OT Assistant Salary

Coeur d'Alene vs Lewiston: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Coeur d'Alene, ID and Lewiston, ID. All figures are 2026 estimates projected from BLS 2025 data.

Coeur d'Alene, ID
$71,501
$34.38/hr
Lewiston, ID
$68,122
$32.76/hr

Side-by-Side Comparison

MetricCoeur d'Alene, IDLewiston, ID
Median Salary$71,501$68,122
Hourly Rate$34.38$32.76
Entry Level (P10)$50,487$52,114
25th Percentile$60,222$60,069
75th Percentile$78,756$74,137
Top Earner (P90)$88,771$82,683
Total Employed128
Side-by-side bar chart comparing Coeur d'Alene ($71,501) and Lewiston ($68,122) occupational therapy assistant salaries.Coeur d'AleneLewistonMedian Salary$71,501$68,122Entry Level (P10)$50,487$52,114Top Earner (P90)$88,771$82,683US Median $74,332

Verdict

Coeur d'Alene, ID offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to Lewiston.

The salary gap between Coeur d'Alene and Lewiston is $3,379 (4.96%). Coeur d'Alene's median is -3.81% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Coeur d'Alene spans $38,284,Lewiston spans $30,569. Coeur d'Alene has a wider pay range, meaning more potential for high earners but also more variation.

Coeur d'Alene
P10 (Entry)$50,487
P25$60,222
Median$71,501
P75$78,756
P90 (Top)$88,771
Lewiston
P10 (Entry)$52,114
P25$60,069
Median$68,122
P75$74,137
P90 (Top)$82,683

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Coeur d'Alene ($75,027 effective) pays 4.96% more than Lewiston ($71,482 effective).

Coeur d'Alene
Nominal: $71,501
CoL Index: 95.3
Adjusted: $75,027
Lewiston
Nominal: $68,122
CoL Index: 95.3
Adjusted: $71,482

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

Which City Is Right for You?

Choose Coeur d'Alene if…

  • Higher median salary ($71,501/year)
  • Better top-earner potential ($88,771)
  • Larger job market (12 employed)
  • Better purchasing power (CoL-adjusted: $75,027)
  • You prefer the Idaho area and lifestyle

Choose Lewiston if…

  • You prefer the Idaho area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Coeur d'Alene grew 13.0% from 2024 to 2025, compared to 13.0% growth in Lewiston over the same period.

Coeur d'Alene, ID

+13.0%

$61,563 (2024) → $69,547 (2025)

Lewiston, ID

+13.0%

$58,653 (2024) → $66,260 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Coeur d'Alene or Lewiston?

Coeur d'Alene has a higher median occupational therapy assistant salary at $71,501/year, compared to Lewiston at $68,122/year — a difference of $3,379 (4.96%).

What is the hourly rate difference between Coeur d'Alene and Lewiston?

Coeur d'Alene occupational therapy assistants earn $34.38/hr while Lewiston hygienists earn $32.76/hr (2026 est.).

Should I relocate from Coeur d'Alene to Lewiston as a occupational therapy assistant?

Consider more than just salary when comparing Coeur d'Alene and Lewiston. Factor in cost of living (CoL-adjusted: Coeur d'Alene = $75,027, Lewiston = $71,482), job availability (12 vs 8 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Coeur d'Alene vs Lewiston?

Entry-level (10th percentile) occupational therapy assistants earn $50,487 in Coeur d'Alene and $52,114 in Lewiston. The Lewiston area offers higher starting salaries.
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