OT Assistant Salary

Occupational Therapy Assistant Hourly Pay in San Diego, CA: $40.87 (2026)

Quick Answer:Hourly pay for a occupational therapy assistant working in San Diego, CA runs $40.87 at the median for 2026 — annualizing to $85,003 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 31-2011). Weighted against San Diego's regional price level (BEA RPP 111.9, 12% above national), each hour of work buys what $36.53 nationally would. A 24-hour part-time schedule grosses $51,002 per year.

$85,003
Median Annual Salary
$40.87/hr
Hourly Rate
$72,995
Entry Level (P10)
$106,316
Top Earners (P90)

Official BLS data · View source

Occupational Therapy Assistant Hourly Rate in San Diego, CA — 2026 est., based on 2025 BLS
San Diego, CA occupational therapy assistant hourly rate overview (2026 est., based on 2025 BLS)

Occupational therapy assistant hourly pay in San Diego, CA, is projected at $40.87 in 2026, significantly higher than the national hourly median of $35.74. This robust hourly rate allows for favorable earning potential, even for part-time or per-diem workers. For those working three days a week, typically around 24 hours, the potential income scales effectively according to the flexibility of scheduling in various settings such as skilled nursing facilities, hospital rehab units, and outpatient clinics. Entry-level COTAs earn at the lower end of the spectrum, around $35.10, while the most experienced professionals can reach as high as $51.12 per hour, allowing for a diverse range of opportunities and compensation structures within the field.

Occupational Therapy Assistant Hourly Wage Breakdown

PercentileHourly RatePer 8hr Shift
Entry Level (P10)$35.10$280.79
Lower Range (P25)$38.04$304.32
Median (P50)$40.87$326.94
Upper Range (P75)$46.37$370.94
Top Earners (P90)$51.12$408.94

Estimated Annual Income by Work Schedule in San Diego

Based on $40.87/hr median hourly rate · 2026 est.

Horizontal bars showing a occupational therapy assistant in San Diego earning $40.87/hr would make approximately $49,040 part-time (24 hr/wk) or $85,003 full-time (40 hr/wk).Part-Time (24 hr/wk)$49,040Reduced (32 hr/wk)$65,387Full-Time (40 hr/wk)$85,003

At $40.87/hr, a occupational therapy assistant working full-time (40 hr/wk) in San Diego, CA can expect to earn approximately $85,003 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $49,040. With a cost-of-living index of 111.89 (above the national average), these earnings may be offset by higher expenses in San Diego.

Annual estimates assume 5052 working weeks per year. Actual earnings vary by employer, overtime, and benefits.

Hourly Rate Calculator

$326.94
per 8hr shift
$1,634.68
per week
$7,084
per month
$85,003
per year

Schedule Comparison in San Diego

ScheduleWeeklyMonthlyAnnual
Full-Time (40 hrs)$1,634.68$7,084$85,003
Part-Time (24 hrs)$980.81$4,250$51,002
Per Diem (16 hrs)$653.87$2,833$34,001

Compare OTA Wages With Similar Roles

RoleMedian Hourly
Occupational Therapy Assistant (San Diego)$40.87
Occupational Therapist (National Avg)$47.00
Physical Therapist Assistant (National Avg)$31.26
Athletic Trainer (National Avg)$27.85
Recreational Therapist (National Avg)$27.50
Horizontal bar chart comparing occupational therapy assistant median salary in San Diego ($85,003) with California average ($86,738) and the US national median ($74,332).San Diego$85,003California Avg$86,738-2.00%US National$74,332+14.36%

Occupational Therapy Assistants in San Diego, CA earn a median of $85,003 per year (2026 est.), which is 14.36% higher than the national median of $74,332 and 2.00% below the California state average of $86,738.

Occupational Therapy Assistant Hourly Pay vs. Cost of Living

Working 24h/week at $40.87/hr = $51,002/year (purchasing power: $45,583).

Working 40h/week (full-time) = $85,003/year (purchasing power: $75,972).

CoL index: 111.887 (100 = national average).

2019 BLS Actual

$32.43/hr

2025 BLS Actual

$39.75/hr

2026 Current Est.

$40.87/hr

2019–2027 Growth

+29.6%

Hourly Rate Trajectory for Occupational Therapy Assistants in San Diego (20192027)

2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.81% projection.

