Occupational Therapist Pay

Kansas City vs Springfield: Occupational Therapist Salary (2026)

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

Kansas City, MO
$102,895
$49.47/hr
Springfield, MO
$100,174
$48.16/hr

Side-by-Side Comparison

MetricKansas City, MOSpringfield, MO
Median Salary$102,895$100,174
Hourly Rate$49.47$48.16
Entry Level (P10)$73,059$73,915
25th Percentile$85,519$81,108
75th Percentile$111,336$110,418
Top Earner (P90)$126,723$127,650
Total Employed1,360270
Side-by-side bar chart comparing Kansas City ($102,895) and Springfield ($100,174) occupational therapist salaries.Kansas CitySpringfieldMedian Salary$102,895$100,174Entry Level (P10)$73,059$73,915Top Earner (P90)$126,723$127,650US Median $103,400

Verdict

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

The salary gap between Kansas City and Springfield is $2,721 (2.72%). Kansas City's median is -0.49% compared to the US national median of $103,400.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Kansas City spans $53,664,Springfield spans $53,735. Springfield has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapists.

Kansas City
P10 (Entry)$73,059
P25$85,519
Median$102,895
P75$111,336
P90 (Top)$126,723
Springfield
P10 (Entry)$73,915
P25$81,108
Median$100,174
P75$110,418
P90 (Top)$127,650

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Springfield ($113,082 effective) pays 1.71% more than Kansas City ($111,186 effective).

Kansas City
Nominal: $102,895
CoL Index: 92.543
Adjusted: $111,186
Springfield
Nominal: $100,174
CoL Index: 88.585
Adjusted: $113,082

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 ($102,895/year)
  • Larger job market (1,360 employed)
  • You prefer the Missouri area and lifestyle

Choose Springfield if…

  • Better top-earner potential ($127,650)
  • Better purchasing power (CoL-adjusted: $113,082)
  • You prefer the Missouri area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapist salaries in Kansas City grew 22.5% from 2019 to 2025, compared to 18.1% growth in Springfield over the same period.

Kansas City, MO

+22.5%

$81,480 (2019) → $99,840 (2025)

Springfield, MO

+18.1%

$82,280 (2019) → $97,200 (2025)

View Full Salary Data

Frequently Asked Questions

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

Kansas City has a higher median occupational therapist salary at $102,895/year, compared to Springfield at $100,174/year — a difference of $2,721 (2.72%).

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

Kansas City occupational therapists earn $49.47/hr while Springfield hygienists earn $48.16/hr (2026 est.).

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

Consider more than just salary when comparing Kansas City and Springfield. Factor in cost of living (CoL-adjusted: Kansas City = $111,186, Springfield = $113,082), job availability (1,360 vs 270 employed), commute, and career growth potential.

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

Entry-level (10th percentile) occupational therapists earn $73,059 in Kansas City and $73,915 in Springfield. The Springfield 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