OT Assistant Salary

Bismarck vs Fargo: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Bismarck, ND and Fargo, ND. All figures are 2026 estimates projected from BLS 2025 data.

Bismarck, ND
$67,406
$32.41/hr
Fargo, ND
$65,449
$31.47/hr

Side-by-Side Comparison

MetricBismarck, NDFargo, ND
Median Salary$67,406$65,449
Hourly Rate$32.41$31.47
Entry Level (P10)$50,408$50,675
25th Percentile$58,882$62,724
75th Percentile$72,285$67,382
Top Earner (P90)$80,419$84,952
Total Employed1130
Side-by-side bar chart comparing Bismarck ($67,406) and Fargo ($65,449) occupational therapy assistant salaries.BismarckFargoMedian Salary$67,406$65,449Entry Level (P10)$50,408$50,675Top Earner (P90)$80,419$84,952US Median $74,332

Verdict

Bismarck and Fargo are closely matched on overall occupational therapy assistant compensation, each winning on different metrics.

The salary gap between Bismarck and Fargo is $1,957 (2.99%). Bismarck's median is -9.32% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Bismarck spans $30,011,Fargo spans $34,277. Fargo has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapy assistants.

Bismarck
P10 (Entry)$50,408
P25$58,882
Median$67,406
P75$72,285
P90 (Top)$80,419
Fargo
P10 (Entry)$50,675
P25$62,724
Median$65,449
P75$67,382
P90 (Top)$84,952

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Bismarck ($73,267 effective) pays 1.73% more than Fargo ($72,024 effective).

Bismarck
Nominal: $67,406
CoL Index: 92
Adjusted: $73,267
Fargo
Nominal: $65,449
CoL Index: 90.871
Adjusted: $72,024

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

Which City Is Right for You?

Choose Bismarck if…

  • Higher median salary ($67,406/year)
  • Better purchasing power (CoL-adjusted: $73,267)
  • You prefer the North Dakota area and lifestyle

Choose Fargo if…

  • Better top-earner potential ($84,952)
  • Larger job market (30 employed)
  • You prefer the North Dakota area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Bismarck grew 16.6% from 2024 to 2025, compared to 10.3% growth in Fargo over the same period.

Bismarck, ND

+16.6%

$56,223 (2024) → $65,564 (2025)

Fargo, ND

+10.3%

$57,710 (2019) → $63,660 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Bismarck or Fargo?

Bismarck has a higher median occupational therapy assistant salary at $67,406/year, compared to Fargo at $65,449/year — a difference of $1,957 (2.99%).

What is the hourly rate difference between Bismarck and Fargo?

Bismarck occupational therapy assistants earn $32.41/hr while Fargo hygienists earn $31.47/hr (2026 est.).

Should I relocate from Bismarck to Fargo as a occupational therapy assistant?

Consider more than just salary when comparing Bismarck and Fargo. Factor in cost of living (CoL-adjusted: Bismarck = $73,267, Fargo = $72,024), job availability (11 vs 30 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Bismarck vs Fargo?

Entry-level (10th percentile) occupational therapy assistants earn $50,408 in Bismarck and $50,675 in Fargo. The Fargo area offers higher starting salaries.
JL

Written by Jordan Lee, MS, OTR/L

Career Analyst

Jordan Lee has 10 years of experience as an occupational therapist. Their specialty is working with children with developmental disorders. They have worked in various healthcare settings including schools and rehabilitation facilities.

Clinically reviewed by Maria Gonzalez, COTA/LData verified by Samuel Chen, OTR/L

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.81% 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, MS, OTR/L, a licensed occupational therapy assistant with 10+ years of clinical experience. · View source data at BLS.gov