Seattle vs Spokane Valley: Occupational Therapist Salary (2026)
Compare occupational therapist salaries between Seattle, WA and Spokane Valley, WA. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Seattle, WA | Spokane Valley, WA |
|---|---|---|
| Median Salary | $113,222▲ | $104,286 |
| Hourly Rate | $54.44▲ | $50.14 |
| Entry Level (P10) | $86,210▲ | $72,486 |
| 25th Percentile | $100,112▲ | $83,715 |
| 75th Percentile | $133,906▲ | $123,210 |
| Top Earner (P90) | $142,274▲ | $139,803 |
| Total Employed | 2,020▲ | 21 |
Verdict
Seattle, WA offers better overall compensation for occupational therapists, winning 4 out of 4 metrics compared to Spokane Valley.
The salary gap between Seattle and Spokane Valley is $8,936 (8.57%). Seattle's median is +9.50% compared to the US national median of $103,400.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Seattle spans $56,064,Spokane Valley spans $67,317. Spokane Valley has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapists.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Seattle ($101,880 effective) pays 4.92% more than Spokane Valley ($97,101 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Seattle if…
- ✓Higher median salary ($113,222/year)
- ✓Better top-earner potential ($142,274)
- ✓Larger job market (2,020 employed)
- ✓Better purchasing power (CoL-adjusted: $101,880)
- ✓You prefer the Washington area and lifestyle
Choose Spokane Valley if…
- ✓You prefer the Washington area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, occupational therapist salaries in Seattle grew 29.5% from 2019 to 2025, compared to -6.6% growth in Spokane Valley over the same period.
Seattle, WA
$84,820 (2019) → $109,860 (2025)
Spokane Valley, WA
$108,350 (2024) → $101,190 (2025)
View Full Salary Data
Seattle, WA
Spokane Valley, WA
Frequently Asked Questions
Which city pays occupational therapists more: Seattle or Spokane Valley?
What is the hourly rate difference between Seattle and Spokane Valley?
Should I relocate from Seattle to Spokane Valley as a occupational therapist?
What do entry-level occupational therapists earn in Seattle vs Spokane Valley?
Related Comparisons
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.
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