Occupational Therapist Pay

Bismarck vs Fargo: Occupational Therapist Salary (2026)

Compare occupational therapist salaries between Bismarck, ND and Fargo, ND. All figures are 2026 estimates projected from BLS 2025 data.

Bismarck, ND
$85,622
$41.16/hr
Fargo, ND
$84,375
$40.56/hr

Side-by-Side Comparison

MetricBismarck, NDFargo, ND
Median Salary$85,622$84,375
Hourly Rate$41.16$40.56
Entry Level (P10)$73,337$68,885
25th Percentile$77,656$79,439
75th Percentile$101,102$102,184
Top Earner (P90)$119,374$109,553
Total Employed130210
Side-by-side bar chart comparing Bismarck ($85,622) and Fargo ($84,375) occupational therapist salaries.BismarckFargoMedian Salary$85,622$84,375Entry Level (P10)$73,337$68,885Top Earner (P90)$119,374$109,553US Median $103,400

Verdict

Bismarck, ND offers better overall compensation for occupational therapists, winning 3 out of 4 metrics compared to Fargo.

The salary gap between Bismarck and Fargo is $1,247 (1.48%). Bismarck's median is -17.19% compared to the US national median of $103,400.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Bismarck spans $46,037,Fargo spans $40,668. Bismarck has a wider pay range, meaning more potential for high earners but also more variation.

Bismarck
P10 (Entry)$73,337
P25$77,656
Median$85,622
P75$101,102
P90 (Top)$119,374
Fargo
P10 (Entry)$68,885
P25$79,439
Median$84,375
P75$102,184
P90 (Top)$109,553

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Bismarck ($94,065 effective) pays 1.31% more than Fargo ($92,851 effective).

Bismarck
Nominal: $85,622
CoL Index: 91.024
Adjusted: $94,065
Fargo
Nominal: $84,375
CoL Index: 90.871
Adjusted: $92,851

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

Which City Is Right for You?

Choose Bismarck if…

  • Higher median salary ($85,622/year)
  • Better top-earner potential ($119,374)
  • Better purchasing power (CoL-adjusted: $94,065)
  • You prefer the North Dakota area and lifestyle

Choose Fargo if…

  • Larger job market (210 employed)
  • You prefer the North Dakota area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapist salaries in Bismarck grew 23.3% from 2019 to 2025, compared to 14.6% growth in Fargo over the same period.

Bismarck, ND

+23.3%

$67,370 (2019) → $83,080 (2025)

Fargo, ND

+14.6%

$71,420 (2019) → $81,870 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapists more: Bismarck or Fargo?

Bismarck has a higher median occupational therapist salary at $85,622/year, compared to Fargo at $84,375/year — a difference of $1,247 (1.48%).

What is the hourly rate difference between Bismarck and Fargo?

Bismarck occupational therapists earn $41.16/hr while Fargo hygienists earn $40.56/hr (2026 est.).

Should I relocate from Bismarck to Fargo as a occupational therapist?

Consider more than just salary when comparing Bismarck and Fargo. Factor in cost of living (CoL-adjusted: Bismarck = $94,065, Fargo = $92,851), job availability (130 vs 210 employed), commute, and career growth potential.

What do entry-level occupational therapists earn in Bismarck vs Fargo?

Entry-level (10th percentile) occupational therapists earn $73,337 in Bismarck and $68,885 in Fargo. The Bismarck 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