Occupational Therapist Pay

Idaho Falls vs Lewiston: Occupational Therapist Salary (2026)

Compare occupational therapist salaries between Idaho Falls, ID and Lewiston, ID. All figures are 2026 estimates projected from BLS 2025 data.

Idaho Falls, ID
$97,371
$46.81/hr
Lewiston, ID
$97,146
$46.71/hr

Side-by-Side Comparison

MetricIdaho Falls, IDLewiston, ID
Median Salary$97,371$97,146
Hourly Rate$46.81$46.71
Entry Level (P10)$71,565$74,556
25th Percentile$83,994$82,590
75th Percentile$101,390$112,229
Top Earner (P90)$116,674$124,827
Total Employed608
Side-by-side bar chart comparing Idaho Falls ($97,371) and Lewiston ($97,146) occupational therapist salaries.Idaho FallsLewistonMedian Salary$97,371$97,146Entry Level (P10)$71,565$74,556Top Earner (P90)$116,674$124,827US Median $103,400

Verdict

Idaho Falls, ID offers better overall compensation for occupational therapists, winning 3 out of 4 metrics compared to Lewiston.

The salary gap between Idaho Falls and Lewiston is $225 (0.23%). Idaho Falls's median is -5.83% compared to the US national median of $103,400.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Idaho Falls spans $45,109,Lewiston spans $50,271. Lewiston has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapists.

Idaho Falls
P10 (Entry)$71,565
P25$83,994
Median$97,371
P75$101,390
P90 (Top)$116,674
Lewiston
P10 (Entry)$74,556
P25$82,590
Median$97,146
P75$112,229
P90 (Top)$124,827

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Idaho Falls ($103,134 effective) pays 1.17% more than Lewiston ($101,937 effective).

Idaho Falls
Nominal: $97,371
CoL Index: 94.412
Adjusted: $103,134
Lewiston
Nominal: $97,146
CoL Index: 95.3
Adjusted: $101,937

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

Which City Is Right for You?

Choose Idaho Falls if…

  • Higher median salary ($97,371/year)
  • Larger job market (60 employed)
  • Better purchasing power (CoL-adjusted: $103,134)
  • You prefer the Idaho area and lifestyle

Choose Lewiston if…

  • Better top-earner potential ($124,827)
  • You prefer the Idaho area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapist salaries in Idaho Falls grew 3.6% from 2019 to 2025, compared to 16.9% growth in Lewiston over the same period.

Idaho Falls, ID

+3.6%

$91,170 (2019) → $94,480 (2025)

Lewiston, ID

+16.9%

$80,648 (2024) → $94,262 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapists more: Idaho Falls or Lewiston?

Idaho Falls has a higher median occupational therapist salary at $97,371/year, compared to Lewiston at $97,146/year — a difference of $225 (0.23%).

What is the hourly rate difference between Idaho Falls and Lewiston?

Idaho Falls occupational therapists earn $46.81/hr while Lewiston hygienists earn $46.71/hr (2026 est.).

Should I relocate from Idaho Falls to Lewiston as a occupational therapist?

Consider more than just salary when comparing Idaho Falls and Lewiston. Factor in cost of living (CoL-adjusted: Idaho Falls = $103,134, Lewiston = $101,937), job availability (60 vs 8 employed), commute, and career growth potential.

What do entry-level occupational therapists earn in Idaho Falls vs Lewiston?

Entry-level (10th percentile) occupational therapists earn $71,565 in Idaho Falls and $74,556 in Lewiston. The Lewiston 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