Occupational Therapists vs. Speech-Language Pathologists: Pay, Job Outlook and Training Compared (2025 BLS Data)
- Occupational Therapists had the higher median annual wage in May 2025: $100,330, versus $97,870 for Speech-Language pathologists.
- There are more Speech-Language pathologists: about 183,390 U.S. jobs, versus 162,450 for occupational therapists.
- BLS projects employment of occupational therapists to change by 14.8% and employment of Speech-Language pathologists by 16.6% from 2025 to 2035.
Choosing between occupational therapists and Speech-Language pathologists, or thinking about switching? This side-by-side uses the federal government’s BLS OEWS national data, May 2025 for pay and job counts and BLS Employment Projections, 2025–35 for growth, openings and typical entry requirements. BLS occupation titles: “Occupational Therapists” (SOC 29-1122) and “Speech-Language Pathologists” (SOC 29-1127). More detail: Occupational Therapists (BLS) and Speech-Language Pathologists (BLS).
Pay side by side
| May 2025 | Occupational Therapists | Speech-Language Pathologists |
|---|---|---|
| U.S. jobs | 162,450 | 183,390 |
| 10th percentile (annual) | $71,690 | $62,900 |
| 25th percentile | $82,510 | $77,730 |
| Median (annual) | $100,330 | $97,870 |
| Median (hourly) | $48.24 | $47.05 |
| 75th percentile | $116,670 | $114,570 |
| 90th percentile | $131,950 | $134,160 |
| Mean (average) | $101,280 | $98,170 |
Percentile wages: for example, 10% of workers earn less than the 10th-percentile figure. OEWS wages exclude overtime, tips and most bonuses.
Outlook and how you get in
| BLS Employment Projections | Occupational Therapists | Speech-Language Pathologists |
|---|---|---|
| Projected job growth, 2025–35 | 14.8% | 16.6% |
| Openings per year (avg.) | 10.0 thousand | 12.5 thousand |
| Typical entry education | Master's degree | Master's degree |
| Work experience in a related job | none | none |
| Typical on-the-job training | none | Internship/residency |
Openings include jobs that open up when workers retire or change occupations, not just new positions, which is why a field with slow growth can still hire a lot of people every year.
Where each job pays best
The three states with the highest median wage for each occupation (BLS OEWS state data, May 2025):
| Rank | Occupational Therapists | Speech-Language Pathologists |
|---|---|---|
| 1 | California – $124,510 | California – $118,970 |
| 2 | Oregon – $112,310 | Colorado – $110,750 |
| 3 | Nevada – $110,520 | District of Columbia – $109,380 |
By industry, occupational therapists earned the highest median in Government (federal, state and local; excludes public schools, public hospitals and the Postal Service) ($105,560) and Speech-Language pathologists in Government (federal, state and local; excludes public schools, public hospitals and the Postal Service) ($105,370), counting sectors with at least 1,000 jobs in the occupation (BLS OEWS industry data).
Which should you pick?
- Look past the median. Compare the 25th and 75th percentiles too: they show what a typical early-career and an experienced worker earn in each field.
- Count the cost of entry. The education and training rows above tell you how long it takes to start earning. A longer path can still pay off if the pay gap is large.
- Check your area. State pay differs a lot from the national figure; use the state table and your local job ads before deciding.
- Already in one of these jobs? If your pay is below the 25th percentile for your field, that is a concrete number to bring to a raise conversation.
Published November 9, 2026. Sources are linked in the text.
Header image: original chart by JobPayRaise.com using BLS OEWS May 2025 data.
Comments (1)
One more data point, from metro-level data: among metro areas with at least 300 jobs in the occupation, the highest median for occupational therapists was in San Jose-Sunnyvale-Santa Clara, CA ($136,870, 840 jobs), and for Speech-Language pathologists it was in San Jose-Sunnyvale-Santa Clara, CA ($132,720, 890 jobs). Source: BLS OEWS metropolitan-area data, May 2025.
— JobPayRaise Data Desk