OT Assistant Salary

Los Angeles vs San Mateo: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Los Angeles, CA and San Mateo, CA. All figures are 2026 estimates projected from BLS 2025 data.

Los Angeles, CA
$80,284
$38.61/hr
San Mateo, CA
$87,692
$42.16/hr

Side-by-Side Comparison

MetricLos Angeles, CASan Mateo, CA
Median Salary$80,284$87,692
Hourly Rate$38.61$42.16
Entry Level (P10)$66,467$58,096
25th Percentile$78,393$76,364
75th Percentile$93,619$95,535
Top Earner (P90)$106,038$113,339
Total Employed1,72021
Side-by-side bar chart comparing Los Angeles ($80,284) and San Mateo ($87,692) occupational therapy assistant salaries.Los AngelesSan MateoMedian Salary$80,284$87,692Entry Level (P10)$66,467$58,096Top Earner (P90)$106,038$113,339US Median $74,332

Verdict

San Mateo, CA offers better overall compensation for occupational therapy assistants, winning 3 out of 4 metrics compared to Los Angeles.

The salary gap between Los Angeles and San Mateo is $7,408 (9.23%). San Mateo's median is +17.97% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Los Angeles spans $39,571,San Mateo spans $55,243. San Mateo has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapy assistants.

Los Angeles
P10 (Entry)$66,467
P25$78,393
Median$80,284
P75$93,619
P90 (Top)$106,038
San Mateo
P10 (Entry)$58,096
P25$76,364
Median$87,692
P75$95,535
P90 (Top)$113,339

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Mateo ($77,535 effective) pays 9.68% more than Los Angeles ($70,694 effective).

Los Angeles
Nominal: $80,284
CoL Index: 113.566
Adjusted: $70,694
San Mateo
Nominal: $87,692
CoL Index: 113.1
Adjusted: $77,535

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

Which City Is Right for You?

Choose Los Angeles if…

  • Larger job market (1,720 employed)
  • You prefer the California area and lifestyle

Choose San Mateo if…

  • Higher median salary ($87,692/year)
  • Better top-earner potential ($113,339)
  • Better purchasing power (CoL-adjusted: $77,535)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Los Angeles grew 10.0% from 2019 to 2025, compared to -6.7% growth in San Mateo over the same period.

Los Angeles, CA

+10.0%

$71,000 (2019) → $78,090 (2025)

San Mateo, CA

+-6.7%

$91,440 (2024) → $85,295 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Los Angeles or San Mateo?

San Mateo has a higher median occupational therapy assistant salary at $87,692/year, compared to Los Angeles at $80,284/year — a difference of $7,408 (9.23%).

What is the hourly rate difference between Los Angeles and San Mateo?

Los Angeles occupational therapy assistants earn $38.61/hr while San Mateo hygienists earn $42.16/hr (2026 est.).

Should I relocate from Los Angeles to San Mateo as a occupational therapy assistant?

Consider more than just salary when comparing Los Angeles and San Mateo. Factor in cost of living (CoL-adjusted: Los Angeles = $70,694, San Mateo = $77,535), job availability (1,720 vs 21 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Los Angeles vs San Mateo?

Entry-level (10th percentile) occupational therapy assistants earn $66,467 in Los Angeles and $58,096 in San Mateo. The Los Angeles 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