Occupational Therapist Pay

Rochester vs Troy: Occupational Therapist Salary (2026)

Compare occupational therapist salaries between Rochester, NY and Troy, NY. All figures are 2026 estimates projected from BLS 2025 data.

Rochester, NY
$84,252
$40.50/hr
Troy, NY
$90,376
$43.45/hr

Side-by-Side Comparison

MetricRochester, NYTroy, NY
Median Salary$84,252$90,376
Hourly Rate$40.50$43.45
Entry Level (P10)$59,713$64,156
25th Percentile$67,958$73,331
75th Percentile$102,174$105,646
Top Earner (P90)$113,170$119,113
Total Employed74011
Side-by-side bar chart comparing Rochester ($84,252) and Troy ($90,376) occupational therapist salaries.RochesterTroyMedian Salary$84,252$90,376Entry Level (P10)$59,713$64,156Top Earner (P90)$113,170$119,113US Median $103,400

Verdict

Troy, NY offers better overall compensation for occupational therapists, winning 3 out of 4 metrics compared to Rochester.

The salary gap between Rochester and Troy is $6,124 (7.27%). Troy's median is -12.60% compared to the US national median of $103,400.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Rochester spans $53,457,Troy spans $54,957. Troy has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapists.

Rochester
P10 (Entry)$59,713
P25$67,958
Median$84,252
P75$102,174
P90 (Top)$113,170
Troy
P10 (Entry)$64,156
P25$73,331
Median$90,376
P75$105,646
P90 (Top)$119,113

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Rochester ($86,826 effective) pays 11.35% more than Troy ($77,978 effective).

Rochester
Nominal: $84,252
CoL Index: 97.035
Adjusted: $86,826
Troy
Nominal: $90,376
CoL Index: 115.9
Adjusted: $77,978

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

Which City Is Right for You?

Choose Rochester if…

  • Larger job market (740 employed)
  • Better purchasing power (CoL-adjusted: $86,826)
  • You prefer the New York area and lifestyle

Choose Troy if…

  • Higher median salary ($90,376/year)
  • Better top-earner potential ($119,113)
  • You prefer the New York area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapist salaries in Rochester grew 8.5% from 2019 to 2025, compared to -21.9% growth in Troy over the same period.

Rochester, NY

+8.5%

$75,360 (2019) → $81,750 (2025)

Troy, NY

+-21.9%

$112,332 (2024) → $87,693 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapists more: Rochester or Troy?

Troy has a higher median occupational therapist salary at $90,376/year, compared to Rochester at $84,252/year — a difference of $6,124 (7.27%).

What is the hourly rate difference between Rochester and Troy?

Rochester occupational therapists earn $40.50/hr while Troy hygienists earn $43.45/hr (2026 est.).

Should I relocate from Rochester to Troy as a occupational therapist?

Consider more than just salary when comparing Rochester and Troy. Factor in cost of living (CoL-adjusted: Rochester = $86,826, Troy = $77,978), job availability (740 vs 11 employed), commute, and career growth potential.

What do entry-level occupational therapists earn in Rochester vs Troy?

Entry-level (10th percentile) occupational therapists earn $59,713 in Rochester and $64,156 in Troy. The Troy 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