OT Assistant Salary

Bismarck vs Grand Forks: Occupational Therapy Assistant Salary (2026)

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

Bismarck, ND
$67,406
$32.41/hr
Grand Forks, ND
$68,771
$33.06/hr

Side-by-Side Comparison

MetricBismarck, NDGrand Forks, ND
Median Salary$67,406$68,771
Hourly Rate$32.41$33.06
Entry Level (P10)$50,408$47,933
25th Percentile$58,882$57,612
75th Percentile$72,285$75,384
Top Earner (P90)$80,419$82,531
Total Employed1114
Side-by-side bar chart comparing Bismarck ($67,406) and Grand Forks ($68,771) occupational therapy assistant salaries.BismarckGrand ForksMedian Salary$67,406$68,771Entry Level (P10)$50,408$47,933Top Earner (P90)$80,419$82,531US Median $74,332

Verdict

Grand Forks, ND offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to Bismarck.

The salary gap between Bismarck and Grand Forks is $1,365 (2.03%). Grand Forks's median is -7.48% 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,Grand Forks spans $34,598. Grand Forks 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
Grand Forks
P10 (Entry)$47,933
P25$57,612
Median$68,771
P75$75,384
P90 (Top)$82,531

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Grand Forks ($74,751 effective) pays 2.03% more than Bismarck ($73,267 effective).

Bismarck
Nominal: $67,406
CoL Index: 92
Adjusted: $73,267
Grand Forks
Nominal: $68,771
CoL Index: 92
Adjusted: $74,751

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

Which City Is Right for You?

Choose Bismarck if…

  • You prefer the North Dakota area and lifestyle

Choose Grand Forks if…

  • Higher median salary ($68,771/year)
  • Better top-earner potential ($82,531)
  • Larger job market (14 employed)
  • Better purchasing power (CoL-adjusted: $74,751)
  • 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 16.6% growth in Grand Forks over the same period.

Bismarck, ND

+16.6%

$56,223 (2024) → $65,564 (2025)

Grand Forks, ND

+16.6%

$57,362 (2024) → $66,891 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Bismarck or Grand Forks?

Grand Forks has a higher median occupational therapy assistant salary at $68,771/year, compared to Bismarck at $67,406/year — a difference of $1,365 (2.03%).

What is the hourly rate difference between Bismarck and Grand Forks?

Bismarck occupational therapy assistants earn $32.41/hr while Grand Forks hygienists earn $33.06/hr (2026 est.).

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

Consider more than just salary when comparing Bismarck and Grand Forks. Factor in cost of living (CoL-adjusted: Bismarck = $73,267, Grand Forks = $74,751), job availability (11 vs 14 employed), commute, and career growth potential.

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

Entry-level (10th percentile) occupational therapy assistants earn $50,408 in Bismarck and $47,933 in Grand Forks. The Bismarck 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