Occupational Therapist Pay

Honolulu vs Urban Honolulu: Occupational Therapist Salary (2026)

Compare occupational therapist salaries between Honolulu, HI and Urban Honolulu, HI. All figures are 2026 estimates projected from BLS 2025 data.

Honolulu, HI
$131,260
$63.10/hr
Urban Honolulu, HI
$106,018
$50.97/hr

Side-by-Side Comparison

MetricHonolulu, HIUrban Honolulu, HI
Median Salary$131,260$106,018
Hourly Rate$63.10$50.97
Entry Level (P10)$87,461$80,346
25th Percentile$102,953$86,292
75th Percentile$156,194$115,747
Top Earner (P90)$174,854$121,858
Total Employed68320
Side-by-side bar chart comparing Honolulu ($131,260) and Urban Honolulu ($106,018) occupational therapist salaries.HonoluluUrban HonoluluMedian Salary$131,260$106,018Entry Level (P10)$87,461$80,346Top Earner (P90)$174,854$121,858US Median $103,400

Verdict

Honolulu, HI offers better overall compensation for occupational therapists, winning 3 out of 4 metrics compared to Urban Honolulu.

The salary gap between Honolulu and Urban Honolulu is $25,242 (23.81%). Honolulu's median is +26.94% compared to the US national median of $103,400.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Honolulu spans $87,393,Urban Honolulu spans $41,512. Honolulu has a wider pay range, meaning more potential for high earners but also more variation.

Honolulu
P10 (Entry)$87,461
P25$102,953
Median$131,260
P75$156,194
P90 (Top)$174,854
Urban Honolulu
P10 (Entry)$80,346
P25$86,292
Median$106,018
P75$115,747
P90 (Top)$121,858

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Honolulu ($110,025 effective) pays 15.15% more than Urban Honolulu ($95,545 effective).

Honolulu
Nominal: $131,260
CoL Index: 119.3
Adjusted: $110,025
Urban Honolulu
Nominal: $106,018
CoL Index: 110.961
Adjusted: $95,545

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

Which City Is Right for You?

Choose Honolulu if…

  • Higher median salary ($131,260/year)
  • Better top-earner potential ($174,854)
  • Better purchasing power (CoL-adjusted: $110,025)
  • You prefer the Hawaii area and lifestyle

Choose Urban Honolulu if…

  • Larger job market (320 employed)
  • You prefer the Hawaii area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapist salaries in Honolulu grew 2.4% from 2024 to 2025, compared to 13.9% growth in Urban Honolulu over the same period.

Honolulu, HI

+2.4%

$124,405 (2024) → $127,363 (2025)

Urban Honolulu, HI

+13.9%

$90,330 (2019) → $102,870 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapists more: Honolulu or Urban Honolulu?

Honolulu has a higher median occupational therapist salary at $131,260/year, compared to Urban Honolulu at $106,018/year — a difference of $25,242 (23.81%).

What is the hourly rate difference between Honolulu and Urban Honolulu?

Honolulu occupational therapists earn $63.10/hr while Urban Honolulu hygienists earn $50.97/hr (2026 est.).

Should I relocate from Honolulu to Urban Honolulu as a occupational therapist?

Consider more than just salary when comparing Honolulu and Urban Honolulu. Factor in cost of living (CoL-adjusted: Honolulu = $110,025, Urban Honolulu = $95,545), job availability (68 vs 320 employed), commute, and career growth potential.

What do entry-level occupational therapists earn in Honolulu vs Urban Honolulu?

Entry-level (10th percentile) occupational therapists earn $87,461 in Honolulu and $80,346 in Urban Honolulu. The Honolulu 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