OT Assistant Salary

Lynchburg vs Roanoke: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Lynchburg, VA and Roanoke, VA. All figures are 2026 estimates projected from BLS 2025 data.

Lynchburg, VA
$80,428
$38.67/hr
Roanoke, VA
$74,918
$36.01/hr

Side-by-Side Comparison

MetricLynchburg, VARoanoke, VA
Median Salary$80,428$74,918
Hourly Rate$38.67$36.01
Entry Level (P10)$67,022$56,535
25th Percentile$75,925$60,555
75th Percentile$85,363$76,306
Top Earner (P90)$102,646$90,277
Total Employed4060
Side-by-side bar chart comparing Lynchburg ($80,428) and Roanoke ($74,918) occupational therapy assistant salaries.LynchburgRoanokeMedian Salary$80,428$74,918Entry Level (P10)$67,022$56,535Top Earner (P90)$102,646$90,277US Median $74,332

Verdict

Lynchburg, VA offers better overall compensation for occupational therapy assistants, winning 3 out of 4 metrics compared to Roanoke.

The salary gap between Lynchburg and Roanoke is $5,510 (7.35%). Lynchburg's median is +8.20% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Lynchburg spans $35,624,Roanoke spans $33,742. Lynchburg has a wider pay range, meaning more potential for high earners but also more variation.

Lynchburg
P10 (Entry)$67,022
P25$75,925
Median$80,428
P75$85,363
P90 (Top)$102,646
Roanoke
P10 (Entry)$56,535
P25$60,555
Median$74,918
P75$76,306
P90 (Top)$90,277

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Lynchburg ($90,001 effective) pays 12.47% more than Roanoke ($80,025 effective).

Lynchburg
Nominal: $80,428
CoL Index: 89.363
Adjusted: $90,001
Roanoke
Nominal: $74,918
CoL Index: 93.618
Adjusted: $80,025

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

Which City Is Right for You?

Choose Lynchburg if…

  • Higher median salary ($80,428/year)
  • Better top-earner potential ($102,646)
  • Better purchasing power (CoL-adjusted: $90,001)
  • You prefer the Virginia area and lifestyle

Choose Roanoke if…

  • Larger job market (60 employed)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Lynchburg grew 5.0% from 2019 to 2025, compared to 2.4% growth in Roanoke over the same period.

Lynchburg, VA

+5.0%

$74,490 (2019) → $78,230 (2025)

Roanoke, VA

+2.4%

$71,130 (2019) → $72,870 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Lynchburg or Roanoke?

Lynchburg has a higher median occupational therapy assistant salary at $80,428/year, compared to Roanoke at $74,918/year — a difference of $5,510 (7.35%).

What is the hourly rate difference between Lynchburg and Roanoke?

Lynchburg occupational therapy assistants earn $38.67/hr while Roanoke hygienists earn $36.01/hr (2026 est.).

Should I relocate from Lynchburg to Roanoke as a occupational therapy assistant?

Consider more than just salary when comparing Lynchburg and Roanoke. Factor in cost of living (CoL-adjusted: Lynchburg = $90,001, Roanoke = $80,025), job availability (40 vs 60 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Lynchburg vs Roanoke?

Entry-level (10th percentile) occupational therapy assistants earn $67,022 in Lynchburg and $56,535 in Roanoke. The Lynchburg 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