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COL-adjusted ranking

Best Cities for Occupational Therapistss by Take-Home Pay

The cities that pay Occupational Therapistss the most on paper aren't usually the best deals once rent and prices are factored in. Longview ranks first with a COL-adjusted equivalent of $126,017/year, better purchasing power than San Jose-Sunnyvale-Santa Clara's higher nominal pay of $136,870. The table below uses BLS OEWS May 2025 salary data and BEA Regional Price Parities.

Highest nominal pay

#1 San Jose-Sunnyvale-Santa Clara$136,870
#2 San Francisco-Oakland-Fremont$136,770
#3 Vallejo$135,000

Best purchasing power

#1 Longview$126,017
#2 Austin-Round Rock-San Marcos$124,452
#3 Vallejo$124,447

Top 25 metros by purchasing power

Ranked by COL-adjusted salary. Metros with fewer than 100 employed occupational therapistss excluded.

Rank
Metro
Nominal
COL-adj.
#1
Longview
13% rent burden
$112,760
$126,017
#2
$122,050
$124,452
#3
Vallejo
19% rent burden
$135,000
$124,447
#4
$136,870
$123,954
#5
Jonesboro
12% rent burden
$106,360
$123,847
#6
Visalia
14% rent burden
$122,690
$122,899
#7
Spartanburg
13% rent burden
$111,540
$122,504
#8
Bakersfield-Delano
14% rent burden
$123,200
$122,113
#9
Tulsa
13% rent burden
$108,350
$121,455
#10
Las Cruces
12% rent burden
$108,630
$120,419
#11
Santa Rosa-Petaluma
27% rent burden
$128,010
$118,770
#12
Santa Cruz-Watsonville
39% rent burden
$130,420
$118,672
#13
Monroe
12% rent burden
$98,980
$118,397
#14
$136,770
$118,303
#15
$107,830
$118,041
#16
$100,980
$117,569
#17
Beaumont-Port Arthur
13% rent burden
$105,830
$117,524
#18
$104,680
$117,144
#19
$99,250
$117,082
#20
Stockton-Lodi
17% rent burden
$122,990
$117,033
#21
Modesto
17% rent burden
$121,110
$116,329
#22
$125,890
$115,708
#23
Victoria
17% rent burden
$103,800
$115,539
#24
Brownsville-Harlingen
13% rent burden
$99,310
$115,517
#25
Lynchburg
14% rent burden
$103,060
$115,331

COL-adjusted = nominal salary divided by (BEA RPP divided by 100). Rent burden = annual 2BR FMR as % of nominal salary. Sources: BLS OEWS May 2025, BEA Regional Price Parities, HUD Fair Market Rents.

Common questions

What does "COL-adjusted pay" mean for Occupational Therapistss?

COL-adjusted pay divides the BLS median salary by the BEA Regional Price Parity index (100 = national average). A salary of $136,870 in a city with RPP 120 has the same purchasing power as $114,058 at national average prices.

Why doesn't New York or San Francisco top this list?

Both cities pay above-average salaries, but rent and everyday costs eat most of that premium. A occupational therapists in New York might earn 30% more but pay 60-80% more in rent. The net result is often less purchasing power than mid-cost metros.

How is purchasing power calculated?

Purchasing power equals nominal median salary divided by (BEA RPP divided by 100). BEA's Regional Price Parities measure relative price levels across metro areas, updated annually from the National Income and Product Accounts.

What's the most affordable metro for Occupational Therapistss?

Jonesboro has one of the lowest rent burdens for Occupational Therapistss in this dataset. HUD FMR for a 2-bedroom is $1,040/month, with a median salary of $106,360.

Where do Occupational Therapistss get paid the most in nominal terms?

San Jose-Sunnyvale-Santa Clara pays the highest nominal median salary at $136,870/year, per BLS OEWS May 2025. But check the COL-adjusted column before accepting any relocation offer.

National salary breakdown for Occupational TherapistssView →How to become a occupational therapistsGuide →Compare two cities side by sideCompare →