Occupational Therapist Pay

Durham vs Rocky Mount: Occupational Therapist Salary (2026)

Compare occupational therapist salaries between Durham, NC and Rocky Mount, NC. All figures are 2026 estimates projected from BLS 2025 data.

Durham, NC
$85,705
$41.20/hr
Rocky Mount, NC
$103,864
$49.93/hr

Side-by-Side Comparison

MetricDurham, NCRocky Mount, NC
Median Salary$85,705$103,864
Hourly Rate$41.20$49.93
Entry Level (P10)$66,020$72,389
25th Percentile$84,365$86,302
75th Percentile$107,131$106,358
Top Earner (P90)$114,448$109,862
Total Employed39040
Side-by-side bar chart comparing Durham ($85,705) and Rocky Mount ($103,864) occupational therapist salaries.DurhamRocky MountMedian Salary$85,705$103,864Entry Level (P10)$66,020$72,389Top Earner (P90)$114,448$109,862US Median $103,400

Verdict

Durham and Rocky Mount are closely matched on overall occupational therapist compensation, each winning on different metrics.

The salary gap between Durham and Rocky Mount is $18,159 (21.19%). Rocky Mount's median is +0.45% compared to the US national median of $103,400.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Durham spans $48,428,Rocky Mount spans $37,473. Durham has a wider pay range, meaning more potential for high earners but also more variation.

Durham
P10 (Entry)$66,020
P25$84,365
Median$85,705
P75$107,131
P90 (Top)$114,448
Rocky Mount
P10 (Entry)$72,389
P25$86,302
Median$103,864
P75$106,358
P90 (Top)$109,862

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Rocky Mount ($118,011 effective) pays 34.35% more than Durham ($87,838 effective).

Durham
Nominal: $85,705
CoL Index: 97.572
Adjusted: $87,838
Rocky Mount
Nominal: $103,864
CoL Index: 88.012
Adjusted: $118,011

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

Which City Is Right for You?

Choose Durham if…

  • Better top-earner potential ($114,448)
  • Larger job market (390 employed)
  • You prefer the North Carolina area and lifestyle

Choose Rocky Mount if…

  • Higher median salary ($103,864/year)
  • Better purchasing power (CoL-adjusted: $118,011)
  • You prefer the North Carolina area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapist salaries in Durham grew 16.8% from 2019 to 2025, compared to 27.8% growth in Rocky Mount over the same period.

Durham, NC

+16.8%

$71,200 (2019) → $83,160 (2025)

Rocky Mount, NC

+27.8%

$78,870 (2021) → $100,780 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapists more: Durham or Rocky Mount?

Rocky Mount has a higher median occupational therapist salary at $103,864/year, compared to Durham at $85,705/year — a difference of $18,159 (21.19%).

What is the hourly rate difference between Durham and Rocky Mount?

Durham occupational therapists earn $41.20/hr while Rocky Mount hygienists earn $49.93/hr (2026 est.).

Should I relocate from Durham to Rocky Mount as a occupational therapist?

Consider more than just salary when comparing Durham and Rocky Mount. Factor in cost of living (CoL-adjusted: Durham = $87,838, Rocky Mount = $118,011), job availability (390 vs 40 employed), commute, and career growth potential.

What do entry-level occupational therapists earn in Durham vs Rocky Mount?

Entry-level (10th percentile) occupational therapists earn $66,020 in Durham and $72,389 in Rocky Mount. The Rocky Mount area offers higher starting salaries.

Related Comparisons

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