BLS Actual Estimated Projected
Hourly rate trajectory chart for occupational therapy assistants in San Diego. Baseline $32.43/hr in 2025, projected to $42.02/hr by 2027.$31$34$37$41$442019202020212022202320242025202620272025 BLS$32.43$35.43$38.12$40.86$38.97$38.81$39.75$40.87$42.02
YearHourly RateStatus
2019$32.43/hrActual
2020$35.43/hrActual
2021$38.12/hrActual
2022$40.86/hrActual
2023$38.97/hrActual
2024$38.81/hrActual
2025$39.75/hrActual
2026(current)$40.87/hrEstimated
2027$42.02/hrProjected

Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for occupational therapy assistants in San Diego grew 22.6% from $32.43/hr (2019) to $39.75/hr (2025). At a 2.81% projected growth rate, hourly pay is expected to reach $42.02/hr by 2027. Part-time and per-diem occupational therapy assistants can use this multi-year trend to benchmark future contract negotiations.

Note: Historical values (20192025) are actual BLS OEWS figures for the San Diego metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 20262026 figures are current estimates, and 2027 values are projections, calculated using a 2.81% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.

Working as an Hourly Occupational Therapy Assistant in San Diego

The dynamics of part-time earnings for occupational therapy assistants in San Diego can be quite compelling. A COTA working three days a week might take home approximately $57,057 annually, while a full-time worker can aim for a higher profile due to more consistent hours. Per diem occupational therapy assistant pay in San Diego typically ranges between $30 to $45 an hour, with travel COTA contracts averaging anywhere from $1,100 to $1,700 weekly, though some may find higher earnings in specialized settings like home health. It is essential to consider how hourly rates vary across employment types; while skilled nursing facilities might offer lower pay due to reimbursement cuts post-2022, school districts frequently provide steady hours with benefits. COTAs may have to weigh the trade-off between lower hourly wages with health insurance versus higher pay in agency roles without benefits. For those negotiating rates, understanding market comparisons and demonstrating value can lead to better compensation packages tailored to individual needs and employer capabilities.

Frequently Asked Questions

What is the hourly rate for occupational therapy assistants in San Diego in 2026?

The estimated 2026 median hourly rate for occupational therapy assistants in San Diego is $40.87/hour, based on estimated 2026 salary (projected from 2025 BLS data at 2.81% annual growth). Rates range from $35.10 at entry level (10th percentile) to $51.12 for experienced practitioners (90th percentile). This is 14.4% above the national average. Hourly pay varies based on practice type, patient volume, years of experience, and whether the position includes benefits.

How much do part-time occupational therapy assistants make in San Diego?

A part-time occupational therapy assistant working 3 days per week (24 hours) in San Diego earns approximately $4,250/month, or $51,002/year at the median hourly rate of $40.87. Many occupational therapy assistants prefer part-time schedules for work-life balance, and some work at multiple practices to maximize earnings. Part-time positions may not include benefits like health insurance or retirement contributions, but typically offer higher hourly rates to compensate.

Are occupational therapy assistants in San Diego paid hourly or salary?

The majority of occupational therapy assistants in San Diego are paid hourly at a median rate of $40.87/hour. Some full-time positions at larger practices or organizations offer salaried compensation around $85,003/year, often bundled with benefits including health insurance, paid time off, retirement plans, and continuing education allowances. Hourly pay gives flexibility, while salary positions provide income stability.

How much does a full-time occupational therapy assistant make per year in San Diego?

A full-time occupational therapy assistant working 40 hours per week (2,080 hours/year) in San Diego earns approximately $85,003/year at the median hourly rate of $40.87. This is 14.4% above the national median. Top earners working full-time can reach $106,324/year at the 90th percentile rate. Overtime and weekend shifts may further increase annual earnings.

Do occupational therapy assistants earn more per hour working part-time in San Diego?

Part-time and per diem occupational therapy assistants in San Diego sometimes command higher hourly rates — up to $51.12/hour — because practices need flexible coverage for specific days or peak hours. However, part-time positions typically do not include benefits like health insurance, paid time off, or retirement contributions. When factoring in the value of benefits, full-time salaried positions may offer comparable or better total compensation despite a slightly lower hourly rate.

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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

Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 2.81% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for occupational therapy assistants in San Diego. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.

Data Sources & Methodology

Source: BLS, OEWS, 7-year dataset (). Per-city data from annual BLS metropolitan area surveys.

2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 2.81%, derived from historical BLS wage trends for occupational therapy assistants (SOC 31-2011).

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

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