hourly rate, especially in a growing market like Sacramento, should factor in skill level, experience, and the types of employment benefits on offer, ensuring informed choices about career paths and earning potential.