St. Louis vs Kansas City: Occupational Therapy Assistant Salary (2026)
Compare occupational therapy assistant salaries between St. Louis, MO and Kansas City, MO. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | St. Louis, MO | Kansas City, MO |
|---|---|---|
| Median Salary | $69,345 | $73,047▲ |
| Hourly Rate | $33.34 | $35.12▲ |
| Entry Level (P10) | $52,423 | $57,152▲ |
| 25th Percentile | $62,951 | $65,469▲ |
| 75th Percentile | $76,306 | $80,747▲ |
| Top Earner (P90) | $86,463▲ | $83,821 |
| Total Employed | 780▲ | 400 |
Verdict
St. Louis and Kansas City are closely matched on overall occupational therapy assistant compensation, each winning on different metrics.
The salary gap between St. Louis and Kansas City is $3,702 (5.34%). 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 St. Louis spans $34,040,Kansas City spans $26,669. St. Louis 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, Kansas City ($78,933 effective) pays 8.24% more than St. Louis ($72,927 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose St. Louis if…
- ✓Better top-earner potential ($86,463)
- ✓Larger job market (780 employed)
- ✓You prefer the Missouri area and lifestyle
Choose Kansas City if…
- ✓Higher median salary ($73,047/year)
- ✓Better purchasing power (CoL-adjusted: $78,933)
- ✓You prefer the Missouri area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in St. Louis grew 18.7% from 2019 to 2025, compared to 19.9% growth in Kansas City over the same period.
St. Louis, MO
$56,840 (2019) → $67,450 (2025)
Kansas City, MO
$59,250 (2019) → $71,050 (2025)
View Full Salary Data
St. Louis, MO
Kansas City, MO
Frequently Asked Questions
Which city pays occupational therapy assistants more: St. Louis or Kansas City?
What is the hourly rate difference between St. Louis and Kansas City?
Should I relocate from St. Louis to Kansas City as a occupational therapy assistant?
What do entry-level occupational therapy assistants earn in St. Louis vs Kansas City?
Related Comparisons
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