Occupational Therapist Pay

Louisville/Jefferson County vs Louisville: Occupational Therapist Salary (2026)

Compare occupational therapist salaries between Louisville/Jefferson County, KY and Louisville, KY. All figures are 2026 estimates projected from BLS 2025 data.

Louisville/Jefferson County, KY
$103,101
$49.57/hr
Louisville, KY
$107,467
$51.66/hr

Side-by-Side Comparison

MetricLouisville/Jefferson County, KYLouisville, KY
Median Salary$103,101$107,467
Hourly Rate$49.57$51.66
Entry Level (P10)$77,955$70,860
25th Percentile$83,932$83,798
75th Percentile$116,303$127,447
Top Earner (P90)$130,288$146,101
Total Employed710132
Side-by-side bar chart comparing Louisville/Jefferson County ($103,101) and Louisville ($107,467) occupational therapist salaries.Louisville/Jefferson CountyLouisvilleMedian Salary$103,101$107,467Entry Level (P10)$77,955$70,860Top Earner (P90)$130,288$146,101US Median $103,400

Verdict

Louisville, KY offers better overall compensation for occupational therapists, winning 3 out of 4 metrics compared to Louisville/Jefferson County.

The salary gap between Louisville/Jefferson County and Louisville is $4,366 (4.23%). Louisville's median is +3.93% compared to the US national median of $103,400.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Louisville/Jefferson County spans $52,333,Louisville spans $75,241. Louisville has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapists.

Louisville/Jefferson County
P10 (Entry)$77,955
P25$83,932
Median$103,101
P75$116,303
P90 (Top)$130,288
Louisville
P10 (Entry)$70,860
P25$83,798
Median$107,467
P75$127,447
P90 (Top)$146,101

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Louisville ($120,344 effective) pays 8.64% more than Louisville/Jefferson County ($110,773 effective).

Louisville/Jefferson County
Nominal: $103,101
CoL Index: 93.074
Adjusted: $110,773
Louisville
Nominal: $107,467
CoL Index: 89.3
Adjusted: $120,344

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

Which City Is Right for You?

Choose Louisville/Jefferson County if…

  • Larger job market (710 employed)
  • You prefer the Kentucky area and lifestyle

Choose Louisville if…

  • Higher median salary ($107,467/year)
  • Better top-earner potential ($146,101)
  • Better purchasing power (CoL-adjusted: $120,344)
  • You prefer the Kentucky area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapist salaries in Louisville/Jefferson County grew 34.4% from 2019 to 2025, compared to 21.7% growth in Louisville over the same period.

Louisville/Jefferson County, KY

+34.4%

$74,460 (2019) → $100,040 (2025)

Louisville, KY

+21.7%

$85,675 (2024) → $104,276 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapists more: Louisville/Jefferson County or Louisville?

Louisville has a higher median occupational therapist salary at $107,467/year, compared to Louisville/Jefferson County at $103,101/year — a difference of $4,366 (4.23%).

What is the hourly rate difference between Louisville/Jefferson County and Louisville?

Louisville/Jefferson County occupational therapists earn $49.57/hr while Louisville hygienists earn $51.66/hr (2026 est.).

Should I relocate from Louisville/Jefferson County to Louisville as a occupational therapist?

Consider more than just salary when comparing Louisville/Jefferson County and Louisville. Factor in cost of living (CoL-adjusted: Louisville/Jefferson County = $110,773, Louisville = $120,344), job availability (710 vs 132 employed), commute, and career growth potential.

What do entry-level occupational therapists earn in Louisville/Jefferson County vs Louisville?

Entry-level (10th percentile) occupational therapists earn $77,955 in Louisville/Jefferson County and $70,860 in Louisville. The Louisville/Jefferson County 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