Updated October 15, 2026

Occupational Therapist salary in Iowa

Occupational Therapists in Iowa earn a median of $42.68 per hour, about $88,780 a year, 10% below the U.S. median of $47.28. The middle half earn between $37.76 and $49.75 per hour. The highest median among Iowa metro areas is in Des Moines-West Des Moines, IA, at $46.73 per hour. Source: BLS, May 2024.

Occupational Therapist pay in Iowa: percentiles

LevelIowa per hourIowa per yearU.S. per hour
Lowest 10%$33.44$69,560$32.25
Lower quartile$37.76$78,540$38.70
Median$42.68$88,780$47.28
Upper quartile$49.75$103,480$53.11
Top 10%$55.42$115,270$62.42

Occupational Therapist pay by metro area in Iowa

Metro areaMedian / hrMedian / yearEmployedvs Iowa medianAfter cost of living
Des Moines-West Des Moines, IA$46.73$97,1903209% above$50.96
Sioux City, IA-NE-SD$42.96$89,350501% above$49.69
Davenport-Moline-Rock Island, IA-IL$41.12$85,5301504% below$46.16
Dubuque, IA$40.79$84,840504% below$46.71
Cedar Rapids, IA$40.14$83,4901006% below$45.12
Waterloo-Cedar Falls, IA$40.01$83,220906% below$45.96
Ames, IA$39.23$81,590308% below$44.16
Iowa City, IA$38.85$80,810809% below$42.45

Metro areas with 30 or more workers in the BLS sample. After cost of living divides the median by the BEA regional price index (U.S. = 100).

Occupational Therapist pay in states next to Iowa

StateMedian / hrMedian / yearCompared with Iowa
Illinois$47.55$98,90011% above Iowa
Minnesota$40.88$85,0404% below Iowa
Missouri$45.00$93,6005% above Iowa
Nebraska$41.83$87,0102% below Iowa
South Dakota$39.15$81,4308% below Iowa
Wisconsin$41.66$86,6602% below Iowa

Occupational Therapist jobs in Iowa · Occupational Therapist salary nationwide · Iowa state guide

Common questions

How much does a occupational therapist make in Iowa?

The median is $42.68 per hour, about $88,780 a year. The lowest 10% earn under $33.44 and the top 10% earn over $55.42 (BLS, May 2024).

Which Iowa city pays occupational therapists the most?

Among Iowa metro areas, Des Moines-West Des Moines, IA has the highest median at $46.73 per hour. See the metro table for the rest and for pay after cost of living.

Where does Iowa rank for occupational therapist pay?

Iowa ranks 39th of 50 states by median occupational therapist pay.

Is this the same as the pay in job postings?

No. BLS figures come from a survey of employers and cover all workers in the occupation. Posted pay is the range an employer lists on one open role. Both are useful: use the survey for the market and the posting for a specific job.

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Pay report · OT near Iowa
Valorem Health Shift ReportFrom your recruiting team · [email protected]

Your OT pay reportIowa · employer-reported wage offers in federal filings, July 2025 – June 2026

1Pay for your role at other employers

  • Grandison Management, Inc.Shenandoah, IA · 1 wage offer$34.95/ hr$35–$35
  • Grandison Management, Inc.Wapello, IA · 1 wage offer$33.90/ hr$34–$34
  • Grandison Management, Inc.Donnellson, IA · 1 wage offer$33.90/ hr$34–$34

Median pay per hour, with the range each employer reported in federal filings.

2What they are offering now

Low$34Median$33.90High$35

4 employer-reported wage offers for OT in federal filings in Iowa, July 2025 – June 2026. Month-by-month history by employer comes with your full report.

3Open now: 1 OT roles

  1. Occupational TherapistPer diem
    $47.50–$47.50/ hour
    CommonSpirit Health · Council Bluffs, IA · posted 15 days ago

Each one has pay, shift and start date.

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