Occupational Therapist Pay

Roanoke vs Suffolk: Occupational Therapist Salary (2026)

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

Roanoke, VA
$101,009
$48.56/hr
Suffolk, VA
$100,724
$48.43/hr

Side-by-Side Comparison

MetricRoanoke, VASuffolk, VA
Median Salary$101,009$100,724
Hourly Rate$48.56$48.43
Entry Level (P10)$70,246$75,266
25th Percentile$81,119$84,550
75th Percentile$117,581$114,677
Top Earner (P90)$122,672$137,198
Total Employed18015
Side-by-side bar chart comparing Roanoke ($101,009) and Suffolk ($100,724) occupational therapist salaries.RoanokeSuffolkMedian Salary$101,009$100,724Entry Level (P10)$70,246$75,266Top Earner (P90)$122,672$137,198US Median $103,400

Verdict

Roanoke, VA offers better overall compensation for occupational therapists, winning 3 out of 4 metrics compared to Suffolk.

The salary gap between Roanoke and Suffolk is $285 (0.28%). Roanoke's median is -2.31% compared to the US national median of $103,400.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Roanoke spans $52,426,Suffolk spans $61,932. Suffolk has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapists.

Roanoke
P10 (Entry)$70,246
P25$81,119
Median$101,009
P75$117,581
P90 (Top)$122,672
Suffolk
P10 (Entry)$75,266
P25$84,550
Median$100,724
P75$114,677
P90 (Top)$137,198

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Roanoke ($107,895 effective) pays 10.55% more than Suffolk ($97,601 effective).

Roanoke
Nominal: $101,009
CoL Index: 93.618
Adjusted: $107,895
Suffolk
Nominal: $100,724
CoL Index: 103.2
Adjusted: $97,601

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

Which City Is Right for You?

Choose Roanoke if…

  • Higher median salary ($101,009/year)
  • Larger job market (180 employed)
  • Better purchasing power (CoL-adjusted: $107,895)
  • You prefer the Virginia area and lifestyle

Choose Suffolk if…

  • Better top-earner potential ($137,198)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapist salaries in Roanoke grew 14.7% from 2019 to 2025, compared to 7.0% growth in Suffolk over the same period.

Roanoke, VA

+14.7%

$85,480 (2019) → $98,010 (2025)

Suffolk, VA

+7.0%

$91,322 (2024) → $97,733 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapists more: Roanoke or Suffolk?

Roanoke has a higher median occupational therapist salary at $101,009/year, compared to Suffolk at $100,724/year — a difference of $285 (0.28%).

What is the hourly rate difference between Roanoke and Suffolk?

Roanoke occupational therapists earn $48.56/hr while Suffolk hygienists earn $48.43/hr (2026 est.).

Should I relocate from Roanoke to Suffolk as a occupational therapist?

Consider more than just salary when comparing Roanoke and Suffolk. Factor in cost of living (CoL-adjusted: Roanoke = $107,895, Suffolk = $97,601), job availability (180 vs 15 employed), commute, and career growth potential.

What do entry-level occupational therapists earn in Roanoke vs Suffolk?

Entry-level (10th percentile) occupational therapists earn $70,246 in Roanoke and $75,266 in Suffolk. The Suffolk 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