OT Assistant Salary

Cedar Rapids vs Des Moines: Occupational Therapy Assistant Salary (2026)

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

Cedar Rapids, IA
$54,037
$25.98/hr
Des Moines, IA
$66,055
$31.76/hr

Side-by-Side Comparison

MetricCedar Rapids, IADes Moines, IA
Median Salary$54,037$66,055
Hourly Rate$25.98$31.76
Entry Level (P10)$48,064$52,207
25th Percentile$48,064$60,658
75th Percentile$65,942$78,269
Top Earner (P90)$74,897$86,134
Total Employed5080
Side-by-side bar chart comparing Cedar Rapids ($54,037) and Des Moines ($66,055) occupational therapy assistant salaries.Cedar RapidsDes MoinesMedian Salary$54,037$66,055Entry Level (P10)$48,064$52,207Top Earner (P90)$74,897$86,134US Median $74,332

Verdict

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

The salary gap between Cedar Rapids and Des Moines is $12,018 (22.24%). Des Moines's median is -11.14% 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,Des Moines spans $33,927. Des Moines 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
Des Moines
P10 (Entry)$52,207
P25$60,658
Median$66,055
P75$78,269
P90 (Top)$86,134

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Des Moines ($72,033 effective) pays 18.59% more than Cedar Rapids ($60,741 effective).

Cedar Rapids
Nominal: $54,037
CoL Index: 88.963
Adjusted: $60,741
Des Moines
Nominal: $66,055
CoL Index: 91.701
Adjusted: $72,033

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

Which City Is Right for You?

Choose Cedar Rapids if…

  • You prefer the Iowa area and lifestyle

Choose Des Moines if…

  • Higher median salary ($66,055/year)
  • Better top-earner potential ($86,134)
  • Larger job market (80 employed)
  • Better purchasing power (CoL-adjusted: $72,033)
  • 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 13.5% growth in Des Moines over the same period.

Cedar Rapids, IA

+-4.5%

$55,010 (2019) → $52,560 (2025)

Des Moines, IA

+13.5%

$56,590 (2019) → $64,250 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Cedar Rapids or Des Moines?

Des Moines has a higher median occupational therapy assistant salary at $66,055/year, compared to Cedar Rapids at $54,037/year — a difference of $12,018 (22.24%).

What is the hourly rate difference between Cedar Rapids and Des Moines?

Cedar Rapids occupational therapy assistants earn $25.98/hr while Des Moines hygienists earn $31.76/hr (2026 est.).

Should I relocate from Cedar Rapids to Des Moines as a occupational therapy assistant?

Consider more than just salary when comparing Cedar Rapids and Des Moines. Factor in cost of living (CoL-adjusted: Cedar Rapids = $60,741, Des Moines = $72,033), job availability (50 vs 80 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Cedar Rapids vs Des Moines?

Entry-level (10th percentile) occupational therapy assistants earn $48,064 in Cedar Rapids and $52,207 in Des Moines. The Des Moines 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