OT Assistant Salary

Cedar Rapids vs Council Bluffs: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Cedar Rapids, IA and Council Bluffs, IA. All figures are 2026 estimates projected from BLS 2025 data.

Cedar Rapids, IA
$54,037
$25.98/hr
Council Bluffs, IA
$64,893
$31.20/hr

Side-by-Side Comparison

MetricCedar Rapids, IACouncil Bluffs, IA
Median Salary$54,037$64,893
Hourly Rate$25.98$31.20
Entry Level (P10)$48,064$46,236
25th Percentile$48,064$55,116
75th Percentile$65,942$71,888
Top Earner (P90)$74,897$79,133
Total Employed5012
Side-by-side bar chart comparing Cedar Rapids ($54,037) and Council Bluffs ($64,893) occupational therapy assistant salaries.Cedar RapidsCouncil BluffsMedian Salary$54,037$64,893Entry Level (P10)$48,064$46,236Top Earner (P90)$74,897$79,133US Median $74,332

Verdict

Council Bluffs, IA offers better overall compensation for occupational therapy assistants, winning 3 out of 4 metrics compared to Cedar Rapids.

The salary gap between Cedar Rapids and Council Bluffs is $10,856 (20.09%). Council Bluffs's median is -12.70% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Cedar Rapids spans $26,833,Council Bluffs spans $32,897. Council Bluffs has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapy assistants.

Cedar Rapids
P10 (Entry)$48,064
P25$48,064
Median$54,037
P75$65,942
P90 (Top)$74,897
Council Bluffs
P10 (Entry)$46,236
P25$55,116
Median$64,893
P75$71,888
P90 (Top)$79,133

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Council Bluffs ($71,784 effective) pays 18.18% more than Cedar Rapids ($60,741 effective).

Cedar Rapids
Nominal: $54,037
CoL Index: 88.963
Adjusted: $60,741
Council Bluffs
Nominal: $64,893
CoL Index: 90.4
Adjusted: $71,784

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

Which City Is Right for You?

Choose Cedar Rapids if…

  • Larger job market (50 employed)
  • You prefer the Iowa area and lifestyle

Choose Council Bluffs if…

  • Higher median salary ($64,893/year)
  • Better top-earner potential ($79,133)
  • Better purchasing power (CoL-adjusted: $71,784)
  • You prefer the Iowa area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Cedar Rapids grew -4.5% from 2019 to 2025, compared to 16.6% growth in Council Bluffs over the same period.

Cedar Rapids, IA

+-4.5%

$55,010 (2019) → $52,560 (2025)

Council Bluffs, IA

+16.6%

$54,127 (2024) → $63,119 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Cedar Rapids or Council Bluffs?

Council Bluffs has a higher median occupational therapy assistant salary at $64,893/year, compared to Cedar Rapids at $54,037/year — a difference of $10,856 (20.09%).

What is the hourly rate difference between Cedar Rapids and Council Bluffs?

Cedar Rapids occupational therapy assistants earn $25.98/hr while Council Bluffs hygienists earn $31.20/hr (2026 est.).

Should I relocate from Cedar Rapids to Council Bluffs as a occupational therapy assistant?

Consider more than just salary when comparing Cedar Rapids and Council Bluffs. Factor in cost of living (CoL-adjusted: Cedar Rapids = $60,741, Council Bluffs = $71,784), job availability (50 vs 12 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Cedar Rapids vs Council Bluffs?

Entry-level (10th percentile) occupational therapy assistants earn $48,064 in Cedar Rapids and $46,236 in Council Bluffs. The Cedar Rapids 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