Sioux Falls vs Spearfish: Occupational Therapy Assistant Salary (2026)
Compare occupational therapy assistant salaries between Sioux Falls, SD and Spearfish, SD. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Sioux Falls, SD | Spearfish, SD |
|---|---|---|
| Median Salary | $57,759 | $66,140▲ |
| Hourly Rate | $27.77 | $31.80▲ |
| Entry Level (P10) | $47,622 | $47,754▲ |
| 25th Percentile | $49,832 | $60,096▲ |
| 75th Percentile | $60,123 | $69,215▲ |
| Top Earner (P90) | $75,925▲ | $75,139 |
| Total Employed | 40▲ | 5 |
Verdict
Sioux Falls and Spearfish are closely matched on overall occupational therapy assistant compensation, each winning on different metrics.
The salary gap between Sioux Falls and Spearfish is $8,381 (14.51%). Spearfish's median is -11.02% compared to the US national median of $74,332.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Sioux Falls spans $28,303,Spearfish spans $27,385. Sioux Falls 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, Spearfish ($71,272 effective) pays 11.83% 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 Sioux Falls if…
- ✓Better top-earner potential ($75,925)
- ✓Larger job market (40 employed)
- ✓You prefer the South Dakota area and lifestyle
Choose Spearfish if…
- ✓Higher median salary ($66,140/year)
- ✓Better purchasing power (CoL-adjusted: $71,272)
- ✓You prefer the South Dakota area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Sioux Falls grew 53.2% from 2019 to 2025, compared to 20.5% growth in Spearfish over the same period.
Sioux Falls, SD
$36,670 (2019) → $56,180 (2025)
Spearfish, SD
$53,388 (2024) → $64,332 (2025)
View Full Salary Data
Sioux Falls, SD
Spearfish, SD
Frequently Asked Questions
Which city pays occupational therapy assistants more: Sioux Falls or Spearfish?
What is the hourly rate difference between Sioux Falls and Spearfish?
Should I relocate from Sioux Falls to Spearfish as a occupational therapy assistant?
What do entry-level occupational therapy assistants earn in Sioux Falls vs Spearfish?
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