OT Assistant Salary

Pierre vs Rapid City: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Pierre, SD and Rapid City, SD. All figures are 2026 estimates projected from BLS 2025 data.

Pierre, SD
$64,807
$31.16/hr
Rapid City, SD
$69,778
$33.55/hr

Side-by-Side Comparison

MetricPierre, SDRapid City, SD
Median Salary$64,807$69,778
Hourly Rate$31.16$33.55
Entry Level (P10)$46,536$49,591
25th Percentile$58,698$58,958
75th Percentile$70,040$76,991
Top Earner (P90)$77,211$87,123
Total Employed416
Side-by-side bar chart comparing Pierre ($64,807) and Rapid City ($69,778) occupational therapy assistant salaries.PierreRapid CityMedian Salary$64,807$69,778Entry Level (P10)$46,536$49,591Top Earner (P90)$77,211$87,123US Median $74,332

Verdict

Rapid City, SD offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to Pierre.

The salary gap between Pierre and Rapid City is $4,971 (7.67%). Rapid City's median is -6.13% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Pierre spans $30,675,Rapid City spans $37,532. Rapid City has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapy assistants.

Pierre
P10 (Entry)$46,536
P25$58,698
Median$64,807
P75$70,040
P90 (Top)$77,211
Rapid City
P10 (Entry)$49,591
P25$58,958
Median$69,778
P75$76,991
P90 (Top)$87,123

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Rapid City ($75,192 effective) pays 7.67% more than Pierre ($69,835 effective).

Pierre
Nominal: $64,807
CoL Index: 92.8
Adjusted: $69,835
Rapid City
Nominal: $69,778
CoL Index: 92.8
Adjusted: $75,192

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

Which City Is Right for You?

Choose Pierre if…

  • You prefer the South Dakota area and lifestyle

Choose Rapid City if…

  • Higher median salary ($69,778/year)
  • Better top-earner potential ($87,123)
  • Larger job market (16 employed)
  • Better purchasing power (CoL-adjusted: $75,192)
  • You prefer the South Dakota area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Pierre grew 20.5% from 2024 to 2025, compared to 20.5% growth in Rapid City over the same period.

Pierre, SD

+20.5%

$52,312 (2024) → $63,036 (2025)

Rapid City, SD

+20.5%

$56,325 (2024) → $67,871 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Pierre or Rapid City?

Rapid City has a higher median occupational therapy assistant salary at $69,778/year, compared to Pierre at $64,807/year — a difference of $4,971 (7.67%).

What is the hourly rate difference between Pierre and Rapid City?

Pierre occupational therapy assistants earn $31.16/hr while Rapid City hygienists earn $33.55/hr (2026 est.).

Should I relocate from Pierre to Rapid City as a occupational therapy assistant?

Consider more than just salary when comparing Pierre and Rapid City. Factor in cost of living (CoL-adjusted: Pierre = $69,835, Rapid City = $75,192), job availability (4 vs 16 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Pierre vs Rapid City?

Entry-level (10th percentile) occupational therapy assistants earn $46,536 in Pierre and $49,591 in Rapid City. The Rapid City 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