OT Assistant Salary

Occupational Therapy Assistant Salary in San Diego, CA: $85,003 (2026)

Quick Answer:A full-time occupational therapy assistant in San Diego, CA earns a median $85,003/year (≈ $40.87/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 31-2011). Once you factor in San Diego's price level (12% above national, BEA RPP 111.9), that paycheck buys what $75,972 would nationally. Nominal pay sits 2.0% below the California state average.

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

Official BLS data · View source

Occupational Therapy Assistant Salary in San Diego, CA — 2026 est., based on 2025 BLS
San Diego, CA occupational therapy assistant salary overview (2026 est., based on 2025 BLS)

In San Diego, the earnings for occupational therapy assistants reflect a lucrative opportunity, with a median annual salary projected at $85,003 in 2026. This figure positions the city significantly above the national median of $74,332, suggesting a favorable earning potential for professionals in this field. With salaries ranging from $72,995 at the 10th percentile to $106,316 at the 90th percentile, the compensation landscape illustrates the increasing demand for skilled practitioners. Data derived from official Bureau of Labor Statistics (BLS) OEWS surveys show that the local job market not only nourishes career growth but also highlights the complexity of compensation structures influenced by productivity expectations and patient visits, which are essential for effective revenue generation in health care settings.

Salary Breakdown

PercentileAnnualHourly
Entry Level (P10)$72,995$35.10
Lower Range (P25)$79,123$38.04
Median (P50)(typical)$85,003$40.87
Upper Range (P75)$96,446$46.37
Top Earners (P90)$106,316$51.12

Median Salary Position

$72,995$106,316
City Median: $85,003
National: $74,332
P10–P90 Range

14.36% above the national average

2026 Salary Percentile Distribution in San Diego

Vertical bar chart of 10th through 90th percentile salaries for occupational therapy assistants in San Diego. The median salary is $85,003, compared to the national median of $74,332.$65.7K$77.2K$88.7K$100.1K$111.6K$73.0K10th Pctl$79.1K25th Pctl$85.0KMedian$96.4K75th Pctl$106.3K90th PctlUS Median$74.3K

In San Diego, CA, the occupational therapy assistant salary spread from the 10th to 90th percentile is $33,321 (2026 est.). At $85,003, the local median is 14.36% above the national median of $74,332.

Source: BLS OEWS projected to 2026. Percentiles reflect the distribution of occupational therapy assistant pay in the San Diego metro area.

Salary Calculator

8 hrs (1 day)24 hrs (3 days)40 hrs (full-time)
$1,635
per week
$7,084
per month
$85,003
per year

At 40 hours/week in San Diego: You'd be in the lower-middle range

How San Diego Occupational Therapy Assistant Pay Compares

San Diego median: $85,003/year (2026)

Compared ToMedian SalarySan Diego Pays
California Average$86,738-2.00% less
National Average$74,332+14.36% more
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.

Cost-of-Living Adjusted Salary

$85,003
Nominal Salary
111.887
CoL Index
$75,972
Adjusted Salary

San Diego has a cost of living 11.89% above the national average.

Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.

The nominal salary is $85,003. After adjusting for a cost-of-living index of 111.887, the purchasing-power equivalent is $75,972, a loss of $9,031.$63.2K$71.8K$80.5K$89.1K$97.8K$85,003NominalSalary$75,972CoL Adjusted(CoL: 111.887) -10.62%US Median $74.3K

San Diego, CA has a cost-of-living index of 111.887 (above the national average of 100). While the nominal salary of $85,003 is competitive, the higher cost of living reduces purchasing power to an effective $75,972 — a 10.62% reduction.

