OT Assistant Salary

El Cajon vs San Francisco: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between El Cajon, CA and San Francisco, CA. All figures are 2026 estimates projected from BLS 2025 data.

El Cajon, CA
$86,318
$41.49/hr
San Francisco, CA
$100,610
$48.37/hr

Side-by-Side Comparison

MetricEl Cajon, CASan Francisco, CA
Median Salary$86,318$100,610
Hourly Rate$41.49$48.37
Entry Level (P10)$59,103$84,613
25th Percentile$71,689$89,805
75th Percentile$95,653$108,896
Top Earner (P90)$109,028$126,117
Total Employed18290
Side-by-side bar chart comparing El Cajon ($86,318) and San Francisco ($100,610) occupational therapy assistant salaries.El CajonSan FranciscoMedian Salary$86,318$100,610Entry Level (P10)$59,103$84,613Top Earner (P90)$109,028$126,117US Median $74,332

Verdict

San Francisco, CA offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to El Cajon.

The salary gap between El Cajon and San Francisco is $14,292 (16.56%). San Francisco's median is +35.35% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in El Cajon spans $49,925,San Francisco spans $41,504. El Cajon has a wider pay range, meaning more potential for high earners but also more variation.

El Cajon
P10 (Entry)$59,103
P25$71,689
Median$86,318
P75$95,653
P90 (Top)$109,028
San Francisco
P10 (Entry)$84,613
P25$89,805
Median$100,610
P75$108,896
P90 (Top)$126,117

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Francisco ($87,023 effective) pays 14.02% more than El Cajon ($76,320 effective).

El Cajon
Nominal: $86,318
CoL Index: 113.1
Adjusted: $76,320
San Francisco
Nominal: $100,610
CoL Index: 115.613
Adjusted: $87,023

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

Which City Is Right for You?

Choose El Cajon if…

  • You prefer the California area and lifestyle

Choose San Francisco if…

  • Higher median salary ($100,610/year)
  • Better top-earner potential ($126,117)
  • Larger job market (290 employed)
  • Better purchasing power (CoL-adjusted: $87,023)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in El Cajon grew -6.7% from 2024 to 2025, compared to 28.4% growth in San Francisco over the same period.

El Cajon, CA

+-6.7%

$90,007 (2024) → $83,959 (2025)

San Francisco, CA

+28.4%

$76,200 (2019) → $97,860 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: El Cajon or San Francisco?

San Francisco has a higher median occupational therapy assistant salary at $100,610/year, compared to El Cajon at $86,318/year — a difference of $14,292 (16.56%).

What is the hourly rate difference between El Cajon and San Francisco?

El Cajon occupational therapy assistants earn $41.49/hr while San Francisco hygienists earn $48.37/hr (2026 est.).

Should I relocate from El Cajon to San Francisco as a occupational therapy assistant?

Consider more than just salary when comparing El Cajon and San Francisco. Factor in cost of living (CoL-adjusted: El Cajon = $76,320, San Francisco = $87,023), job availability (18 vs 290 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in El Cajon vs San Francisco?

Entry-level (10th percentile) occupational therapy assistants earn $59,103 in El Cajon and $84,613 in San Francisco. The San Francisco 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