OT Assistant Salary

Kansas City vs St. Joseph: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Kansas City, MO and St. Joseph, MO. All figures are 2026 estimates projected from BLS 2025 data.

Kansas City, MO
$73,047
$35.12/hr
St. Joseph, MO
$64,760
$31.13/hr

Side-by-Side Comparison

MetricKansas City, MOSt. Joseph, MO
Median Salary$73,047$64,760
Hourly Rate$35.12$31.13
Entry Level (P10)$57,152$45,047
25th Percentile$65,469$54,034
75th Percentile$80,747$69,403
Top Earner (P90)$83,821$77,190
Total Employed40018
Side-by-side bar chart comparing Kansas City ($73,047) and St. Joseph ($64,760) occupational therapy assistant salaries.Kansas CitySt. JosephMedian Salary$73,047$64,760Entry Level (P10)$57,152$45,047Top Earner (P90)$83,821$77,190US Median $74,332

Verdict

Kansas City, MO offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to St. Joseph.

The salary gap between Kansas City and St. Joseph is $8,287 (12.80%). Kansas City's median is -1.73% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Kansas City spans $26,669,St. Joseph spans $32,143. St. Joseph has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapy assistants.

Kansas City
P10 (Entry)$57,152
P25$65,469
Median$73,047
P75$80,747
P90 (Top)$83,821
St. Joseph
P10 (Entry)$45,047
P25$54,034
Median$64,760
P75$69,403
P90 (Top)$77,190

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Kansas City ($78,933 effective) pays 9.21% more than St. Joseph ($72,277 effective).

Kansas City
Nominal: $73,047
CoL Index: 92.543
Adjusted: $78,933
St. Joseph
Nominal: $64,760
CoL Index: 89.6
Adjusted: $72,277

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

Which City Is Right for You?

Choose Kansas City if…

  • Higher median salary ($73,047/year)
  • Better top-earner potential ($83,821)
  • Larger job market (400 employed)
  • Better purchasing power (CoL-adjusted: $78,933)
  • You prefer the Missouri area and lifestyle

Choose St. Joseph if…

  • You prefer the Missouri area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Kansas City grew 19.9% from 2019 to 2025, compared to 13.1% growth in St. Joseph over the same period.

Kansas City, MO

+19.9%

$59,250 (2019) → $71,050 (2025)

St. Joseph, MO

+13.1%

$55,711 (2024) → $62,990 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Kansas City or St. Joseph?

Kansas City has a higher median occupational therapy assistant salary at $73,047/year, compared to St. Joseph at $64,760/year — a difference of $8,287 (12.80%).

What is the hourly rate difference between Kansas City and St. Joseph?

Kansas City occupational therapy assistants earn $35.12/hr while St. Joseph hygienists earn $31.13/hr (2026 est.).

Should I relocate from Kansas City to St. Joseph as a occupational therapy assistant?

Consider more than just salary when comparing Kansas City and St. Joseph. Factor in cost of living (CoL-adjusted: Kansas City = $78,933, St. Joseph = $72,277), job availability (400 vs 18 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Kansas City vs St. Joseph?

Entry-level (10th percentile) occupational therapy assistants earn $57,152 in Kansas City and $45,047 in St. Joseph. The Kansas City area offers higher starting salaries.

Related Comparisons

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