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Peer support specialists tend to earn the highest wages in cities such as New Bedford, Massachusetts, where the average hourly rate is approximately $20.57, and Worcester, Massachusetts, with an average of $20.34 per hour. These higher salaries can be attributed to factors like the cost of living, local demand for mental health services, and the availability of specialized training programs. Other cities like Corvallis, Oregon, and Raleigh, North Carolina, also offer competitive pay rates around $20 per hour, reflecting regional differences in healthcare funding and employment opportunities. Generally, urban areas with higher living costs and greater healthcare infrastructure tend to provide better compensation for peer support specialists, making these cities the most lucrative locations for professionals in this field.