Occupational Therapist Pay

Richmond vs Sterling: Occupational Therapist Salary (2026)

Compare occupational therapist salaries between Richmond, VA and Sterling, VA. All figures are 2026 estimates projected from BLS 2025 data.

Richmond, VA
$108,780
$52.29/hr
Sterling, VA
$98,291
$47.25/hr

Side-by-Side Comparison

MetricRichmond, VASterling, VA
Median Salary$108,780$98,291
Hourly Rate$52.29$47.25
Entry Level (P10)$79,284$74,656
25th Percentile$86,704$81,111
75th Percentile$122,301$113,292
Top Earner (P90)$126,207$125,871
Total Employed7407
Side-by-side bar chart comparing Richmond ($108,780) and Sterling ($98,291) occupational therapist salaries.RichmondSterlingMedian Salary$108,780$98,291Entry Level (P10)$79,284$74,656Top Earner (P90)$126,207$125,871US Median $103,400

Verdict

Richmond, VA offers better overall compensation for occupational therapists, winning 4 out of 4 metrics compared to Sterling.

The salary gap between Richmond and Sterling is $10,489 (10.67%). 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,Sterling spans $51,215. Sterling has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapists.

Richmond
P10 (Entry)$79,284
P25$86,704
Median$108,780
P75$122,301
P90 (Top)$126,207
Sterling
P10 (Entry)$74,656
P25$81,111
Median$98,291
P75$113,292
P90 (Top)$125,871

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Richmond ($111,161 effective) pays 16.71% more than Sterling ($95,243 effective).

Richmond
Nominal: $108,780
CoL Index: 97.858
Adjusted: $111,161
Sterling
Nominal: $98,291
CoL Index: 103.2
Adjusted: $95,243

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 Sterling 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 7.0% growth in Sterling over the same period.

Richmond, VA

+23.3%

$85,620 (2019) → $105,550 (2025)

Sterling, VA

+7.0%

$89,117 (2024) → $95,373 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapists more: Richmond or Sterling?

Richmond has a higher median occupational therapist salary at $108,780/year, compared to Sterling at $98,291/year — a difference of $10,489 (10.67%).

What is the hourly rate difference between Richmond and Sterling?

Richmond occupational therapists earn $52.29/hr while Sterling hygienists earn $47.25/hr (2026 est.).

Should I relocate from Richmond to Sterling as a occupational therapist?

Consider more than just salary when comparing Richmond and Sterling. Factor in cost of living (CoL-adjusted: Richmond = $111,161, Sterling = $95,243), job availability (740 vs 7 employed), commute, and career growth potential.

What do entry-level occupational therapists earn in Richmond vs Sterling?

Entry-level (10th percentile) occupational therapists earn $79,284 in Richmond and $74,656 in Sterling. The Richmond 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