Occupational Therapist Pay

Round Rock vs San Antonio: Occupational Therapist Salary (2026)

Compare occupational therapist salaries between Round Rock, TX and San Antonio, TX. All figures are 2026 estimates projected from BLS 2025 data.

Round Rock, TX
$126,665
$60.90/hr
San Antonio, TX
$110,944
$53.33/hr

Side-by-Side Comparison

MetricRound Rock, TXSan Antonio, TX
Median Salary$126,665$110,944
Hourly Rate$60.90$53.33
Entry Level (P10)$85,482$78,006
25th Percentile$99,836$102,607
75th Percentile$152,499$133,123
Top Earner (P90)$174,764$135,648
Total Employed261,780
Side-by-side bar chart comparing Round Rock ($126,665) and San Antonio ($110,944) occupational therapist salaries.Round RockSan AntonioMedian Salary$126,665$110,944Entry Level (P10)$85,482$78,006Top Earner (P90)$174,764$135,648US Median $103,400

Verdict

Round Rock, TX offers better overall compensation for occupational therapists, winning 3 out of 4 metrics compared to San Antonio.

The salary gap between Round Rock and San Antonio is $15,721 (14.17%). Round Rock's median is +22.50% compared to the US national median of $103,400.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Round Rock spans $89,282,San Antonio spans $57,642. Round Rock has a wider pay range, meaning more potential for high earners but also more variation.

Round Rock
P10 (Entry)$85,482
P25$99,836
Median$126,665
P75$152,499
P90 (Top)$174,764
San Antonio
P10 (Entry)$78,006
P25$102,607
Median$110,944
P75$133,123
P90 (Top)$135,648

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Round Rock ($131,943 effective) pays 12.64% more than San Antonio ($117,133 effective).

Round Rock
Nominal: $126,665
CoL Index: 96
Adjusted: $131,943
San Antonio
Nominal: $110,944
CoL Index: 94.716
Adjusted: $117,133

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

Which City Is Right for You?

Choose Round Rock if…

  • Higher median salary ($126,665/year)
  • Better top-earner potential ($174,764)
  • Better purchasing power (CoL-adjusted: $131,943)
  • You prefer the Texas area and lifestyle

Choose San Antonio if…

  • Larger job market (1,780 employed)
  • You prefer the Texas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapist salaries in Round Rock grew 28.4% from 2024 to 2025, compared to 50.0% growth in San Antonio over the same period.

Round Rock, TX

+28.4%

$95,686 (2024) → $122,904 (2025)

San Antonio, TX

+50.0%

$71,770 (2019) → $107,650 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapists more: Round Rock or San Antonio?

Round Rock has a higher median occupational therapist salary at $126,665/year, compared to San Antonio at $110,944/year — a difference of $15,721 (14.17%).

What is the hourly rate difference between Round Rock and San Antonio?

Round Rock occupational therapists earn $60.90/hr while San Antonio hygienists earn $53.33/hr (2026 est.).

Should I relocate from Round Rock to San Antonio as a occupational therapist?

Consider more than just salary when comparing Round Rock and San Antonio. Factor in cost of living (CoL-adjusted: Round Rock = $131,943, San Antonio = $117,133), job availability (26 vs 1,780 employed), commute, and career growth potential.

What do entry-level occupational therapists earn in Round Rock vs San Antonio?

Entry-level (10th percentile) occupational therapists earn $85,482 in Round Rock and $78,006 in San Antonio. The Round Rock 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