Durham vs Winston-Salem: Occupational Therapist Salary (2026)
Compare occupational therapist salaries between Durham, NC and Winston-Salem, NC. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Durham, NC | Winston-Salem, NC |
|---|---|---|
| Median Salary | $85,705 | $92,305▲ |
| Hourly Rate | $41.20 | $44.38▲ |
| Entry Level (P10) | $66,020▲ | $60,491 |
| 25th Percentile | $84,365▲ | $71,621 |
| 75th Percentile | $107,131 | $109,021▲ |
| Top Earner (P90) | $114,448 | $125,100▲ |
| Total Employed | 390▲ | 59 |
Verdict
Winston-Salem, NC offers better overall compensation for occupational therapists, winning 3 out of 4 metrics compared to Durham.
The salary gap between Durham and Winston-Salem is $6,600 (7.70%). Winston-Salem's median is -10.73% 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,Winston-Salem spans $64,609. Winston-Salem has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapists.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Winston-Salem ($98,616 effective) pays 12.27% more than Durham ($87,838 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Durham if…
- ✓Larger job market (390 employed)
- ✓You prefer the North Carolina area and lifestyle
Choose Winston-Salem if…
- ✓Higher median salary ($92,305/year)
- ✓Better top-earner potential ($125,100)
- ✓Better purchasing power (CoL-adjusted: $98,616)
- ✓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 0.4% growth in Winston-Salem over the same period.
Durham, NC
$71,200 (2019) → $83,160 (2025)
Winston-Salem, NC
$89,245 (2024) → $89,564 (2025)
View Full Salary Data
Durham, NC
Winston-Salem, NC
Frequently Asked Questions
Which city pays occupational therapists more: Durham or Winston-Salem?
What is the hourly rate difference between Durham and Winston-Salem?
Should I relocate from Durham to Winston-Salem as a occupational therapist?
What do entry-level occupational therapists earn in Durham vs Winston-Salem?
Related Comparisons
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.
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