Occupational Therapist Pay

San Francisco vs San Jose: Occupational Therapist Salary (2026)

Compare occupational therapist salaries between San Francisco, CA and San Jose, CA. All figures are 2026 estimates projected from BLS 2025 data.

San Francisco, CA
$140,955
$67.77/hr
San Jose, CA
$141,058
$67.81/hr

Side-by-Side Comparison

MetricSan Francisco, CASan Jose, CA
Median Salary$140,955$141,058
Hourly Rate$67.77$67.81
Entry Level (P10)$99,195$100,432
25th Percentile$127,331$128,619
75th Percentile$159,774$168,060
Top Earner (P90)$176,707$175,192
Total Employed1,560840
Side-by-side bar chart comparing San Francisco ($140,955) and San Jose ($141,058) occupational therapist salaries.San FranciscoSan JoseMedian Salary$140,955$141,058Entry Level (P10)$99,195$100,432Top Earner (P90)$176,707$175,192US Median $103,400

Verdict

San Francisco and San Jose are closely matched on overall occupational therapist compensation, each winning on different metrics.

The salary gap between San Francisco and San Jose is $103 (0.07%). San Jose's median is +36.42% compared to the US national median of $103,400.

Salary Range Comparison

The full salary range (10th to 90th percentile) in San Francisco spans $77,512,San Jose spans $74,760. San Francisco has a wider pay range, meaning more potential for high earners but also more variation.

San Francisco
P10 (Entry)$99,195
P25$127,331
Median$140,955
P75$159,774
P90 (Top)$176,707
San Jose
P10 (Entry)$100,432
P25$128,619
Median$141,058
P75$168,060
P90 (Top)$175,192

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Jose ($127,743 effective) pays 4.78% more than San Francisco ($121,920 effective).

San Francisco
Nominal: $140,955
CoL Index: 115.613
Adjusted: $121,920
San Jose
Nominal: $141,058
CoL Index: 110.423
Adjusted: $127,743

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

Which City Is Right for You?

Choose San Francisco if…

  • Better top-earner potential ($176,707)
  • Larger job market (1,560 employed)
  • You prefer the California area and lifestyle

Choose San Jose if…

  • Higher median salary ($141,058/year)
  • Better purchasing power (CoL-adjusted: $127,743)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapist salaries in San Francisco grew 28.4% from 2019 to 2025, compared to 35.8% growth in San Jose over the same period.

San Francisco, CA

+28.4%

$106,520 (2019) → $136,770 (2025)

San Jose, CA

+35.8%

$100,820 (2019) → $136,870 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapists more: San Francisco or San Jose?

San Jose has a higher median occupational therapist salary at $141,058/year, compared to San Francisco at $140,955/year — a difference of $103 (0.07%).

What is the hourly rate difference between San Francisco and San Jose?

San Francisco occupational therapists earn $67.77/hr while San Jose hygienists earn $67.81/hr (2026 est.).

Should I relocate from San Francisco to San Jose as a occupational therapist?

Consider more than just salary when comparing San Francisco and San Jose. Factor in cost of living (CoL-adjusted: San Francisco = $121,920, San Jose = $127,743), job availability (1,560 vs 840 employed), commute, and career growth potential.

What do entry-level occupational therapists earn in San Francisco vs San Jose?

Entry-level (10th percentile) occupational therapists earn $99,195 in San Francisco and $100,432 in San Jose. The San Jose 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