Occupational Therapist Pay

Chesapeake vs Richmond: Occupational Therapist Salary (2026)

Compare occupational therapist salaries between Chesapeake, VA and Richmond, VA. All figures are 2026 estimates projected from BLS 2025 data.

Chesapeake, VA
$102,839
$49.44/hr
Richmond, VA
$108,780
$52.29/hr

Side-by-Side Comparison

MetricChesapeake, VARichmond, VA
Median Salary$102,839$108,780
Hourly Rate$49.44$52.29
Entry Level (P10)$67,031$79,284
25th Percentile$85,537$86,704
75th Percentile$125,349$122,301
Top Earner (P90)$145,460$126,207
Total Employed63740
Side-by-side bar chart comparing Chesapeake ($102,839) and Richmond ($108,780) occupational therapist salaries.ChesapeakeRichmondMedian Salary$102,839$108,780Entry Level (P10)$67,031$79,284Top Earner (P90)$145,460$126,207US Median $103,400

Verdict

Richmond, VA offers better overall compensation for occupational therapists, winning 3 out of 4 metrics compared to Chesapeake.

The salary gap between Chesapeake and Richmond is $5,941 (5.78%). Richmond's median is +5.20% compared to the US national median of $103,400.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Chesapeake spans $78,429,Richmond spans $46,923. Chesapeake has a wider pay range, meaning more potential for high earners but also more variation.

Chesapeake
P10 (Entry)$67,031
P25$85,537
Median$102,839
P75$125,349
P90 (Top)$145,460
Richmond
P10 (Entry)$79,284
P25$86,704
Median$108,780
P75$122,301
P90 (Top)$126,207

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Richmond ($111,161 effective) pays 11.55% more than Chesapeake ($99,650 effective).

Chesapeake
Nominal: $102,839
CoL Index: 103.2
Adjusted: $99,650
Richmond
Nominal: $108,780
CoL Index: 97.858
Adjusted: $111,161

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

Which City Is Right for You?

Choose Chesapeake if…

  • Better top-earner potential ($145,460)
  • You prefer the Virginia area and lifestyle

Choose Richmond if…

  • Higher median salary ($108,780/year)
  • Larger job market (740 employed)
  • Better purchasing power (CoL-adjusted: $111,161)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapist salaries in Chesapeake grew 3.9% from 2024 to 2025, compared to 23.3% growth in Richmond over the same period.

Chesapeake, VA

+3.9%

$96,038 (2024) → $99,786 (2025)

Richmond, VA

+23.3%

$85,620 (2019) → $105,550 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapists more: Chesapeake or Richmond?

Richmond has a higher median occupational therapist salary at $108,780/year, compared to Chesapeake at $102,839/year — a difference of $5,941 (5.78%).

What is the hourly rate difference between Chesapeake and Richmond?

Chesapeake occupational therapists earn $49.44/hr while Richmond hygienists earn $52.29/hr (2026 est.).

Should I relocate from Chesapeake to Richmond as a occupational therapist?

Consider more than just salary when comparing Chesapeake and Richmond. Factor in cost of living (CoL-adjusted: Chesapeake = $99,650, Richmond = $111,161), job availability (63 vs 740 employed), commute, and career growth potential.

What do entry-level occupational therapists earn in Chesapeake vs Richmond?

Entry-level (10th percentile) occupational therapists earn $67,031 in Chesapeake and $79,284 in Richmond. The Richmond area offers higher starting salaries.
JM

Written by Jordan Miller, OTR/L

Career Analyst

Jordan has 10 years of experience in occupational therapy. They specialize in pediatrics and work in a rehabilitation clinic.

Clinically reviewed by Sofia Chen, OTR/LData verified by Luis Garcia, OTR/L

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.06% 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 Miller, OTR/L, a licensed occupational therapist with 10+ years of clinical experience. · View source data at BLS.gov