Occupational Therapy Assistant Salary in Binghamton, NY: $63,400 (2026)
Quick Answer:A full-time occupational therapy assistant in Binghamton, NY earns a median $63,400/year (≈ $30.48/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 31-2011). Once you factor in Binghamton's price level (16% above national, BEA RPP 115.9), that paycheck buys what $54,702 would nationally. Nominal pay sits 1.1% below the New York state average.
Based on BLS state-level estimates · View source

In 2026, occupational therapy assistants in Binghamton, NY can expect a median annual salary of $63,400, which reflects local economic conditions and adjustments. The full pay scale varies from $45,992 at the 10th percentile to $74,314 at the 90th percentile, showing a range of earning potential within the profession. These figures are based on 2025 BLS data, projected to 2026, and highlight the strong yet competitive landscape for COTAs in this region. As COTAs consider advancing to a Master's degree, obtaining an MOT can significantly bridge the earnings gap over a career, underscoring the value of continued education in maximizing lifetime pay.
About the Binghamton Market
Salary estimated from New York average ($70,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $45,992 | $22.11 |
| Lower Range (P25) | $56,702 | $27.27 |
| Median (P50)(typical) | $63,400 | $30.48 |
| Upper Range (P75) | $67,392 | $32.40 |
| Top Earners (P90) | $74,314 | $35.73 |
Median Salary Position
14.71% below the national average
2026 Salary Percentile Distribution in Binghamton
In Binghamton, NY, the occupational therapy assistant salary spread from the 10th to 90th percentile is $28,322 (2026 est.). At $63,400, the local median is 14.71% below the national median of $74,332.
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At 40 hours/week in Binghamton: You'd be above the median
How Binghamton Occupational Therapy Assistant Pay Compares
Binghamton median: $63,400/year (2026)
| Compared To | Median Salary | Binghamton Pays |
|---|---|---|
| New York Average | $64,105 | -1.10% less |
| National Average | $74,332 | -14.71% less |
Occupational Therapy Assistants in Binghamton, NY earn a median of $63,400 per year (2026 est.), which is 14.71% lower than the national median of $74,332 and 1.10% below the New York state average of $64,105.
Cost-of-Living Adjusted Salary
Binghamton has a cost of living 15.90% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Binghamton, NY has a cost-of-living index of 115.9 (above the national average of 100). While the nominal salary of $63,400 is competitive, the higher cost of living reduces purchasing power to an effective $54,702 — a 13.72% reduction.
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2019 BLS Actual
$52,464
2025 BLS Actual
$61,667
2026 Current Est.
$63,400
2019–2027 Growth
+24.2%
Salary Trajectory for Occupational Therapy Assistants in Binghamton (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.81% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $52,464 | Actual |
| 2020 | $52,810 | Actual |
| 2021 | $52,652 | Actual |
| 2022 | $54,801 | Actual |
| 2023 | $57,155 | Actual |
| 2024 | $80,267 | Actual |
| 2025 | $61,667 | Actual |
| 2026(current) | $63,400 | Estimated |
| 2027 | $65,181 | Projected |
Based on 7 years of BLS OEWS data for the Binghamton metropolitan area, the median occupational therapy assistant salary grew 17.5% from $52,464 (2019) to $61,667 (2025). At a 2.81% compound annual growth rate, salaries are projected to reach $65,181 by 2027 — a total increase of $12,717 (24.24%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Binghamton metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 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
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $45,992 – $56,702 |
| 3-5 years (Mid Career) | $56,702 – $63,400 |
| 5+ years (Experienced) | $63,400 – $67,392 |
| 10+ years (Top Earner) | $67,392 – $74,314 |
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 Binghamton
The job market in Binghamton currently employs 13 occupational therapy assistants, a figure that illustrates a niche but essential demand for these professionals. However, with a cost-of-living index of 115.9, take-home purchasing power can be affected, and COTAs must strategically consider their employer options. Typically, skilled nursing facilities and hospital-based rehabilitation centers tend to offer higher compensation than school districts or outpatient clinics. Factors such as the work setting, productivity expectations, weekend premiums, and the effects of the recent 15% Medicare reimbursement cut all contribute to the variation in pay. For those looking to maximize their occupational therapy assistant pay in Binghamton, pursuing full-time positions, seeking roles in higher-paying environments, and considering contract work during peak hiring seasons can be effective strategies.
More salary data for Binghamton, NY:
Frequently Asked Questions
How much do occupational therapy assistants make in Binghamton, NY in 2026?
Is Binghamton, NY a good place to work as a occupational therapy assistant?
Can occupational therapy assistants make $100K in Binghamton?
What is the cost-of-living adjusted occupational therapy assistant salary in Binghamton?
How much does a occupational therapy assistant make per hour in Binghamton?
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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.
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 $61,667 for occupational therapy assistantsin the Binghamton 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
Salary data for Binghamton is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
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