Occupational Therapist Pay

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

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

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

Side-by-Side Comparison

MetricSt. Louis, MOIndependence, MO
Median Salary$98,701$101,480
Hourly Rate$47.45$48.79
Entry Level (P10)$75,976$74,191
25th Percentile$83,716$84,230
75th Percentile$108,141$116,412
Top Earner (P90)$121,054$141,059
Total Employed1,86030
Side-by-side bar chart comparing St. Louis ($98,701) and Independence ($101,480) occupational therapist salaries.St. LouisIndependenceMedian Salary$98,701$101,480Entry Level (P10)$75,976$74,191Top Earner (P90)$121,054$141,059US 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 St. Louis and Independence 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 St. Louis spans $45,078,Independence spans $66,868. Independence has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapists.

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

Cost-of-Living Adjusted Comparison

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

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

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

Which City Is Right for You?

Choose St. Louis if…

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

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

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapist salaries in St. Louis grew 25.8% from 2019 to 2025, compared to 25.2% growth in Independence over the same period.

St. Louis, MO

+25.8%

$76,140 (2019) → $95,770 (2025)

Independence, MO

+25.2%

$78,639 (2024) → $98,467 (2025)

View Full Salary Data

Frequently Asked Questions

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

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 St. Louis and Independence?

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

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

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

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

Entry-level (10th percentile) occupational therapists earn $75,976 in St. Louis and $74,191 in Independence. 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