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Salary comparison

Occupational Therapy Aides vs. Home Health and Personal Care Aides: Who Earns More?

Occupational Therapy Aides out-earn Home Health and Personal Care Aides by $3K a year at the national median, per BLS OEWS May 2025. Occupational Therapy Aides land at $39,160 and Home Health and Personal Care Aides at $35,800. The education gap is real: occupational therapy aide programs typically require postsecondary nondegree award, while home health and personal care aide programs require high school diploma or equivalent. Top-paying state for Occupational Therapy Aides is North Carolina ($66,190); for Home Health and Personal Care Aides it's Washington ($47,730).

Occupational Therapy Aides
Home Health and Personal Care Aides
Median salary
$39,160
$35,800
Hourly rate
$18.83/hr
$17.21/hr
Entry level (10th %)
$29,430
$27,040
Senior level (90th %)
$70,200
$45,040
Education required
Postsecondary nondegree award
High school diploma or equivalent
U.S. employment
4,310
4,305,810
Job growth (10-year)
2.5%
17%
Category
Healthcare Support
Healthcare Support
Top-paying state
North Carolina
Washington

Pay by state

States where both occupations have BLS data, sorted by Occupational Therapy Aides median pay.

State
Occupational Therapy Aides
Home Health and Personal Care Aides
New York
$46,220
$39,620
Washington
$45,890
$47,730
Nebraska
$44,980
$36,150
Connecticut
$44,840
$38,990
New Jersey
$44,470
$37,090
California
$43,480
$34,320
Massachusetts
$40,160
$40,910
Colorado
$40,110
$38,540
District of Columbia
$39,620
$42,700
Michigan
$39,050
$35,000
Indiana
$38,250
$35,060
Wisconsin
$36,760
$36,340
Ohio
$36,380
$34,460
Maryland
$33,310
$38,040
Idaho
$32,590
$34,790

Source: BLS OEWS May 2025. Highlighted value is higher in each row.

Common questions

Who earns more, Occupational Therapy Aides or Home Health and Personal Care Aides?

Occupational Therapy Aides earn more nationally. The median is $39,160 for Occupational Therapy Aides versus $35,800 for Home Health and Personal Care Aides, a difference of $3K. Per BLS OEWS May 2025.

Which has better job growth, Occupational Therapy Aides or Home Health and Personal Care Aides?

Home Health and Personal Care Aides has the better 10-year outlook at 17% projected growth, compared to 2.5% for the other field. Both are from BLS Employment Projections.

Which requires more education, Occupational Therapy Aides or Home Health and Personal Care Aides?

Occupational Therapy Aides typically requires postsecondary nondegree award. Home Health and Personal Care Aides requires high school diploma or equivalent. Education requirements vary by employer and state licensing board.

Where do Occupational Therapy Aides get paid the most?

North Carolina is the top-paying state for Occupational Therapy Aides at $66,190/year, per BLS OEWS May 2025. Major metro areas within that state typically pay even more than the state average.

How does Occupational Therapy Aides vs. Home Health and Personal Care Aides pay differ by state?

The gap varies significantly by state. In New York, Occupational Therapy Aides earn $46,220 vs. $39,620 for Home Health and Personal Care Aides. See the state comparison table on this page for the full picture.

Full Occupational Therapy Aides salary breakdownView →Full Home Health and Personal Care Aides salary breakdownView →Best cities for Occupational Therapy Aides by take-home payExplore →Best cities for Home Health and Personal Care Aides by take-home payExplore →How to become a occupational therapy aidesGuide →How to become a home health and personal care aidesGuide →