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Salary comparison

Occupational Therapy Aides vs. Nursing Assistants: Who Earns More?

Nursing Assistantss out-earn Occupational Therapy Aidess by $3K a year at the national median, per BLS OEWS May 2025. Occupational Therapy Aidess land at $39,160 and Nursing Assistantss at $42,260. The education gap is real: occupational therapy aide programs typically require postsecondary nondegree award, while nursing assistant programs require postsecondary nondegree award. Top-paying state for Occupational Therapy Aidess is North Carolina ($66,190); for Nursing Assistantss it's Oregon ($49,830).

Occupational Therapy Aides
Nursing Assistants
Median salary
$39,160
$42,260
Hourly rate
$18.83/hr
$20.32/hr
Entry level (10th %)
$29,430
$33,940
Senior level (90th %)
$70,200
$51,980
Education required
Postsecondary nondegree award
Postsecondary nondegree award
U.S. employment
4,310
1,448,910
Job growth (10-year)
N/A
N/A
Category
Healthcare Support
Healthcare Support
Top-paying state
North Carolina
Oregon

Pay by state

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

State
Occupational Therapy Aides
Nursing Assistants
New York
$46,220
$48,590
Washington
$45,890
$49,180
Nebraska
$44,980
$40,000
Connecticut
$44,840
$44,790
New Jersey
$44,470
$46,830
California
$43,480
$47,630
New Mexico
$43,170
$39,390
Massachusetts
$40,160
$46,680
Colorado
$40,110
$47,380
District of Columbia
$39,620
$47,700
Michigan
$39,050
$39,570
Pennsylvania
$37,100
$44,590
Wisconsin
$36,760
$45,130
Nevada
$36,440
$45,490
Maryland
$33,310
$43,240

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

Common questions

Who earns more, Occupational Therapy Aidess or Nursing Assistantss?

Nursing Assistantss earn more nationally. The median is $39,160 for Occupational Therapy Aidess versus $42,260 for Nursing Assistantss, a difference of $3K. Per BLS OEWS May 2025.

Which has better job growth, Occupational Therapy Aides or Nursing Assistants?

BLS Employment Projections data is not available for one or both occupations. Check the individual career pages for current outlook figures.

Which requires more education, Occupational Therapy Aides or Nursing Assistants?

Occupational Therapy Aides typically requires postsecondary nondegree award. Nursing Assistants requires postsecondary nondegree award. Education requirements vary by employer and state licensing board.

Where do Occupational Therapy Aidess get paid the most?

North Carolina is the top-paying state for Occupational Therapy Aidess 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. Nursing Assistants pay differ by state?

The gap varies significantly by state. In New York, Occupational Therapy Aidess earn $46,220 vs. $48,590 for Nursing Assistantss. See the state comparison table on this page for the full picture.

Full Occupational Therapy Aides salary breakdownView →Full Nursing Assistants salary breakdownView →Best cities for Occupational Therapy Aidess by take-home payExplore →Best cities for Nursing Assistantss by take-home payExplore →How to become a occupational therapy aidesGuide →How to become a nursing assistantsGuide →