Is Occupational Therapy a Good Career in Maryland?
Maryland · 2026 BLS salary data
Occupational Therapy pay in Maryland
The median wage is $106,980/yr — 7% above the national median. Among U.S. states, Marylandranks #6 of 51 states by median pay.
The numbers in Maryland
Real BLS state-level figures for Occupational Therapy.
- Median salary
- $106,980/yr
- Pay range (25th–75th)
- $87,650 – $123,700
- National median
- $100,330/yr
- Employed in Maryland
- 2,390
Source: BLS Occupational Employment & Wage Statistics (OEWS), state estimates, May 2025 release.
What that pay is really worth in Maryland
Salary alone can mislead — Maryland costs 5% more than the U.S. average. Here's the median adjusted for local prices (real purchasing power).
- Cost of living (US=100)
- 105
- Nominal median
- $106,980
- Adjusted for cost of living
- ≈ $101,886
- State income tax
- Up to 5.75%
Maryland's high pay is offset by cost of living — adjusted for prices it ranks #26 of 51, down from #6 on raw salary.
Cost of living: BEA Regional Price Parities (all items, US=100), 2024. Adjusted pay = nominal median ÷ (RPP/100) — purchasing power vs the U.S. average. State income tax = top marginal rate on wage income (Tax Foundation, 2025); your effective rate is lower and depends on income and deductions; some localities also levy income tax.
The verdict
Yes — occupational therapy combines strong pay, much-faster-than-average growth, and highly meaningful work. The main hurdle is the required master's or doctorate and the debt that comes with it.
- Worth it If you want meaningful health-care work with strong pay and growth
- Worth it If you can fund or manage the required graduate degree
- Not worth it If you're unwilling to commit to a master's/doctorate
Pros & cons
Pros
- Strong, above-median pay
- Much-faster-than-average projected growth
- Deeply meaningful, hands-on rehabilitation work
- Varied settings and populations
- Good work-life balance relative to many health roles
Cons
- Requires a master's or doctorate (OTD)
- Significant graduate debt
- Physically active, sometimes demanding
- Productivity pressure in some clinics
Who it's for
✓ A good fit if…
- People wanting meaningful, hands-on health care
- Those who can invest in a graduate degree
- Anyone valuing autonomy and patient relationships
✗ Probably not if…
- People unwilling to pursue graduate study
- Those seeking a fast, cheap entry
What people are actually asking
Real Reddit discussions on whether Occupational Therapy is worth it — titles link to the original threads.
- “Are there any OTs here who actually love their job?”r/OccupationalTherapypositive/pro
- “Tell me everything: the good, the bad, the ugly : r ...”r/OccupationalTherapynegative/caution
- “OTs on here that regret their career choice.”r/OccupationalTherapynegative/caution
- “How are you living as an OT? Quality of life / economic ...”r/OccupationalTherapymixed
- “Is it worth it?”r/OccupationalTherapyquestioning
- “Do you regret being an OT?”r/OccupationalTherapynegative/caution
- “should i become an OT?”r/occupationaltherapyUKquestioning