OT Assistant Salary

Raleigh vs Rocky Mount: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Raleigh, NC and Rocky Mount, NC. All figures are 2026 estimates projected from BLS 2025 data.

Raleigh, NC
$77,745
$37.38/hr
Rocky Mount, NC
$68,092
$32.73/hr

Side-by-Side Comparison

MetricRaleigh, NCRocky Mount, NC
Median Salary$77,745$68,092
Hourly Rate$37.38$32.73
Entry Level (P10)$58,622$49,404
25th Percentile$65,233$58,291
75th Percentile$85,384$75,889
Top Earner (P90)$104,280$86,281
Total Employed1708
Side-by-side bar chart comparing Raleigh ($77,745) and Rocky Mount ($68,092) occupational therapy assistant salaries.RaleighRocky MountMedian Salary$77,745$68,092Entry Level (P10)$58,622$49,404Top Earner (P90)$104,280$86,281US Median $74,332

Verdict

Raleigh, NC offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to Rocky Mount.

The salary gap between Raleigh and Rocky Mount is $9,653 (14.18%). Raleigh's median is +4.59% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Raleigh spans $45,658,Rocky Mount spans $36,877. Raleigh has a wider pay range, meaning more potential for high earners but also more variation.

Raleigh
P10 (Entry)$58,622
P25$65,233
Median$77,745
P75$85,384
P90 (Top)$104,280
Rocky Mount
P10 (Entry)$49,404
P25$58,291
Median$68,092
P75$75,889
P90 (Top)$86,281

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Raleigh ($79,205 effective) pays 8.88% more than Rocky Mount ($72,748 effective).

Raleigh
Nominal: $77,745
CoL Index: 98.157
Adjusted: $79,205
Rocky Mount
Nominal: $68,092
CoL Index: 93.6
Adjusted: $72,748

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

Which City Is Right for You?

Choose Raleigh if…

  • Higher median salary ($77,745/year)
  • Better top-earner potential ($104,280)
  • Larger job market (170 employed)
  • Better purchasing power (CoL-adjusted: $79,205)
  • You prefer the North Carolina area and lifestyle

Choose Rocky Mount if…

  • You prefer the North Carolina area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Raleigh grew 10.9% from 2019 to 2025, compared to 5.3% growth in Rocky Mount over the same period.

Raleigh, NC

+10.9%

$68,210 (2019) → $75,620 (2025)

Rocky Mount, NC

+5.3%

$62,910 (2022) → $66,231 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Raleigh or Rocky Mount?

Raleigh has a higher median occupational therapy assistant salary at $77,745/year, compared to Rocky Mount at $68,092/year — a difference of $9,653 (14.18%).

What is the hourly rate difference between Raleigh and Rocky Mount?

Raleigh occupational therapy assistants earn $37.38/hr while Rocky Mount hygienists earn $32.73/hr (2026 est.).

Should I relocate from Raleigh to Rocky Mount as a occupational therapy assistant?

Consider more than just salary when comparing Raleigh and Rocky Mount. Factor in cost of living (CoL-adjusted: Raleigh = $79,205, Rocky Mount = $72,748), job availability (170 vs 8 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Raleigh vs Rocky Mount?

Entry-level (10th percentile) occupational therapy assistants earn $58,622 in Raleigh and $49,404 in Rocky Mount. The Raleigh 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