average COTA salary

What is the Average COTA Salary? Here’s What to Consider

If you’re reading this, you probably fall into one of two categories.

You might be interested in pursuing a career as a Certified Occupational Therapy Assistant (or COTA) and want to know what the average COTA salary looks like.

On the other hand, you may be finishing up your OTA education and are about to enter the field and want to be prepared to negotiate for a reasonable pay rate. Whatever the reason, you’ve come to the right place.

People can be mysterious and elusive when it comes to discussing pay. It can honestly be a little awkward talking about how much we get paid to others. The danger lies in assuming that the hiring department of wherever you end up working will have your best interests at heart.

Even if you are good friends or get along well with your supervisor, one of their objectives for the company will be saving money on wages. You will need to be armed with the most up-to-date COTA salary information to secure the best pay you can.

Currently, the average yearly salary of a COTA in the USA is around $60,410 based on averages from the Bureau of Labor Statistics (BLS). In your research, however, you will likely find a wide range of salaries offered as the “average” that can vary greatly depending on how that number is found. Keep in mind that there are low and high ranges, with the low end at $39,620 per year, and the high end at $80,980 per year.

There are a lot of factors that you will have to consider when negotiating an appropriate rate. Remember, you are not only negotiating for salary. Benefits, perks, and reimbursement for additional costs should all be considered when evaluating salary.


In general, as a COTA, you can expect to earn an average of around $30 an hour. Keep in mind, though, that this is an average and general number. The hourly rate of a COTA can range from $13 to $50 an hour (!) as seen with the above varied salary ranges.

What accounts for such drastic changes? Primarily, the setting in which you work. Competitive, exciting jobs are going to be able to get away with paying less per hour. With a long line of applicants, they have that luxury. On the other hand, less favorable jobs will have to have a higher hourly rate to convince potential applicants to apply.

COTA salary home health

This is where you will have to set the distinction for yourself. Although there is some variation depending on location and experience, typically you can expect to earn the least working in a pediatric outpatient clinic or acute care hospital.

You can generally earn more working in a skilled nursing or similar rehab facility. On average, occupational therapy assistants working in home health earn the most per hour. Other options are also available including working for a travel therapy company or working PRN, both of which will drastically increase your hourly rate.


The geographic area in which you work will also greatly affect your hourly rate. According to BLS statistics, the states in which a COTA can earn the most are Texas, California, Nevada, Virginia, and New Jersey.

The states that you may earn the least are North Carolina, Florida, Missouri, and Illinois. These aren’t hard rules, just general guidelines based on reports. When looking at other locations to work, be sure to also consider the cost of living.

In many cases, therapists may relocate for one reason or another and technically earn a lower hourly pay. However, at the end of the year they realize that they earned more money because of a different cost of living, taxes, and other factors.

Within a state there will be variation, so be sure to shop around to surrounding cities where there is less competition for jobs. To help with this, be sure to look for cities and towns with fewer (or no) OT and COTA programs.


One of the first things an employer looks at for a potential employee is education and work experience. On your resume, be sure to include any relevant experience that you have working in the field. However, it is generally regarded that experience working in one setting does not inherently translate to experience working in another.

COTA salary job interview

What this means is that an occupational therapy assistant with 10 years of experience working in the school system applying for a job at a hospital would technically have less experience than the COTA who has one year of experience in a hospital setting.

Of course, all work experience in occupational therapy should be included on your resume. Even if your only experience in the field and setting of your choice is from school in a fieldwork placement, include it! You should expect to earn more money if you have more experience, but this will definitely be something to discuss with your employer.


There are a few certifications that can be held on top of your OTA license to make you stand out and earn more money per hour. Of course, the first step in earning a high hourly rate is getting the job in the first place. Having these certifications will really make you appealing to an interviewer and increase your competitive edge.

Certifications such as electrical stimulation and other modalities, if needed in your state, make the facility more marketable as they can advertise that those services are available. Being certified as a lymphedema therapist or some other relevant specialty will also help you potentially earn more money and be more of a valuable asset for your therapy department.

Usually, the certifications don’t increase your pay all that much, so make sure that the certifications you pursue are in areas that truly interest you.

Finding the Right Balance

The most important thing in determining your hourly rate is going to be striking your personal balance. For some people, they can tolerate giving up certain luxuries to earn a higher hourly rate. For example, do you want to have a close mentor working with you everyday? Although technically you will earn less money per hour, maybe you shouldn’t work in home health at the moment.

COTA salary

Are you okay with not always having the most up-to-date equipment, having to be creative and come up with alternative treatment solutions? Then maybe you can work in skilled nursing facility.

Ultimately, the decision is up to you. Whatever you decide, don’t be afraid to reexamine and change settings at a later date if that is what you decide too!


Do you know of other ways to increase your COTA salary? Have you done anything to earn a higher wage? Please share your experiences in the comments below.

Additional Resources

Negotiating New Grad OT Salaries with Superhero Powers (Covalent Careers)

Negotiating Your Occupational Therapy Job Offer (OT Potential)

How to Negotiate Salary: 37 Tips You Need to Know (The Muse)

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