Salary · MO · SOC 29-1122

Occupational Therapist (OT) salary in Missouri, per year and per hour

BLS data for May 2025. Median, mean, and percentile pay for occupational therapists in Missouri, with every metro area BLS publishes.

Source: BLS Occupational Employment and Wage Statistics, May 2025 estimates, released May 15, 2026. Publisher page

Quick answer

The median pay for occupational therapists in Missouri was $97,290 a year, or $46.77 an hour, in May 2025 (BLS). The middle 80% earned $71,880 to $120,130. About 3,400 were employed.

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Occupational Therapist pay in Missouri vs the US

Occupational Therapist wages in Missouri and the US, May 2025
Measure	MO annual	MO hourly	US annual
Median (50th percentile)	$97,290	$46.77	$100,330
Mean (average)	$95,200	$45.77	$101,280
10th percentile	$71,880	$34.56	$71,690
25th percentile	$81,230	$39.05	$82,510
75th percentile	$106,190	$51.05	$116,670
90th percentile	$120,130	$57.75	$131,950

Employment in Missouri: 3,400. Location quotient: 1.11 (1.0 = the national share of jobs).

Source: BLS Occupational Employment and Wage Statistics, May 2025. Publisher page

Occupational Therapist salary by metro area in Missouri

Occupational Therapist median wage by metro area, Missouri
Metro area	Median annual	Median hourly	Employed
St. Louis, MO-IL	$95,770	$46.04	1,860
Kansas City, MO-KS	$99,840	$48.00	1,360
Springfield, MO	$97,200	$46.73	270
Columbia, MO	$98,550	$47.38	160
Cape Girardeau, MO-IL	$98,990	$47.59	70
Joplin, MO-KS	$93,410	$44.91	70
St. Joseph, MO-KS	$92,640	$44.54	60
Jefferson City, MO	$95,110	$45.73	50

Source: BLS Occupational Employment and Wage Statistics, May 2025. Publisher page

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Occupational Therapist salary in Missouri

Median pay: $97,290 a year ($46.77 an hour)

Middle 80% earn $71,880 to $120,130 a year

Employed: 3,400

BLS OEWS, May 2025. Source: Rivvi

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<div style="font:14px/1.45 system-ui,sans-serif;color:#222;border:1px solid #E6E6EE;border-radius:12px;padding:14px 16px;max-width:360px;background:#fff"><div style="font-weight:600;font-size:15px;margin-bottom:6px">Occupational Therapist salary in Missouri</div><div style="margin:2px 0">Median pay: <strong>$97,290</strong> a year ($46.77 an hour)</div><div style="margin:2px 0">Middle 80% earn $71,880 to $120,130 a year</div><div style="margin:2px 0">Employed: 3,400</div><div style="margin-top:8px;font-size:12px;color:#555">BLS OEWS, May 2025. Source: <a href="https://rivvi.ai/salary/occupational-therapist/mo" style="color:#3C38C9">Rivvi</a></div></div>

Questions

How much does an OT make per hour in Missouri?

The median hourly wage was $46.77 in May 2025, per BLS. The 10th percentile was $34.56 and the 90th was $57.75.

What is the average OT salary in Missouri?

BLS reports a mean (average) of $95,200 a year and a median of $97,290 for May 2025. The median is the middle wage; the mean is pulled up by the highest earners.

Do occupational therapists in Missouri earn more than the US median?

The Missouri median of $97,290 is 3% lower than the US median of $100,330 (BLS, May 2025).

How does Missouri rank for occupational therapist pay?

Missouri ranks 32 of 51 states (plus DC) by median annual wage for occupational therapists (BLS, May 2025).

Where do these numbers come from?

The BLS Occupational Employment and Wage Statistics survey, May 2025 estimates, SOC 29-1122. Figures BLS did not publish are left out.