OT Assistant Salary

Fremont vs Grand Island: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Fremont, NE and Grand Island, NE. All figures are 2026 estimates projected from BLS 2025 data.

Fremont, NE
$65,997
$31.73/hr
Grand Island, NE
$66,389
$31.92/hr

Side-by-Side Comparison

MetricFremont, NEGrand Island, NE
Median Salary$65,997$66,389
Hourly Rate$31.73$31.92
Entry Level (P10)$46,021$48,687
25th Percentile$57,448$55,769
75th Percentile$72,524$73,029
Top Earner (P90)$81,251$82,179
Total Employed414
Side-by-side bar chart comparing Fremont ($65,997) and Grand Island ($66,389) occupational therapy assistant salaries.FremontGrand IslandMedian Salary$65,997$66,389Entry Level (P10)$46,021$48,687Top Earner (P90)$81,251$82,179US Median $74,332

Verdict

Grand Island, NE offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to Fremont.

The salary gap between Fremont and Grand Island is $392 (0.59%). Grand Island's median is -10.69% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Fremont spans $35,230,Grand Island spans $33,492. Fremont has a wider pay range, meaning more potential for high earners but also more variation.

Fremont
P10 (Entry)$46,021
P25$57,448
Median$65,997
P75$72,524
P90 (Top)$81,251
Grand Island
P10 (Entry)$48,687
P25$55,769
Median$66,389
P75$73,029
P90 (Top)$82,179

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Grand Island ($72,556 effective) pays 0.59% more than Fremont ($72,128 effective).

Fremont
Nominal: $65,997
CoL Index: 91.5
Adjusted: $72,128
Grand Island
Nominal: $66,389
CoL Index: 91.5
Adjusted: $72,556

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

Which City Is Right for You?

Choose Fremont if…

  • You prefer the Nebraska area and lifestyle

Choose Grand Island if…

  • Higher median salary ($66,389/year)
  • Better top-earner potential ($82,179)
  • Larger job market (14 employed)
  • Better purchasing power (CoL-adjusted: $72,556)
  • You prefer the Nebraska area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Fremont grew 16.6% from 2024 to 2025, compared to 25.5% growth in Grand Island over the same period.

Fremont, NE

+16.6%

$55,048 (2024) → $64,193 (2025)

Grand Island, NE

+25.5%

$51,440 (2023) → $64,574 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Fremont or Grand Island?

Grand Island has a higher median occupational therapy assistant salary at $66,389/year, compared to Fremont at $65,997/year — a difference of $392 (0.59%).

What is the hourly rate difference between Fremont and Grand Island?

Fremont occupational therapy assistants earn $31.73/hr while Grand Island hygienists earn $31.92/hr (2026 est.).

Should I relocate from Fremont to Grand Island as a occupational therapy assistant?

Consider more than just salary when comparing Fremont and Grand Island. Factor in cost of living (CoL-adjusted: Fremont = $72,128, Grand Island = $72,556), job availability (4 vs 14 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Fremont vs Grand Island?

Entry-level (10th percentile) occupational therapy assistants earn $46,021 in Fremont and $48,687 in Grand Island. The Grand Island 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