OT Assistant Salary

Asheville vs Raleigh: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Asheville, NC and Raleigh, NC. All figures are 2026 estimates projected from BLS 2025 data.

Asheville, NC
$74,887
$36.00/hr
Raleigh, NC
$77,745
$37.38/hr

Side-by-Side Comparison

MetricAsheville, NCRaleigh, NC
Median Salary$74,887$77,745
Hourly Rate$36.00$37.38
Entry Level (P10)$57,111$58,622
25th Percentile$64,842$65,233
75th Percentile$78,218$85,384
Top Earner (P90)$83,739$104,280
Total Employed70170
Side-by-side bar chart comparing Asheville ($74,887) and Raleigh ($77,745) occupational therapy assistant salaries.AshevilleRaleighMedian Salary$74,887$77,745Entry Level (P10)$57,111$58,622Top Earner (P90)$83,739$104,280US Median $74,332

Verdict

Raleigh, NC offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to Asheville.

The salary gap between Asheville and Raleigh is $2,858 (3.82%). Raleigh's median is +4.59% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Asheville spans $26,628,Raleigh spans $45,658. Raleigh has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapy assistants.

Asheville
P10 (Entry)$57,111
P25$64,842
Median$74,887
P75$78,218
P90 (Top)$83,739
Raleigh
P10 (Entry)$58,622
P25$65,233
Median$77,745
P75$85,384
P90 (Top)$104,280

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Raleigh ($79,205 effective) pays 2.07% more than Asheville ($77,598 effective).

Asheville
Nominal: $74,887
CoL Index: 96.506
Adjusted: $77,598
Raleigh
Nominal: $77,745
CoL Index: 98.157
Adjusted: $79,205

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Asheville if…

  • You prefer the North Carolina area and lifestyle

Choose Raleigh if…

  • Higher median salary ($77,745/year)
  • Better top-earner potential ($104,280)
  • Larger job market (170 employed)
  • Better purchasing power (CoL-adjusted: $79,205)
  • You prefer the North Carolina area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Asheville grew 11.5% from 2019 to 2025, compared to 10.9% growth in Raleigh over the same period.

Asheville, NC

+11.5%

$65,320 (2019) → $72,840 (2025)

Raleigh, NC

+10.9%

$68,210 (2019) → $75,620 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Asheville or Raleigh?

Raleigh has a higher median occupational therapy assistant salary at $77,745/year, compared to Asheville at $74,887/year — a difference of $2,858 (3.82%).

What is the hourly rate difference between Asheville and Raleigh?

Asheville occupational therapy assistants earn $36.00/hr while Raleigh hygienists earn $37.38/hr (2026 est.).

Should I relocate from Asheville to Raleigh as a occupational therapy assistant?

Consider more than just salary when comparing Asheville and Raleigh. Factor in cost of living (CoL-adjusted: Asheville = $77,598, Raleigh = $79,205), job availability (70 vs 170 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Asheville vs Raleigh?

Entry-level (10th percentile) occupational therapy assistants earn $57,111 in Asheville and $58,622 in Raleigh. The Raleigh area offers higher starting salaries.

Related Comparisons

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

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