Occupational Therapist Salary in Missouri

Occupational Therapists in Missouri earn an average of $89,347 per year across 2 metro areas. This is +7.3% lower than the national average.

Average Salary

$89,347

per year

Hourly Rate

$42.96

per hour

vs National

-7.3%

$96,370 national

Salary Range

$58,470

to $128,652

Cost of Living Adjusted Salary

Nominal Salary

$89,347

Cost of Living Index

90

100 = national average

Adjusted Salary

$99,274

purchasing power equivalent

After adjusting for Missouri's cost of living (below average), a Occupational Therapist's salary of $89,347 has the purchasing power of $99,274 in an average-cost area.

Occupational Therapist Salary by City in Missouri

CityMedian SalaryHourly RateEntry Level (P10)Senior (P90)Employment
St. Louis, MO$90,345$43.44/hr$59,455$127,674147
Kansas City, MO$88,349$42.48/hr$57,484$129,630160

Source: Bureau of Labor Statistics OEWS Survey, 2026. Sorted by median salary (highest first).

Missouri vs National Average

Occupational Therapist Salary Comparison

Missouri Average$89,347
National Average$96,370
Difference-$7,023 (-7.3%)

Employment in Missouri

There are approximately 307 Occupational Therapists employed across 2 metro areas in Missouri.

Key Industries: Manufacturing, Healthcare, Agriculture

State Income Tax: 0% - 4.95%

Occupational Therapist Salary Range in Missouri

Entry Level (10th Percentile)

$58,470

Starting salary for new Occupational Therapists

Median (50th Percentile)

$89,347

Mid-career Occupational Therapist salary

Senior (90th Percentile)

$128,652

Top earners in the field

Frequently Asked Questions

What is the average Occupational Therapist salary in Missouri?

The average Occupational Therapist salary in Missouri is $89,347 per year ($42.96/hour) based on 2026 data across 2 metro areas. This is 7.3% below the national average of $96,370.

What is the highest paying city for Occupational Therapists in Missouri?

St. Louis, MO is the highest paying city for Occupational Therapists in Missouri, with a median salary of $90,345 per year. The lowest paying metro area is Kansas City, MO at $88,349.

What is the salary range for Occupational Therapists in Missouri?

Occupational Therapist salaries in Missouri range from $58,470 (entry-level, 10th percentile) to $128,652 (experienced, 90th percentile). The median salary is $89,347 per year.

About This Data

Salary data is sourced from the U.S. Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey. State-level averages are calculated from metro area data within Missouri. Figures represent 2026 estimates and may not reflect all employers or self-employed workers. Cost of living adjustments use regional indices to provide purchasing power context.