Physical Therapist Pay

Rapid City vs Spearfish: Physical Therapist Salary (2026)

Compare physical therapist salaries between Rapid City, SD and Spearfish, SD. All figures are 2026 estimates projected from BLS 2025 data.

Rapid City, SD
$96,435
$46.36/hr
Spearfish, SD
$93,685
$45.04/hr

Side-by-Side Comparison

MetricRapid City, SDSpearfish, SD
Median Salary$96,435$93,685
Hourly Rate$46.36$45.04
Entry Level (P10)$81,425$71,481
25th Percentile$82,511$83,668
75th Percentile$109,099$105,687
Top Earner (P90)$118,044$112,889
Total Employed1905
Side-by-side bar chart comparing Rapid City ($96,435) and Spearfish ($93,685) physical therapist salaries.Rapid CitySpearfishMedian Salary$96,435$93,685Entry Level (P10)$81,425$71,481Top Earner (P90)$118,044$112,889US Median $105,288

Verdict

Rapid City, SD offers better overall compensation for physical therapists, winning 4 out of 4 metrics compared to Spearfish.

The salary gap between Rapid City and Spearfish is $2,750 (2.94%). Rapid City's median is -8.41% compared to the US national median of $105,288.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Rapid City spans $36,619,Spearfish spans $41,408. Spearfish has a wider pay range, suggesting more variation in pay between entry-level and experienced physical therapists.

Rapid City
P10 (Entry)$81,425
P25$82,511
Median$96,435
P75$109,099
P90 (Top)$118,044
Spearfish
P10 (Entry)$71,481
P25$83,668
Median$93,685
P75$105,687
P90 (Top)$112,889

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Rapid City ($108,159 effective) pays 7.14% more than Spearfish ($100,954 effective).

Rapid City
Nominal: $96,435
CoL Index: 89.16
Adjusted: $108,159
Spearfish
Nominal: $93,685
CoL Index: 92.8
Adjusted: $100,954

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

Which City Is Right for You?

Choose Rapid City if…

  • Higher median salary ($96,435/year)
  • Better top-earner potential ($118,044)
  • Larger job market (190 employed)
  • Better purchasing power (CoL-adjusted: $108,159)
  • You prefer the South Dakota area and lifestyle

Choose Spearfish if…

  • You prefer the South Dakota area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, physical therapist salaries in Rapid City grew 17.1% from 2019 to 2025, compared to 19.5% growth in Spearfish over the same period.

Rapid City, SD

+17.1%

$80,400 (2019) → $94,120 (2025)

Spearfish, SD

+19.5%

$76,523 (2024) → $91,436 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays physical therapists more: Rapid City or Spearfish?

Rapid City has a higher median physical therapist salary at $96,435/year, compared to Spearfish at $93,685/year — a difference of $2,750 (2.94%).

What is the hourly rate difference between Rapid City and Spearfish?

Rapid City physical therapists earn $46.36/hr while Spearfish hygienists earn $45.04/hr (2026 est.).

Should I relocate from Rapid City to Spearfish as a physical therapist?

Consider more than just salary when comparing Rapid City and Spearfish. Factor in cost of living (CoL-adjusted: Rapid City = $108,159, Spearfish = $100,954), job availability (190 vs 5 employed), commute, and career growth potential.

What do entry-level physical therapists earn in Rapid City vs Spearfish?

Entry-level (10th percentile) physical therapists earn $81,425 in Rapid City and $71,481 in Spearfish. The Rapid City area offers higher starting salaries.
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Written by Alex Morgan, DPT

Career Analyst

Alex Morgan has over 10 years of experience in physical therapy. They specialize in orthopedic rehabilitation. Alex works in a private practice setting.

Clinically reviewed by Jordan Lee, DPTData verified by Maria Garcia, DPT

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.46% 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 Alex Morgan, DPT, a licensed physical therapist with 10+ years of clinical experience. · View source data at BLS.gov