OT Assistant Salary

Richmond vs Sterling: Occupational Therapy Assistant Salary (2026)

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

Richmond, VA
$78,917
$37.95/hr
Sterling, VA
$75,720
$36.41/hr

Side-by-Side Comparison

MetricRichmond, VASterling, VA
Median Salary$78,917$75,720
Hourly Rate$37.95$36.41
Entry Level (P10)$51,405$57,327
25th Percentile$66,354$64,878
75th Percentile$82,371$82,206
Top Earner (P90)$96,055$91,576
Total Employed2107
Side-by-side bar chart comparing Richmond ($78,917) and Sterling ($75,720) occupational therapy assistant salaries.RichmondSterlingMedian Salary$78,917$75,720Entry Level (P10)$51,405$57,327Top Earner (P90)$96,055$91,576US Median $74,332

Verdict

Richmond, VA offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to Sterling.

The salary gap between Richmond and Sterling is $3,197 (4.22%). Richmond's median is +6.17% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Richmond spans $44,650,Sterling spans $34,249. Richmond has a wider pay range, meaning more potential for high earners but also more variation.

Richmond
P10 (Entry)$51,405
P25$66,354
Median$78,917
P75$82,371
P90 (Top)$96,055
Sterling
P10 (Entry)$57,327
P25$64,878
Median$75,720
P75$82,206
P90 (Top)$91,576

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Richmond ($80,644 effective) pays 9.91% more than Sterling ($73,372 effective).

Richmond
Nominal: $78,917
CoL Index: 97.858
Adjusted: $80,644
Sterling
Nominal: $75,720
CoL Index: 103.2
Adjusted: $73,372

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

Which City Is Right for You?

Choose Richmond if…

  • Higher median salary ($78,917/year)
  • Better top-earner potential ($96,055)
  • Larger job market (210 employed)
  • Better purchasing power (CoL-adjusted: $80,644)
  • You prefer the Virginia area and lifestyle

Choose Sterling if…

  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Richmond grew 8.9% from 2019 to 2025, compared to 9.4% growth in Sterling over the same period.

Richmond, VA

+8.9%

$70,460 (2019) → $76,760 (2025)

Sterling, VA

+9.4%

$67,333 (2024) → $73,650 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Richmond or Sterling?

Richmond has a higher median occupational therapy assistant salary at $78,917/year, compared to Sterling at $75,720/year — a difference of $3,197 (4.22%).

What is the hourly rate difference between Richmond and Sterling?

Richmond occupational therapy assistants earn $37.95/hr while Sterling hygienists earn $36.41/hr (2026 est.).

Should I relocate from Richmond to Sterling as a occupational therapy assistant?

Consider more than just salary when comparing Richmond and Sterling. Factor in cost of living (CoL-adjusted: Richmond = $80,644, Sterling = $73,372), job availability (210 vs 7 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Richmond vs Sterling?

Entry-level (10th percentile) occupational therapy assistants earn $51,405 in Richmond and $57,327 in Sterling. The Sterling 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