PT Assistant Salary

Hilo vs Honolulu: Physical Therapist Assistant Salary (2026)

Compare physical therapist assistant salaries between Hilo, HI and Honolulu, HI. All figures are 2026 estimates projected from BLS 2025 data.

Hilo, HI
$79,524
$38.24/hr
Honolulu, HI
$89,174
$42.87/hr

Side-by-Side Comparison

MetricHilo, HIHonolulu, HI
Median Salary$79,524$89,174
Hourly Rate$38.24$42.87
Entry Level (P10)$57,979$58,038
25th Percentile$70,571$74,506
75th Percentile$91,515$104,995
Top Earner (P90)$102,302$118,213
Total Employed768
Side-by-side bar chart comparing Hilo ($79,524) and Honolulu ($89,174) physical therapist assistant salaries.HiloHonoluluMedian Salary$79,524$89,174Entry Level (P10)$57,979$58,038Top Earner (P90)$102,302$118,213US Median $70,247

Verdict

Honolulu, HI offers better overall compensation for physical therapist assistants, winning 4 out of 4 metrics compared to Hilo.

The salary gap between Hilo and Honolulu is $9,650 (12.13%). Honolulu's median is +26.94% compared to the US national median of $70,247.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Hilo spans $44,323,Honolulu spans $60,175. Honolulu has a wider pay range, suggesting more variation in pay between entry-level and experienced physical therapist assistants.

Hilo
P10 (Entry)$57,979
P25$70,571
Median$79,524
P75$91,515
P90 (Top)$102,302
Honolulu
P10 (Entry)$58,038
P25$74,506
Median$89,174
P75$104,995
P90 (Top)$118,213

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Honolulu ($74,748 effective) pays 12.13% more than Hilo ($66,659 effective).

Hilo
Nominal: $79,524
CoL Index: 119.3
Adjusted: $66,659
Honolulu
Nominal: $89,174
CoL Index: 119.3
Adjusted: $74,748

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Hilo if…

  • You prefer the Hawaii area and lifestyle

Choose Honolulu if…

  • Higher median salary ($89,174/year)
  • Better top-earner potential ($118,213)
  • Larger job market (68 employed)
  • Better purchasing power (CoL-adjusted: $74,748)
  • You prefer the Hawaii area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, physical therapist assistant salaries in Hilo grew -2.3% from 2024 to 2025, compared to -2.3% growth in Honolulu over the same period.

Hilo, HI

+-2.3%

$79,245 (2024) → $77,411 (2025)

Honolulu, HI

+-2.3%

$88,860 (2024) → $86,804 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays physical therapist assistants more: Hilo or Honolulu?

Honolulu has a higher median physical therapist assistant salary at $89,174/year, compared to Hilo at $79,524/year — a difference of $9,650 (12.13%).

What is the hourly rate difference between Hilo and Honolulu?

Hilo physical therapist assistants earn $38.24/hr while Honolulu hygienists earn $42.87/hr (2026 est.).

Should I relocate from Hilo to Honolulu as a physical therapist assistant?

Consider more than just salary when comparing Hilo and Honolulu. Factor in cost of living (CoL-adjusted: Hilo = $66,659, Honolulu = $74,748), job availability (7 vs 68 employed), commute, and career growth potential.

What do entry-level physical therapist assistants earn in Hilo vs Honolulu?

Entry-level (10th percentile) physical therapist assistants earn $57,979 in Hilo and $58,038 in Honolulu. The Honolulu area offers higher starting salaries.
JL

Written by Jordan Lee, DPT

Career Analyst

Jordan has 10 years of experience in outpatient physical therapy. They specialize in orthopedic rehabilitation. Jordan works in a private practice setting.

Clinically reviewed by Maria Gonzalez, PTAData verified by Ahmed Khan, DPT

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.73% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Jordan Lee, DPT, a licensed physical therapist assistant with 10+ years of clinical experience. · View source data at BLS.gov