Occupational therapist pay in California after taxes: what you keep (2026)

The median occupational therapist in California earned $119,470 a year in May 2024, which is $57 an hour for a full-time year, according to the Bureau of Labor Statistics. Half of the 12,020 occupational therapists the BLS counts in California earned more than that and half earned less; the middle half of them sat between $101,160 and $132,630. That is the gross figure, before anyone takes anything. What you keep depends on California's tax, and California has a progressive state income tax with a top rate of 13.3%.
What the median occupational therapist keeps in California
For a single filer on the median $119,470, taking the standard deduction and no other adjustments:
| Line | A year | A month |
|---|---|---|
| Gross pay (BLS median) | $119,470 | $9,956 |
| Federal income tax | -$18,211 | -$1,518 |
| Social Security and Medicare (7.65%) | -$9,139 | -$762 |
| California state income tax | -$11,123 | -$927 |
| Take-home | $80,997 | $6,750 |
The state line is 9.3% of gross at this salary, approximated at 70% of the top bracket, which is where a middle income lands in most progressive states. Plus a 1.1% payroll tax for disability insurance, which is not in the table. Health insurance, retirement contributions and local taxes are not in it either; they vary by employer and by city.
Where California ranks for occupational therapist pay
Of the 50 states, California ranks 1 of 50 on the gross median for occupational therapists, in the top ten. The highest-paying state is California at $119,470 and the lowest is North Dakota at $79,910. Gross rank is not take-home rank: a state with no income tax climbs several places once the state line is applied, and a high-tax state drops.
Across the border
The same job in the states next to California, gross median and estimated take-home for a single filer:
| State | Gross median | State tax | Take-home |
|---|---|---|---|
| California | $119,470 | $11,123 | $80,997 |
| Nevada | $104,770 | $0 | $81,865 |
| Arizona | $102,220 | $2,556 | $77,515 |
| Oregon | $106,840 | $7,404 | $75,917 |
Nevada leaves an occupational therapist with more at the end of the year than California does. Arizona and Oregon pay less once tax is counted. Pay is one line; rent is the other, and a higher median in a metro with higher rent can leave you with less.
Where the occupational therapist jobs are in California
The BLS count of 12,020 occupational therapists is statewide. The metros with the most of that work are Los Angeles, San Diego, San Jose, San Francisco and Sacramento, which is where the median is set and where the upper quartile ($132,630 and above) is most often paid. Employers who could not hire locally and have filed with the Department of Labor are listed on the California openings page; those filings are the ones already paying to bring people in, and housing or transport is often part of the offer.
What people get wrong about occupational therapist pay in California
- Quoting the mean. The BLS mean for California is $56 an hour, pulled up by the top earners. The median ($57) is what the typical occupational therapist makes.
- Comparing gross across states. A $119,470 offer in California is $80,997 in hand; the same number in a no-tax state is $92,120.
- Forgetting the employer's share of insurance. A job that pays $117,470 with full health coverage can beat one that pays $122,470 without it.
- Treating the statewide median as the metro median. Los Angeles pays differently from a rural county; ask for the figure for the place you are actually going.
Everything about California, on one page
The California page has the licence registries and boards, the state tax at three salaries, the programs that pay you to come, and the openings filed in California this month. If you know which state you are leaving, the move pages compare the two directly. Creating a free Workmerica profile with your trade and your destination puts you in front of California employers hiring from out of state.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024 state estimates for Occupational therapist. Tax lines are a single filer with the standard deduction, 2024 federal brackets, and the state rate in lib/us-states.ts; progressive states are approximated. Not tax advice.
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