Pierre vs Sioux Falls: Occupational Therapy Assistant Salary (2026)
Compare occupational therapy assistant salaries between Pierre, SD and Sioux Falls, SD. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Pierre, SD | Sioux Falls, SD |
|---|---|---|
| Median Salary | $64,807▲ | $57,759 |
| Hourly Rate | $31.16▲ | $27.77 |
| Entry Level (P10) | $46,536 | $47,622▲ |
| 25th Percentile | $58,698▲ | $49,832 |
| 75th Percentile | $70,040▲ | $60,123 |
| Top Earner (P90) | $77,211▲ | $75,925 |
| Total Employed | 4 | 40▲ |
Verdict
Pierre, SD offers better overall compensation for occupational therapy assistants, winning 3 out of 4 metrics compared to Sioux Falls.
The salary gap between Pierre and Sioux Falls is $7,048 (12.20%). Pierre's median is -12.81% 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,Sioux Falls spans $28,303. Pierre has a wider pay range, meaning more potential for high earners but also more variation.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Pierre ($69,835 effective) pays 9.58% more than Sioux Falls ($63,730 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Pierre if…
- ✓Higher median salary ($64,807/year)
- ✓Better top-earner potential ($77,211)
- ✓Better purchasing power (CoL-adjusted: $69,835)
- ✓You prefer the South Dakota area and lifestyle
Choose Sioux Falls if…
- ✓Larger job market (40 employed)
- ✓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 53.2% growth in Sioux Falls over the same period.
Pierre, SD
$52,312 (2024) → $63,036 (2025)
Sioux Falls, SD
$36,670 (2019) → $56,180 (2025)
View Full Salary Data
Pierre, SD
Sioux Falls, SD
Frequently Asked Questions
Which city pays occupational therapy assistants more: Pierre or Sioux Falls?
What is the hourly rate difference between Pierre and Sioux Falls?
Should I relocate from Pierre to Sioux Falls as a occupational therapy assistant?
What do entry-level occupational therapy assistants earn in Pierre vs Sioux Falls?
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.
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