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Occupational Therapy Assistants Salary in North Carolina: Cost of Living Adjusted (2025)

Last updated: 2025 BLS data · Page refreshed:

What does a Occupational Therapy Assistants salary really buy you in North Carolina?

North Carolina is 5.8% cheaper than the US average

Data: BLS OEWS 2025 + BEA Regional Price Parities 2022 • Updated 2026-05-19

Nominal Salary
$69,390
Median annual (2025)
+6.2%
Real Purchasing Power
$73,662
COL-adjusted (RPP=94.2)

North Carolina Cost of Living Index

North Carolina's Regional Price Parity (RPP) is 94.2, meaning prices are 5.8% lower the national average. A Occupational Therapy Assistants earning $69,390 in North Carolina has the equivalent purchasing power of $73,662 in an average-cost US state.

NC: 94.2
Cheapest (~85) US Avg (100) Priciest (~115)

Salary Breakdown: Nominal vs. COL-Adjusted

Every dollar goes further in low-cost states. Here is how each salary percentile compares after adjusting for North Carolina's cost of living.

Percentile Nominal Salary COL-Adjusted Difference
10th Percentile (P10) $55,130 $58,524 +$3,394
25th Percentile (P25) $62,110 $65,934 +$3,824
Median (P50) $69,390 $73,662 +$4,272
75th Percentile (P75) $76,420 $81,125 +$4,705
90th Percentile (P90) $83,360 $88,492 +$5,132
Key Insight

A Occupational Therapy Assistants in North Carolina earns $69,390 on paper, but low living costs mean your money goes 6% further — like earning $73,662 in an average-cost state. This makes North Carolina one of the best value states for this occupation.

What the Cost-of-Living Data Says

North Carolina Sits Near the National Cost Benchmark

RPP 94.2

With an RPP of 94.2, North Carolina is within a few percent of the national cost-of-living baseline. Salary adjustment for Occupational Therapy Assistants is therefore minor — what you earn is close to what you'd keep in real purchasing power.

Meaningful Purchasing-Power Shift

+6.2%

After applying North Carolina's RPP, the $69,390 median salary translates to $73,662 in real terms — a 6.2% gain. That difference can cover several months of expenses over a year for a Occupational Therapy Assistants.

Top-Quartile Adjusted Earnings in North Carolina

#12 / 50

Ranked on COL-adjusted median pay for Occupational Therapy Assistants, North Carolina places #12 of 50 states — top quartile. Either nominal wages run high, cost of living runs low, or both.

Best States for Occupational Therapy Assistants (After Cost of Living)

Where does Occupational Therapy Assistants salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.

$91,154
RPP 86.6
$84,637
RPP 91.0
3. Texas
$83,589
RPP 97.5
4. Nevada
$82,479
RPP 96.4
5. Montana
$80,620
RPP 90.3
$80,244
RPP 98.0
7. Georgia
$79,248
RPP 95.8
$78,782
RPP 93.6
$78,104
RPP 105.0
10. Oklahoma
$74,909
RPP 88.8

North Carolina ranks #12 out of 50 states for Occupational Therapy Assistants after cost-of-living adjustment.

How much do you actually take home? See Occupational Therapy Assistants take-home pay in North Carolina after taxes →

Frequently Asked Questions

What is the real salary for a Occupational Therapy Assistants in North Carolina after cost of living?

A Occupational Therapy Assistants in North Carolina earns a median salary of $69,390 per year. After adjusting for North Carolina's cost of living (RPP=94.2), the real purchasing power is $73,662 — a +6.2% difference.

Is North Carolina expensive to live in?

North Carolina's cost of living is 5.8% lower than the national average according to the BEA Regional Price Parities (2022). The RPP index for North Carolina is 94.2 (US average = 100).

What are Regional Price Parities (RPP)?

Regional Price Parities (RPPs) are price indexes published by the U.S. Bureau of Economic Analysis (BEA) that measure differences in price levels across states. They are expressed as a percentage of the national average (US = 100). Higher RPP means higher cost of living.

How is the cost-of-living adjusted salary calculated?

The adjusted salary is calculated as: Nominal Salary x (100 / RPP). For a Occupational Therapy Assistants in North Carolina: $69,390 x (100 / 94.2) = $73,662. This represents what the salary would be worth in a state with average living costs.

Is it better to be a Occupational Therapy Assistants in North Carolina financially?

From a purchasing power perspective, yes. A Occupational Therapy Assistants in North Carolina enjoys 6.2% more buying power than the nominal salary suggests, because living costs are below the national average. However, other factors like job availability, career growth, and quality of life also matter.

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