OT Assistant Salary

Billings vs Butte: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Billings, MT and Butte, MT. All figures are 2026 estimates projected from BLS 2025 data.

Billings, MT
$62,228
$29.92/hr
Butte, MT
$58,649
$28.20/hr

Side-by-Side Comparison

MetricBillings, MTButte, MT
Median Salary$62,228$58,649
Hourly Rate$29.92$28.20
Entry Level (P10)$43,272$41,044
25th Percentile$51,995$51,161
75th Percentile$67,999$64,554
Top Earner (P90)$76,660$72,377
Total Employed267
Side-by-side bar chart comparing Billings ($62,228) and Butte ($58,649) occupational therapy assistant salaries.BillingsButteMedian Salary$62,228$58,649Entry Level (P10)$43,272$41,044Top Earner (P90)$76,660$72,377US Median $74,332

Verdict

Billings, MT offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to Butte.

The salary gap between Billings and Butte is $3,579 (6.10%). Billings's median is -16.28% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Billings spans $33,388,Butte spans $31,333. Billings has a wider pay range, meaning more potential for high earners but also more variation.

Billings
P10 (Entry)$43,272
P25$51,995
Median$62,228
P75$67,999
P90 (Top)$76,660
Butte
P10 (Entry)$41,044
P25$51,161
Median$58,649
P75$64,554
P90 (Top)$72,377

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Billings ($64,686 effective) pays 6.10% more than Butte ($60,966 effective).

Billings
Nominal: $62,228
CoL Index: 96.2
Adjusted: $64,686
Butte
Nominal: $58,649
CoL Index: 96.2
Adjusted: $60,966

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

Which City Is Right for You?

Choose Billings if…

  • Higher median salary ($62,228/year)
  • Better top-earner potential ($76,660)
  • Larger job market (26 employed)
  • Better purchasing power (CoL-adjusted: $64,686)
  • You prefer the Montana area and lifestyle

Choose Butte if…

  • You prefer the Montana area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Billings grew -1.6% from 2024 to 2025, compared to -1.6% growth in Butte over the same period.

Billings, MT

+-1.6%

$61,501 (2024) → $60,527 (2025)

Butte, MT

+-1.6%

$57,963 (2024) → $57,046 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Billings or Butte?

Billings has a higher median occupational therapy assistant salary at $62,228/year, compared to Butte at $58,649/year — a difference of $3,579 (6.10%).

What is the hourly rate difference between Billings and Butte?

Billings occupational therapy assistants earn $29.92/hr while Butte hygienists earn $28.20/hr (2026 est.).

Should I relocate from Billings to Butte as a occupational therapy assistant?

Consider more than just salary when comparing Billings and Butte. Factor in cost of living (CoL-adjusted: Billings = $64,686, Butte = $60,966), job availability (26 vs 7 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Billings vs Butte?

Entry-level (10th percentile) occupational therapy assistants earn $43,272 in Billings and $41,044 in Butte. The Billings area offers higher starting salaries.
JL

Written by Jordan Lee, MS, OTR/L

Career Analyst

Jordan Lee has 10 years of experience as an occupational therapist. Their specialty is working with children with developmental disorders. They have worked in various healthcare settings including schools and rehabilitation facilities.

Clinically reviewed by Maria Gonzalez, COTA/LData verified by Samuel Chen, OTR/L

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.81% 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 Lee, MS, OTR/L, a licensed occupational therapy assistant with 10+ years of clinical experience. · View source data at BLS.gov