Occupational Therapist Pay

Kalispell vs Missoula: Occupational Therapist Salary (2026)

Compare occupational therapist salaries between Kalispell, MT and Missoula, MT. All figures are 2026 estimates projected from BLS 2025 data.

Kalispell, MT
$94,979
$45.67/hr
Missoula, MT
$89,971
$43.25/hr

Side-by-Side Comparison

MetricKalispell, MTMissoula, MT
Median Salary$94,979$89,971
Hourly Rate$45.67$43.25
Entry Level (P10)$70,666$78,583
25th Percentile$79,017$79,604
75th Percentile$105,187$104,843
Top Earner (P90)$113,697$106,100
Total Employed440
Side-by-side bar chart comparing Kalispell ($94,979) and Missoula ($89,971) occupational therapist salaries.KalispellMissoulaMedian Salary$94,979$89,971Entry Level (P10)$70,666$78,583Top Earner (P90)$113,697$106,100US Median $103,400

Verdict

Kalispell, MT offers better overall compensation for occupational therapists, winning 3 out of 4 metrics compared to Missoula.

The salary gap between Kalispell and Missoula is $5,008 (5.57%). Kalispell's median is -8.14% compared to the US national median of $103,400.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Kalispell spans $43,031,Missoula spans $27,517. Kalispell has a wider pay range, meaning more potential for high earners but also more variation.

Kalispell
P10 (Entry)$70,666
P25$79,017
Median$94,979
P75$105,187
P90 (Top)$113,697
Missoula
P10 (Entry)$78,583
P25$79,604
Median$89,971
P75$104,843
P90 (Top)$106,100

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Kalispell ($98,731 effective) pays 5.84% more than Missoula ($93,287 effective).

Kalispell
Nominal: $94,979
CoL Index: 96.2
Adjusted: $98,731
Missoula
Nominal: $89,971
CoL Index: 96.445
Adjusted: $93,287

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

Which City Is Right for You?

Choose Kalispell if…

  • Higher median salary ($94,979/year)
  • Better top-earner potential ($113,697)
  • Better purchasing power (CoL-adjusted: $98,731)
  • You prefer the Montana area and lifestyle

Choose Missoula if…

  • Larger job market (40 employed)
  • You prefer the Montana area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapist salaries in Kalispell grew 19.4% from 2024 to 2025, compared to 15.4% growth in Missoula over the same period.

Kalispell, MT

+19.4%

$77,160 (2024) → $92,159 (2025)

Missoula, MT

+15.4%

$75,680 (2019) → $87,300 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapists more: Kalispell or Missoula?

Kalispell has a higher median occupational therapist salary at $94,979/year, compared to Missoula at $89,971/year — a difference of $5,008 (5.57%).

What is the hourly rate difference between Kalispell and Missoula?

Kalispell occupational therapists earn $45.67/hr while Missoula hygienists earn $43.25/hr (2026 est.).

Should I relocate from Kalispell to Missoula as a occupational therapist?

Consider more than just salary when comparing Kalispell and Missoula. Factor in cost of living (CoL-adjusted: Kalispell = $98,731, Missoula = $93,287), job availability (4 vs 40 employed), commute, and career growth potential.

What do entry-level occupational therapists earn in Kalispell vs Missoula?

Entry-level (10th percentile) occupational therapists earn $70,666 in Kalispell and $78,583 in Missoula. The Missoula 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