OT Assistant Salary

Pierre vs Watertown: Occupational Therapy Assistant Salary (2026)

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

Pierre, SD
$64,807
$31.16/hr
Watertown, SD
$66,327
$31.89/hr

Side-by-Side Comparison

MetricPierre, SDWatertown, SD
Median Salary$64,807$66,327
Hourly Rate$31.16$31.89
Entry Level (P10)$46,536$50,274
25th Percentile$58,698$57,894
75th Percentile$70,040$71,041
Top Earner (P90)$77,211$77,984
Total Employed46
Side-by-side bar chart comparing Pierre ($64,807) and Watertown ($66,327) occupational therapy assistant salaries.PierreWatertownMedian Salary$64,807$66,327Entry Level (P10)$46,536$50,274Top Earner (P90)$77,211$77,984US Median $74,332

Verdict

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

The salary gap between Pierre and Watertown is $1,520 (2.35%). Watertown's median is -10.77% 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,Watertown spans $27,710. Pierre has a wider pay range, meaning more potential for high earners but also more variation.

Pierre
P10 (Entry)$46,536
P25$58,698
Median$64,807
P75$70,040
P90 (Top)$77,211
Watertown
P10 (Entry)$50,274
P25$57,894
Median$66,327
P75$71,041
P90 (Top)$77,984

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Watertown ($71,473 effective) pays 2.35% more than Pierre ($69,835 effective).

Pierre
Nominal: $64,807
CoL Index: 92.8
Adjusted: $69,835
Watertown
Nominal: $66,327
CoL Index: 92.8
Adjusted: $71,473

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 Watertown if…

  • Higher median salary ($66,327/year)
  • Better top-earner potential ($77,984)
  • Larger job market (6 employed)
  • Better purchasing power (CoL-adjusted: $71,473)
  • 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 Watertown over the same period.

Pierre, SD

+20.5%

$52,312 (2024) → $63,036 (2025)

Watertown, SD

+20.5%

$53,539 (2024) → $64,514 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Pierre or Watertown?

Watertown has a higher median occupational therapy assistant salary at $66,327/year, compared to Pierre at $64,807/year — a difference of $1,520 (2.35%).

What is the hourly rate difference between Pierre and Watertown?

Pierre occupational therapy assistants earn $31.16/hr while Watertown hygienists earn $31.89/hr (2026 est.).

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

Consider more than just salary when comparing Pierre and Watertown. Factor in cost of living (CoL-adjusted: Pierre = $69,835, Watertown = $71,473), job availability (4 vs 6 employed), commute, and career growth potential.

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

Entry-level (10th percentile) occupational therapy assistants earn $46,536 in Pierre and $50,274 in Watertown. The Watertown 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