Occupational Therapist Pay

Longview vs San Antonio: Occupational Therapist Salary (2026)

Compare occupational therapist salaries between Longview, TX and San Antonio, TX. All figures are 2026 estimates projected from BLS 2025 data.

Longview, TX
$116,210
$55.87/hr
San Antonio, TX
$110,944
$53.33/hr

Side-by-Side Comparison

MetricLongview, TXSan Antonio, TX
Median Salary$116,210$110,944
Hourly Rate$55.87$53.33
Entry Level (P10)$57,188$78,006
25th Percentile$88,755$102,607
75th Percentile$137,183$133,123
Top Earner (P90)$150,076$135,648
Total Employed1301,780
Side-by-side bar chart comparing Longview ($116,210) and San Antonio ($110,944) occupational therapist salaries.LongviewSan AntonioMedian Salary$116,210$110,944Entry Level (P10)$57,188$78,006Top Earner (P90)$150,076$135,648US Median $103,400

Verdict

Longview, TX offers better overall compensation for occupational therapists, winning 3 out of 4 metrics compared to San Antonio.

The salary gap between Longview and San Antonio is $5,266 (4.75%). Longview's median is +12.39% compared to the US national median of $103,400.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Longview spans $92,888,San Antonio spans $57,642. Longview has a wider pay range, meaning more potential for high earners but also more variation.

Longview
P10 (Entry)$57,188
P25$88,755
Median$116,210
P75$137,183
P90 (Top)$150,076
San Antonio
P10 (Entry)$78,006
P25$102,607
Median$110,944
P75$133,123
P90 (Top)$135,648

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Longview ($129,865 effective) pays 10.87% more than San Antonio ($117,133 effective).

Longview
Nominal: $116,210
CoL Index: 89.485
Adjusted: $129,865
San Antonio
Nominal: $110,944
CoL Index: 94.716
Adjusted: $117,133

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

Which City Is Right for You?

Choose Longview if…

  • Higher median salary ($116,210/year)
  • Better top-earner potential ($150,076)
  • Better purchasing power (CoL-adjusted: $129,865)
  • You prefer the Texas area and lifestyle

Choose San Antonio if…

  • Larger job market (1,780 employed)
  • You prefer the Texas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapist salaries in Longview grew 44.7% from 2019 to 2025, compared to 50.0% growth in San Antonio over the same period.

Longview, TX

+44.7%

$77,930 (2019) → $112,760 (2025)

San Antonio, TX

+50.0%

$71,770 (2019) → $107,650 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapists more: Longview or San Antonio?

Longview has a higher median occupational therapist salary at $116,210/year, compared to San Antonio at $110,944/year — a difference of $5,266 (4.75%).

What is the hourly rate difference between Longview and San Antonio?

Longview occupational therapists earn $55.87/hr while San Antonio hygienists earn $53.33/hr (2026 est.).

Should I relocate from Longview to San Antonio as a occupational therapist?

Consider more than just salary when comparing Longview and San Antonio. Factor in cost of living (CoL-adjusted: Longview = $129,865, San Antonio = $117,133), job availability (130 vs 1,780 employed), commute, and career growth potential.

What do entry-level occupational therapists earn in Longview vs San Antonio?

Entry-level (10th percentile) occupational therapists earn $57,188 in Longview and $78,006 in San Antonio. The San Antonio 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