Occupational Therapist Pay

Independence vs St. Louis: Occupational Therapist Salary (2026)

Compare occupational therapist salaries between Independence, MO and St. Louis, MO. All figures are 2026 estimates projected from BLS 2025 data.

Independence, MO
$101,480
$48.79/hr
St. Louis, MO
$98,701
$47.45/hr

Side-by-Side Comparison

MetricIndependence, MOSt. Louis, MO
Median Salary$101,480$98,701
Hourly Rate$48.79$47.45
Entry Level (P10)$74,191$75,976
25th Percentile$84,230$83,716
75th Percentile$116,412$108,141
Top Earner (P90)$141,059$121,054
Total Employed301,860
Side-by-side bar chart comparing Independence ($101,480) and St. Louis ($98,701) occupational therapist salaries.IndependenceSt. LouisMedian Salary$101,480$98,701Entry Level (P10)$74,191$75,976Top Earner (P90)$141,059$121,054US Median $103,400

Verdict

Independence, MO offers better overall compensation for occupational therapists, winning 3 out of 4 metrics compared to St. Louis.

The salary gap between Independence and St. Louis is $2,779 (2.82%). Independence's median is -1.86% compared to the US national median of $103,400.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Independence spans $66,868,St. Louis spans $45,078. Independence has a wider pay range, meaning more potential for high earners but also more variation.

Independence
P10 (Entry)$74,191
P25$84,230
Median$101,480
P75$116,412
P90 (Top)$141,059
St. Louis
P10 (Entry)$75,976
P25$83,716
Median$98,701
P75$108,141
P90 (Top)$121,054

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Independence ($113,259 effective) pays 9.11% more than St. Louis ($103,800 effective).

Independence
Nominal: $101,480
CoL Index: 89.6
Adjusted: $113,259
St. Louis
Nominal: $98,701
CoL Index: 95.088
Adjusted: $103,800

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

Which City Is Right for You?

Choose Independence if…

  • Higher median salary ($101,480/year)
  • Better top-earner potential ($141,059)
  • Better purchasing power (CoL-adjusted: $113,259)
  • You prefer the Missouri area and lifestyle

Choose St. Louis if…

  • Larger job market (1,860 employed)
  • You prefer the Missouri area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapist salaries in Independence grew 25.2% from 2024 to 2025, compared to 25.8% growth in St. Louis over the same period.

Independence, MO

+25.2%

$78,639 (2024) → $98,467 (2025)

St. Louis, MO

+25.8%

$76,140 (2019) → $95,770 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapists more: Independence or St. Louis?

Independence has a higher median occupational therapist salary at $101,480/year, compared to St. Louis at $98,701/year — a difference of $2,779 (2.82%).

What is the hourly rate difference between Independence and St. Louis?

Independence occupational therapists earn $48.79/hr while St. Louis hygienists earn $47.45/hr (2026 est.).

Should I relocate from Independence to St. Louis as a occupational therapist?

Consider more than just salary when comparing Independence and St. Louis. Factor in cost of living (CoL-adjusted: Independence = $113,259, St. Louis = $103,800), job availability (30 vs 1,860 employed), commute, and career growth potential.

What do entry-level occupational therapists earn in Independence vs St. Louis?

Entry-level (10th percentile) occupational therapists earn $74,191 in Independence and $75,976 in St. Louis. The St. Louis area offers higher starting salaries.

Related Comparisons

JM

Written by Jordan Miller, OTR/L

Career Analyst

Jordan has 10 years of experience in occupational therapy. They specialize in pediatrics and work in a rehabilitation clinic.

Clinically reviewed by Sofia Chen, OTR/LData verified by Luis Garcia, OTR/L

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.06% 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 Miller, OTR/L, a licensed occupational therapist with 10+ years of clinical experience. · View source data at BLS.gov