Occupational Therapist Salary in Troy, MI: $88,714 (2026)
Quick Answer:A full-time occupational therapist in Troy, MI earns a median $88,714/year (≈ $42.65/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1122). Once you factor in Troy's price level (7% below national, BEA RPP 93.2), that paycheck buys what $95,187 would nationally. Nominal pay sits 0.6% above the Michigan state average.
Based on BLS state-level estimates · View source

In 2026, an occupational therapist salary in Troy, MI, is projected to reach a median of $88,714, reflecting the financial dynamics of this specific job market in light of local cost adjustments. Occupation settings play a significant role in determining compensation, with ranges extending from $62,487 at the 10th percentile to as high as $116,311 at the 90th percentile. For occupational therapists in Troy, the choice between working in settings such as hospitals, skilled nursing facilities (SNFs), or educational institutions carries substantial implications for earnings. Year-round contracts typically found in healthcare settings tend to offer higher compensation compared to those tied to the academic calendar in schools, influencing the overall occupational therapist pay in Troy MI.
About the Troy Market
Salary estimated from Michigan average ($86,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $62,487 | $30.04 |
| Lower Range (P25) | $71,615 | $34.43 |
| Median (P50)(typical) | $88,714 | $42.65 |
| Upper Range (P75) | $103,337 | $49.69 |
| Top Earners (P90) | $116,311 | $55.92 |
Median Salary Position
14.2% below the national average
2026 Salary Percentile Distribution in Troy
In Troy, MI, the occupational therapist salary spread from the 10th to 90th percentile is $53,824 (2026 est.). At $88,714, the local median is 14.2% below the national median of $103,400.
Salary Calculator
At 40 hours/week in Troy: You'd be in the lower-middle range
How Troy Occupational Therapist Pay Compares
Troy median: $88,714/year (2026)
| Compared To | Median Salary | Troy Pays |
|---|---|---|
| Michigan Average | $88,185 | +0.60% more |
| National Average | $103,400 | -14.20% less |
Occupational Therapists in Troy, MI earn a median of $88,714 per year (2026 est.), which is 14.20% lower than the national median of $103,400 and 0.60% above the Michigan state average of $88,185.
Cost-of-Living Adjusted Salary
Troy has a cost of living 6.80% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Troy, MI has a cost-of-living index of 93.2 (below the national average of 100). A occupational therapist earning $88,714 nominally has purchasing power equivalent to $95,187 in an average-cost city — an effective 7.3% boost.
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2019 BLS Actual
$72,884
2025 BLS Actual
$86,080
2026 Current Est.
$88,714
2019–2027 Growth
+25.4%
Salary Trajectory for Occupational Therapists in Troy (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.06% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $72,884 | Actual |
| 2020 | $74,026 | Actual |
| 2021 | $73,416 | Actual |
| 2022 | $79,946 | Actual |
| 2023 | $82,682 | Actual |
| 2024 | $80,649 | Actual |
| 2025 | $86,080 | Actual |
| 2026(current) | $88,714 | Estimated |
| 2027 | $91,429 | Projected |
Based on 7 years of BLS OEWS data for the Troy metropolitan area, the median occupational therapist salary grew 18.1% from $72,884 (2019) to $86,080 (2025). At a 3.06% compound annual growth rate, salaries are projected to reach $91,429 by 2027 — a total increase of $18,545 (25.44%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Troy metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 3.06% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $62,487 – $71,615 |
| 3-5 years (Mid Career) | $71,615 – $88,714 |
| 5+ years (Experienced) | $88,714 – $103,337 |
| 10+ years (Top Earner) | $103,337 – $116,311 |
OT, OTR salary ranges estimated from BLS percentile data. Individual occupational therapist compensation varies by employer, certifications, and specialization.
Occupational Therapist Job Market in Troy
The job market in Troy consists of approximately 20 employed occupational therapists, providing a critical but modest employment pool. With a cost of living index of 93.2, which is below the national average, take-home purchasing power in the area remains favorable despite slightly lower salaries compared to national figures. Employers that tend to pay the most include inpatient rehab facilities and outpatient hand therapy clinics, while school district contracts generally offer the lowest salaries. The disparity between the lower and higher pay brackets is shaped by several factors: different productivity expectations in hospitals versus schools, potential stipends for board certification like Certified Hand Therapist (CHT), and the implications of Medicare cuts on SNFs and outpatient services. For those seeking to maximize earnings in this local market, specializing in areas such as hand therapy or obtaining additional certifications may lead to better compensation opportunities.
More salary data for Troy, MI:
Frequently Asked Questions
How much do occupational therapists make in Troy, MI in 2026?
Is Troy, MI a good place to work as a occupational therapist?
Can occupational therapists make $100K in Troy?
What is the cost-of-living adjusted occupational therapist salary in Troy?
How much does a occupational therapist make per hour in Troy?
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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
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $86,080 for occupational therapistsin the Troy metropolitan area. A 3.06% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for Troy is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 3.06%, derived from historical BLS wage trends for occupational therapists (SOC 29-1122).
Compiled and verified by Jordan Miller, OTR/L, a licensed occupational therapist with 10+ years of clinical experience. · View source data at BLS.gov