Alexandria vs Roanoke: Occupational Therapy Assistant Salary (2026)
Compare occupational therapy assistant salaries between Alexandria, VA and Roanoke, VA. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Alexandria, VA | Roanoke, VA |
|---|---|---|
| Median Salary | $89,964▲ | $74,918 |
| Hourly Rate | $43.25▲ | $36.01 |
| Entry Level (P10) | $65,382▲ | $56,535 |
| 25th Percentile | $77,377▲ | $60,555 |
| 75th Percentile | $100,488▲ | $76,306 |
| Top Earner (P90) | $114,617▲ | $90,277 |
| Total Employed | 26 | 60▲ |
Verdict
Alexandria, VA offers better overall compensation for occupational therapy assistants, winning 3 out of 4 metrics compared to Roanoke.
The salary gap between Alexandria and Roanoke is $15,046 (20.08%). Alexandria's median is +21.03% compared to the US national median of $74,332.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Alexandria spans $49,235,Roanoke spans $33,742. Alexandria has a wider pay range, meaning more potential for high earners but also more variation.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Alexandria ($87,174 effective) pays 8.93% more than Roanoke ($80,025 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Alexandria if…
- ✓Higher median salary ($89,964/year)
- ✓Better top-earner potential ($114,617)
- ✓Better purchasing power (CoL-adjusted: $87,174)
- ✓You prefer the Virginia area and lifestyle
Choose Roanoke if…
- ✓Larger job market (60 employed)
- ✓You prefer the Virginia area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Alexandria grew 24.5% from 2024 to 2025, compared to 2.4% growth in Roanoke over the same period.
Alexandria, VA
$70,280 (2024) → $87,505 (2025)
Roanoke, VA
$71,130 (2019) → $72,870 (2025)
View Full Salary Data
Alexandria, VA
Roanoke, VA
Frequently Asked Questions
Which city pays occupational therapy assistants more: Alexandria or Roanoke?
What is the hourly rate difference between Alexandria and Roanoke?
Should I relocate from Alexandria to Roanoke as a occupational therapy assistant?
What do entry-level occupational therapy assistants earn in Alexandria vs Roanoke?
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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
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