OT Assistant Salary

Des Moines vs Marshalltown: Occupational Therapy Assistant Salary (2026)

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

Des Moines, IA
$66,055
$31.76/hr
Marshalltown, IA
$63,998
$30.77/hr

Side-by-Side Comparison

MetricDes Moines, IAMarshalltown, IA
Median Salary$66,055$63,998
Hourly Rate$31.76$30.77
Entry Level (P10)$52,207$47,955
25th Percentile$60,658$54,268
75th Percentile$78,269$69,027
Top Earner (P90)$86,134$76,337
Total Employed808
Side-by-side bar chart comparing Des Moines ($66,055) and Marshalltown ($63,998) occupational therapy assistant salaries.Des MoinesMarshalltownMedian Salary$66,055$63,998Entry Level (P10)$52,207$47,955Top Earner (P90)$86,134$76,337US Median $74,332

Verdict

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

The salary gap between Des Moines and Marshalltown is $2,057 (3.21%). 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 Des Moines spans $33,927,Marshalltown spans $28,382. Des Moines has a wider pay range, meaning more potential for high earners but also more variation.

Des Moines
P10 (Entry)$52,207
P25$60,658
Median$66,055
P75$78,269
P90 (Top)$86,134
Marshalltown
P10 (Entry)$47,955
P25$54,268
Median$63,998
P75$69,027
P90 (Top)$76,337

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Des Moines ($72,033 effective) pays 1.75% more than Marshalltown ($70,794 effective).

Des Moines
Nominal: $66,055
CoL Index: 91.701
Adjusted: $72,033
Marshalltown
Nominal: $63,998
CoL Index: 90.4
Adjusted: $70,794

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

Which City Is Right for You?

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

Choose Marshalltown if…

  • You prefer the Iowa area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Des Moines grew 13.5% from 2019 to 2025, compared to 16.6% growth in Marshalltown over the same period.

Des Moines, IA

+13.5%

$56,590 (2019) → $64,250 (2025)

Marshalltown, IA

+16.6%

$53,381 (2024) → $62,249 (2025)

View Full Salary Data

Frequently Asked Questions

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

Des Moines has a higher median occupational therapy assistant salary at $66,055/year, compared to Marshalltown at $63,998/year — a difference of $2,057 (3.21%).

What is the hourly rate difference between Des Moines and Marshalltown?

Des Moines occupational therapy assistants earn $31.76/hr while Marshalltown hygienists earn $30.77/hr (2026 est.).

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

Consider more than just salary when comparing Des Moines and Marshalltown. Factor in cost of living (CoL-adjusted: Des Moines = $72,033, Marshalltown = $70,794), job availability (80 vs 8 employed), commute, and career growth potential.

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

Entry-level (10th percentile) occupational therapy assistants earn $52,207 in Des Moines and $47,955 in Marshalltown. 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