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2019 BLS Actual

$67,450

2025 BLS Actual

$82,680

2026 Current Est.

$85,003

2019–2027 Growth

+29.6%

Salary 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
Salary trajectory chart for occupational therapy assistants in San Diego. Baseline $67,450 in 2025, projected to $87,392 by 2027.$63.5K$70.4K$77.4K$84.4K$91.4K2019202020212022202320242025202620272025 BLS$67.5K$73.7K$79.3K$85.0K$81.1K$80.7K$82.7K$85.0K$87.4K
YearAnnual SalaryStatus
2019$67,450Actual
2020$73,690Actual
2021$79,290Actual
2022$84,980Actual
2023$81,060Actual
2024$80,720Actual
2025$82,680Actual
2026(current)$85,003Estimated
2027$87,392Projected

Based on 7 years of BLS OEWS data for the San Diego metropolitan area, the median occupational therapy assistant salary grew 22.6% from $67,450 (2019) to $82,680 (2025). At a 2.81% compound annual growth rate, salaries are projected to reach $87,392 by 2027 — a total increase of $19,942 (29.57%) from 2019.

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.

Salary by Experience Level

ExperienceEstimated Salary Range
0-2 years (New Graduate)$72,995$79,123
3-5 years (Mid Career)$79,123$85,003
5+ years (Experienced)$85,003$96,446
10+ years (Top Earner)$96,446$106,316

OTA salary ranges estimated from BLS percentile data. Individual occupational therapy assistant compensation varies by employer, certifications, and specialization.

Occupational Therapy Assistant Job Market in San Diego

The local market for occupational therapy assistants in San Diego employs approximately 360 professionals, presenting a steady demand for qualified personnel. However, the cost of living index of 111.887 indicates that the financial reality may affect take-home purchasing power. Employers that typically offer the highest pay include hospital inpatient rehabilitation facilities and early intervention programs, where reimbursement structures can be more favorable. Disparities in earnings can stem from varying productivity expectations, contract types, and settings. For instance, positions in hospitals generally pay more than those in school districts or skilled nursing facilities, largely due to the impact of the 15% Medicare reimbursement cut on OTA services and per diem incentives. To maximize pay in San Diego, it is advisable for occupational therapy assistants to seek year-round contracts in settings with higher reimbursement rates, consider overtime opportunities, and explore pathways from Certified Occupational Therapy Assistant (COTA) to Master of Occupational Therapy (MOT) to enhance their qualifications.

Frequently Asked Questions

How much do occupational therapy assistants make in San Diego, CA in 2026?

The estimated 2026 median occupational therapy assistant salary in San Diego is $85,003/year ($40.87/hour), based on estimated 2026 salary (projected from 2025 BLS data at 2.81% annual growth). Salaries range from $72,995 at entry level (10th percentile) to $106,316 for experienced top earners (90th percentile). This puts San Diego at 14.4% above the national median. Full-time occupational therapy assistants typically work 2,080 hours per year, though many positions offer part-time schedules with flexible hours across multiple practices.

Is San Diego, CA a good place to work as a occupational therapy assistant?

San Diego occupational therapy assistant salaries are 14.4% above the national average and 2.0% below the California state average. The metro area employs approximately 360 occupational therapy assistants. With a cost-of-living index of 111.887, you should factor in higher living costs when evaluating compensation. Job availability depends on population density, the number of practices, and retirement turnover in the area.

Can occupational therapy assistants make $100K in San Diego?

Top-earning occupational therapy assistants in San Diego (90th percentile) make $106,316/year, which exceeds $100K. The median is $85,003. To reach six figures, occupational therapy assistants typically need 5–10+ years of experience combined with specialty certifications and expanded-function credentials.

What is the cost-of-living adjusted occupational therapy assistant salary in San Diego?

After adjusting for San Diego's cost-of-living index of 111.887 (where 100 equals the national average), the $85,003 nominal salary has purchasing power equivalent to $75,972 in an average-cost city. This means living costs in San Diego reduce the effective value of your salary by 10.6% compared to the national average — consider negotiating higher base pay or exploring nearby lower-cost metros.

How much does a occupational therapy assistant make per hour in San Diego?

Occupational Therapy Assistants in San Diego earn a median hourly rate of $40.87, which translates to approximately $85,003/year for full-time work (40 hours/week, 2,080 hours/year). Hourly rates range from $35.10 for entry-level positions to $51.12 for the most experienced practitioners. Part-time and per diem occupational therapy assistants sometimes command premium hourly rates because practices need flexible scheduling coverage.

Related Pages

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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

Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $82,680 for occupational therapy assistantsin the San Diego metropolitan area. A 2.81% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.

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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