OT Assistant Salary

Great Falls vs Missoula: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Great Falls, MT and Missoula, MT. All figures are 2026 estimates projected from BLS 2025 data.

Great Falls, MT
$60,188
$28.94/hr
Missoula, MT
$59,017
$28.38/hr

Side-by-Side Comparison

MetricGreat Falls, MTMissoula, MT
Median Salary$60,188$59,017
Hourly Rate$28.94$28.38
Entry Level (P10)$41,143$43,455
25th Percentile$49,815$50,999
75th Percentile$67,664$64,959
Top Earner (P90)$77,239$73,423
Total Employed1216
Side-by-side bar chart comparing Great Falls ($60,188) and Missoula ($59,017) occupational therapy assistant salaries.Great FallsMissoulaMedian Salary$60,188$59,017Entry Level (P10)$41,143$43,455Top Earner (P90)$77,239$73,423US Median $74,332

Verdict

Great Falls, MT offers better overall compensation for occupational therapy assistants, winning 3 out of 4 metrics compared to Missoula.

The salary gap between Great Falls and Missoula is $1,171 (1.98%). Great Falls's median is -19.03% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Great Falls spans $36,096,Missoula spans $29,968. Great Falls has a wider pay range, meaning more potential for high earners but also more variation.

Great Falls
P10 (Entry)$41,143
P25$49,815
Median$60,188
P75$67,664
P90 (Top)$77,239
Missoula
P10 (Entry)$43,455
P25$50,999
Median$59,017
P75$64,959
P90 (Top)$73,423

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Great Falls ($62,565 effective) pays 1.98% more than Missoula ($61,348 effective).

Great Falls
Nominal: $60,188
CoL Index: 96.2
Adjusted: $62,565
Missoula
Nominal: $59,017
CoL Index: 96.2
Adjusted: $61,348

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

Which City Is Right for You?

Choose Great Falls if…

  • Higher median salary ($60,188/year)
  • Better top-earner potential ($77,239)
  • Better purchasing power (CoL-adjusted: $62,565)
  • You prefer the Montana area and lifestyle

Choose Missoula if…

  • Larger job market (16 employed)
  • You prefer the Montana area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Great Falls grew -1.6% from 2024 to 2025, compared to -1.6% growth in Missoula over the same period.

Great Falls, MT

+-1.6%

$59,485 (2024) → $58,543 (2025)

Missoula, MT

+-1.6%

$58,327 (2024) → $57,404 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Great Falls or Missoula?

Great Falls has a higher median occupational therapy assistant salary at $60,188/year, compared to Missoula at $59,017/year — a difference of $1,171 (1.98%).

What is the hourly rate difference between Great Falls and Missoula?

Great Falls occupational therapy assistants earn $28.94/hr while Missoula hygienists earn $28.38/hr (2026 est.).

Should I relocate from Great Falls to Missoula as a occupational therapy assistant?

Consider more than just salary when comparing Great Falls and Missoula. Factor in cost of living (CoL-adjusted: Great Falls = $62,565, Missoula = $61,348), job availability (12 vs 16 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Great Falls vs Missoula?

Entry-level (10th percentile) occupational therapy assistants earn $41,143 in Great Falls and $43,455 in Missoula. The Missoula 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