Richmond vs Roanoke: Occupational Therapist Salary (2026)
Compare occupational therapist salaries between Richmond, VA and Roanoke, VA. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Richmond, VA | Roanoke, VA |
|---|---|---|
| Median Salary | $108,780▲ | $101,009 |
| Hourly Rate | $52.29▲ | $48.56 |
| Entry Level (P10) | $79,284▲ | $70,246 |
| 25th Percentile | $86,704▲ | $81,119 |
| 75th Percentile | $122,301▲ | $117,581 |
| Top Earner (P90) | $126,207▲ | $122,672 |
| Total Employed | 740▲ | 180 |
Verdict
Richmond, VA offers better overall compensation for occupational therapists, winning 4 out of 4 metrics compared to Roanoke.
The salary gap between Richmond and Roanoke is $7,771 (7.69%). Richmond's median is +5.20% compared to the US national median of $103,400.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Richmond spans $46,923,Roanoke spans $52,426. Roanoke 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, Richmond ($111,161 effective) pays 3.03% more than Roanoke ($107,895 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Richmond if…
- ✓Higher median salary ($108,780/year)
- ✓Better top-earner potential ($126,207)
- ✓Larger job market (740 employed)
- ✓Better purchasing power (CoL-adjusted: $111,161)
- ✓You prefer the Virginia area and lifestyle
Choose Roanoke if…
- ✓You prefer the Virginia area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, occupational therapist salaries in Richmond grew 23.3% from 2019 to 2025, compared to 14.7% growth in Roanoke over the same period.
Richmond, VA
$85,620 (2019) → $105,550 (2025)
Roanoke, VA
$85,480 (2019) → $98,010 (2025)
View Full Salary Data
Richmond, VA
Roanoke, VA
Frequently Asked Questions
Which city pays occupational therapists more: Richmond or Roanoke?
What is the hourly rate difference between Richmond and Roanoke?
Should I relocate from Richmond to Roanoke as a occupational therapist?
What do entry-level occupational therapists earn in Richmond vs Roanoke?
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