OT Assistant Salary

Honolulu vs Kailua: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Honolulu, HI and Kailua, HI. All figures are 2026 estimates projected from BLS 2025 data.

Honolulu, HI
$94,359
$45.37/hr
Kailua, HI
$87,907
$42.27/hr

Side-by-Side Comparison

MetricHonolulu, HIKailua, HI
Median Salary$94,359$87,907
Hourly Rate$45.37$42.27
Entry Level (P10)$62,660$64,337
25th Percentile$76,877$75,433
75th Percentile$105,710$95,578
Top Earner (P90)$118,426$106,219
Total Employed686
Side-by-side bar chart comparing Honolulu ($94,359) and Kailua ($87,907) occupational therapy assistant salaries.HonoluluKailuaMedian Salary$94,359$87,907Entry Level (P10)$62,660$64,337Top Earner (P90)$118,426$106,219US Median $74,332

Verdict

Honolulu, HI offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to Kailua.

The salary gap between Honolulu and Kailua is $6,452 (7.34%). Honolulu's median is +26.94% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Honolulu spans $55,766,Kailua spans $41,882. Honolulu has a wider pay range, meaning more potential for high earners but also more variation.

Honolulu
P10 (Entry)$62,660
P25$76,877
Median$94,359
P75$105,710
P90 (Top)$118,426
Kailua
P10 (Entry)$64,337
P25$75,433
Median$87,907
P75$95,578
P90 (Top)$106,219

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Honolulu ($79,094 effective) pays 7.34% more than Kailua ($73,686 effective).

Honolulu
Nominal: $94,359
CoL Index: 119.3
Adjusted: $79,094
Kailua
Nominal: $87,907
CoL Index: 119.3
Adjusted: $73,686

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

Which City Is Right for You?

Choose Honolulu if…

  • Higher median salary ($94,359/year)
  • Better top-earner potential ($118,426)
  • Larger job market (68 employed)
  • Better purchasing power (CoL-adjusted: $79,094)
  • You prefer the Hawaii area and lifestyle

Choose Kailua if…

  • You prefer the Hawaii area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Honolulu grew 0.4% from 2024 to 2025, compared to 0.4% growth in Kailua over the same period.

Honolulu, HI

+0.4%

$91,399 (2024) → $91,780 (2025)

Kailua, HI

+0.4%

$85,149 (2024) → $85,504 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Honolulu or Kailua?

Honolulu has a higher median occupational therapy assistant salary at $94,359/year, compared to Kailua at $87,907/year — a difference of $6,452 (7.34%).

What is the hourly rate difference between Honolulu and Kailua?

Honolulu occupational therapy assistants earn $45.37/hr while Kailua hygienists earn $42.27/hr (2026 est.).

Should I relocate from Honolulu to Kailua as a occupational therapy assistant?

Consider more than just salary when comparing Honolulu and Kailua. Factor in cost of living (CoL-adjusted: Honolulu = $79,094, Kailua = $73,686), job availability (68 vs 6 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Honolulu vs Kailua?

Entry-level (10th percentile) occupational therapy assistants earn $62,660 in Honolulu and $64,337 in Kailua. The Kailua 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