Registered Nurse vs Occupational Therapist Salary
Occupational Therapists earn approximately 10.5% more than Registered Nurses nationally — $95,000 vs $86,000.
Registered Nurse vs Occupational Therapist: salary breakdown
On a national-median basis, Occupational Therapists out-earn Registered Nurses by $9,000 per year — a 10.5% gap. That works out to roughly $750/month or $4/hour of difference.
Important context: these are MEDIANS — the middle salary in the country. Real-world variation is wide: entry-level roles in either career may pay 25-35% below median, while senior roles or specialized niches can pay 50-100%+ above. Your specific numbers depend on experience, location, employer, and credentials.
When does the salary gap matter most?
For someone choosing between these careers, the $9,000 annual difference compounds:
- Over 10 years: ~$90,000 in raw salary difference
- Over 40 years: ~$360,000 (without raises or compounding)
- With 3% annual raises: the gap typically grows because the higher-paid role's raises are also larger in dollar terms
- With investment compounding: the $9,000/year extra invested at 7% over 40 years grows to roughly $1,791,000 — significantly more than the raw difference
But salary isn't everything. Job satisfaction, work-life balance, growth potential, and career switching costs all matter. A career you can sustain for decades beats a higher-paying one you'll burn out on.
By state and city — significant variation
National medians are starting points. Real salaries vary 30%+ by location:
- Registered Nurse in California ≈ $101,480 (1.18× national)
- Registered Nurse in Mississippi ≈ $72,240 (0.84× national)
- Occupational Therapist in California ≈ $112,100
- Occupational Therapist in Mississippi ≈ $79,800
Use our Registered Nurse salary by state pages to drill into specific locations.
Other comparisons in Healthcare
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Registered Nurse salary by state — Occupational Therapist salary by state — Best cities for Registered Nurse — Best cities for Occupational Therapist — Paycheck Calculator — Investment Calculator.