Occupational Therapist Pay

Kansas City vs Topeka: Occupational Therapist Salary (2026)

Compare occupational therapist salaries between Kansas City, KS and Topeka, KS. All figures are 2026 estimates projected from BLS 2025 data.

Kansas City, KS
$103,550
$49.79/hr
Topeka, KS
$102,102
$49.09/hr

Side-by-Side Comparison

MetricKansas City, KSTopeka, KS
Median Salary$103,550$102,102
Hourly Rate$49.79$49.09
Entry Level (P10)$69,882$68,762
25th Percentile$81,538$86,241
75th Percentile$120,563$108,409
Top Earner (P90)$136,365$128,351
Total Employed25120
Side-by-side bar chart comparing Kansas City ($103,550) and Topeka ($102,102) occupational therapist salaries.Kansas CityTopekaMedian Salary$103,550$102,102Entry Level (P10)$69,882$68,762Top Earner (P90)$136,365$128,351US Median $103,400

Verdict

Kansas City, KS offers better overall compensation for occupational therapists, winning 3 out of 4 metrics compared to Topeka.

The salary gap between Kansas City and Topeka is $1,448 (1.42%). Kansas City's median is +0.15% compared to the US national median of $103,400.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Kansas City spans $66,483,Topeka spans $59,589. Kansas City has a wider pay range, meaning more potential for high earners but also more variation.

Kansas City
P10 (Entry)$69,882
P25$81,538
Median$103,550
P75$120,563
P90 (Top)$136,365
Topeka
P10 (Entry)$68,762
P25$86,241
Median$102,102
P75$108,409
P90 (Top)$128,351

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Topeka ($114,954 effective) pays 0.91% more than Kansas City ($113,916 effective).

Kansas City
Nominal: $103,550
CoL Index: 90.9
Adjusted: $113,916
Topeka
Nominal: $102,102
CoL Index: 88.82
Adjusted: $114,954

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

Which City Is Right for You?

Choose Kansas City if…

  • Higher median salary ($103,550/year)
  • Better top-earner potential ($136,365)
  • You prefer the Kansas area and lifestyle

Choose Topeka if…

  • Larger job market (120 employed)
  • Better purchasing power (CoL-adjusted: $114,954)
  • You prefer the Kansas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapist salaries in Kansas City grew 27.9% from 2024 to 2025, compared to 6.5% growth in Topeka over the same period.

Kansas City, KS

+27.9%

$78,534 (2024) → $100,475 (2025)

Topeka, KS

+6.5%

$93,000 (2019) → $99,070 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapists more: Kansas City or Topeka?

Kansas City has a higher median occupational therapist salary at $103,550/year, compared to Topeka at $102,102/year — a difference of $1,448 (1.42%).

What is the hourly rate difference between Kansas City and Topeka?

Kansas City occupational therapists earn $49.79/hr while Topeka hygienists earn $49.09/hr (2026 est.).

Should I relocate from Kansas City to Topeka as a occupational therapist?

Consider more than just salary when comparing Kansas City and Topeka. Factor in cost of living (CoL-adjusted: Kansas City = $113,916, Topeka = $114,954), job availability (25 vs 120 employed), commute, and career growth potential.

What do entry-level occupational therapists earn in Kansas City vs Topeka?

Entry-level (10th percentile) occupational therapists earn $69,882 in Kansas City and $68,762 in Topeka. The Kansas City area offers higher starting salaries.
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