Occupational Therapist Pay

Fremont vs Grand Island: Occupational Therapist Salary (2026)

Compare occupational therapist salaries between Fremont, NE and Grand Island, NE. All figures are 2026 estimates projected from BLS 2025 data.

Fremont, NE
$91,806
$44.14/hr
Grand Island, NE
$89,858
$43.20/hr

Side-by-Side Comparison

MetricFremont, NEGrand Island, NE
Median Salary$91,806$89,858
Hourly Rate$44.14$43.20
Entry Level (P10)$64,242$66,649
25th Percentile$77,012$76,481
75th Percentile$107,032$98,598
Top Earner (P90)$119,561$105,018
Total Employed460
Side-by-side bar chart comparing Fremont ($91,806) and Grand Island ($89,858) occupational therapist salaries.FremontGrand IslandMedian Salary$91,806$89,858Entry Level (P10)$64,242$66,649Top Earner (P90)$119,561$105,018US Median $103,400

Verdict

Fremont, NE offers better overall compensation for occupational therapists, winning 3 out of 4 metrics compared to Grand Island.

The salary gap between Fremont and Grand Island is $1,948 (2.17%). Fremont's median is -11.21% compared to the US national median of $103,400.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Fremont spans $55,319,Grand Island spans $38,369. Fremont has a wider pay range, meaning more potential for high earners but also more variation.

Fremont
P10 (Entry)$64,242
P25$77,012
Median$91,806
P75$107,032
P90 (Top)$119,561
Grand Island
P10 (Entry)$66,649
P25$76,481
Median$89,858
P75$98,598
P90 (Top)$105,018

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Grand Island ($103,694 effective) pays 3.35% more than Fremont ($100,334 effective).

Fremont
Nominal: $91,806
CoL Index: 91.5
Adjusted: $100,334
Grand Island
Nominal: $89,858
CoL Index: 86.657
Adjusted: $103,694

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

Which City Is Right for You?

Choose Fremont if…

  • Higher median salary ($91,806/year)
  • Better top-earner potential ($119,561)
  • You prefer the Nebraska area and lifestyle

Choose Grand Island if…

  • Larger job market (60 employed)
  • Better purchasing power (CoL-adjusted: $103,694)
  • You prefer the Nebraska area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapist salaries in Fremont grew 19.4% from 2024 to 2025, compared to 22.4% growth in Grand Island over the same period.

Fremont, NE

+19.4%

$74,581 (2024) → $89,080 (2025)

Grand Island, NE

+22.4%

$71,230 (2019) → $87,190 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapists more: Fremont or Grand Island?

Fremont has a higher median occupational therapist salary at $91,806/year, compared to Grand Island at $89,858/year — a difference of $1,948 (2.17%).

What is the hourly rate difference between Fremont and Grand Island?

Fremont occupational therapists earn $44.14/hr while Grand Island hygienists earn $43.20/hr (2026 est.).

Should I relocate from Fremont to Grand Island as a occupational therapist?

Consider more than just salary when comparing Fremont and Grand Island. Factor in cost of living (CoL-adjusted: Fremont = $100,334, Grand Island = $103,694), job availability (4 vs 60 employed), commute, and career growth potential.

What do entry-level occupational therapists earn in Fremont vs Grand Island?

Entry-level (10th percentile) occupational therapists earn $64,242 in Fremont and $66,649 in Grand Island. The Grand Island 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