Best states for therapist pay / Washington

Where therapists earn the most in Washington

Walla Walla pays the most on paper and still goes furthest — $117,480 after tax and cost of living. Below it the order reshuffles: $19,290separates the state's metros.

Therapists
Assistants
Real value by areaTap an area to zoom in
$93k$117k

Pay after state income tax, divided by local cost of living. Hatched areas have no cost-of-living index.

Pay against cost of living

One dot per metro, sized by how many physical therapists work there.

Hover or tap any area to see its full breakdown.

Every Washington area, ranked

By real value. Each profession ranked on its own.

Physical therapists

#AreaMedianAfter taxCost of livingReal value
1Walla Walla$115,740$115,74098.5$117,480
2Yakima$105,950$105,95095.5$110,890
3Mount Vernon-Anacortes$113,510$113,510102.4$110,803
4Wenatchee-East Wenatchee$114,980$114,980103.9$110,712
5Longview-Kelso$107,810$107,81097.5$110,523
6Kennewick-Richland$107,350$107,350100.1$107,265
7Olympia-Lacey-Tumwater$104,750$104,750103.7$101,042
8Portland-Vancouver-Hillsboro$106,250$106,250105.4$100,786
9Spokane-Spokane Valley$99,690$99,690100.3$99,346
10Seattle-Tacoma-Bellevue$107,290$107,290111.1$96,542
11Bellingham$96,450$96,450103.3$93,338
12Bremerton-Silverdale-Port Orchard$97,750$97,750105.6$92,560
Western Washingtonno COL data$120,090$120,090
Eastern Washingtonno COL data$108,570$108,570

Ranked by real value — pay after Washingtonincome tax, divided by that area's cost of living. Rows marked “no COL data” are BLS nonmetropolitan regions, which BEA publishes no price index for; their pay is shown but they are left unranked rather than compared against a borrowed average.

Occupational therapists
#AreaMedianAfter taxCost of livingReal value
1Yakima$111,400$111,40095.5$116,594
2Portland-Vancouver-Hillsboro$112,100$112,100105.4$106,336
3Kennewick-Richland$102,460$102,460100.1$102,379
4Olympia-Lacey-Tumwater$105,460$105,460103.7$101,727
5Bellingham$105,020$105,020103.3$101,632
6Bremerton-Silverdale-Port Orchard$106,530$106,530105.6$100,874
7Mount Vernon-Anacortes$102,680$102,680102.4$100,231
8Spokane-Spokane Valley$99,280$99,280100.3$98,938
9Seattle-Tacoma-Bellevue$109,860$109,860111.1$98,855
10Wenatchee-East Wenatchee$101,360$101,360103.9$97,598
Western Washingtonno COL data$119,450$119,450
Eastern Washingtonno COL data$107,890$107,890

Ranked by real value — pay after Washingtonincome tax, divided by that area's cost of living. Rows marked “no COL data” are BLS nonmetropolitan regions, which BEA publishes no price index for; their pay is shown but they are left unranked rather than compared against a borrowed average.

Speech-language pathologists
#AreaMedianAfter taxCost of livingReal value
1Yakima$103,450$103,45095.5$108,274
2Mount Vernon-Anacortes$105,950$105,950102.4$103,423
3Kennewick-Richland$103,410$103,410100.1$103,328
4Portland-Vancouver-Hillsboro$107,650$107,650105.4$102,114
5Longview-Kelso$98,710$98,71097.5$101,194
6Spokane-Spokane Valley$100,500$100,500100.3$100,153
7Bremerton-Silverdale-Port Orchard$104,440$104,440105.6$98,895
8Olympia-Lacey-Tumwater$101,400$101,400103.7$97,810
9Seattle-Tacoma-Bellevue$108,690$108,690111.1$97,802
10Bellingham$100,460$100,460103.3$97,219
11Wenatchee-East Wenatchee$99,530$99,530103.9$95,836
Western Washingtonno COL data$105,780$105,780
Eastern Washingtonno COL data$105,650$105,650

Ranked by real value — pay after Washingtonincome tax, divided by that area's cost of living. Rows marked “no COL data” are BLS nonmetropolitan regions, which BEA publishes no price index for; their pay is shown but they are left unranked rather than compared against a borrowed average.

Physical therapist assistants (PTA)
#AreaMedianAfter taxCost of livingReal value
1Yakima$74,100$74,10095.5$77,555
2Kennewick-Richland$72,980$72,980100.1$72,922
3Olympia-Lacey-Tumwater$74,250$74,250103.7$71,621
4Portland-Vancouver-Hillsboro$74,690$74,690105.4$70,849
5Wenatchee-East Wenatchee$69,140$69,140103.9$66,574
6Spokane-Spokane Valley$64,740$64,740100.3$64,517
7Bellingham$66,450$66,450103.3$64,306
8Bremerton-Silverdale-Port Orchard$66,810$66,810105.6$63,263
9Mount Vernon-Anacortes$61,420$61,420102.4$59,955
10Seattle-Tacoma-Bellevue$65,450$65,450111.1$58,893
Western Washingtonno COL data$72,740$72,740
Eastern Washingtonno COL data$62,620$62,620

Ranked by real value — pay after Washingtonincome tax, divided by that area's cost of living. Rows marked “no COL data” are BLS nonmetropolitan regions, which BEA publishes no price index for; their pay is shown but they are left unranked rather than compared against a borrowed average.

Occupational therapy assistants (COTA)
#AreaMedianAfter taxCost of livingReal value
1Portland-Vancouver-Hillsboro$78,640$78,640105.4$74,596
2Bremerton-Silverdale-Port Orchard$76,090$76,090105.6$72,050
3Spokane-Spokane Valley$70,570$70,570100.3$70,327
4Seattle-Tacoma-Bellevue$77,590$77,590111.1$69,817
Western Washingtonno COL data$81,710$81,710

Ranked by real value — pay after Washingtonincome tax, divided by that area's cost of living. Rows marked “no COL data” are BLS nonmetropolitan regions, which BEA publishes no price index for; their pay is shown but they are left unranked rather than compared against a borrowed average.

How this is calculated

Median pay is the median annual wage from the BLS Occupational Employment and Wage Statistics program (May 2025 release), for each profession in each Washington area.

After taxsubtracts modeled state income tax for a single filer taking the standard deduction, computed at each area's own median wage rather than copied down from the state figure. Federal tax and FICA are excluded — they don't vary by area, so they don't change the ranking.

Real valuedivides after-tax pay by that metro's own cost of living — BEA Regional Price Parities for 2024, where the US average is 100. Metro-grain, not the statewide figure used on the national map.

Map areas are the exact areas BLS reports wages for, built by dissolving Census county boundaries with the BLS OEWS area definitions — so the map and the wage data describe the same geography by construction.

Metros that cross a state line — the New York and Philadelphia metros on this page, for example — carry one BLS wage figure covering the whole metro, and their state income tax is modeled at Washingtonrates, which is the right read for a clinician living on this side of the line. They're marked in the table.

Limits: single filer only; BLS blends full-time, part-time and PRN and every experience level into one median; and 2 nonmetropolitan regions carry BLS pay but no cost-of-living index, so they are shown unranked rather than estimated. This is a comparison of typical pay, not personalized tax advice.

What should you be getting paid in Washington?

Compare local salaries by experience and practice setting.

Compare local salaries

Educational use only. Rehab Wealth Project provides calculators and content for informational purposes and does not constitute financial, tax, or legal advice. Results are estimates based on the inputs you provide and current federal rules; your actual outcome will vary. Consult a licensed professional before making decisions about your finances.

© 2026 Rehab Wealth Project. All rights reserved.