Rapid City vs Spearfish: Dialysis Technician Salary (2026)
Compare dialysis technician salaries between Rapid City, SD and Spearfish, SD. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Rapid City, SD | Spearfish, SD |
|---|---|---|
| Median Salary | $43,654▲ | $35,487 |
| Hourly Rate | $20.99▲ | $17.06 |
| Entry Level (P10) | $36,255▲ | $27,398 |
| 25th Percentile | $37,914▲ | $33,151 |
| 75th Percentile | $64,823▲ | $43,485 |
| Top Earner (P90) | $88,832▲ | $55,005 |
| Total Employed | 50▲ | 5 |
Verdict
Rapid City, SD offers better overall compensation for dialysis technicians, winning 4 out of 4 metrics compared to Spearfish.
The salary gap between Rapid City and Spearfish is $8,167 (23.01%). Rapid City's median is -3.68% compared to the US national median of $45,322.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Rapid City spans $52,577,Spearfish spans $27,607. Rapid City has a wider pay range, meaning more potential for high earners but also more variation.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Rapid City ($48,961 effective) pays 28.04% more than Spearfish ($38,240 effective).
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 ($43,654/year)
- ✓Better top-earner potential ($88,832)
- ✓Larger job market (50 employed)
- ✓Better purchasing power (CoL-adjusted: $48,961)
- ✓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, dialysis technician salaries in Rapid City grew -22.6% from 2022 to 2025, compared to -2.6% growth in Spearfish over the same period.
Rapid City, SD
$55,070 (2022) → $42,627 (2025)
Spearfish, SD
$35,592 (2024) → $34,652 (2025)
View Full Salary Data
Rapid City, SD
Spearfish, SD
Frequently Asked Questions
Which city pays dialysis technicians more: Rapid City or Spearfish?
What is the hourly rate difference between Rapid City and Spearfish?
Should I relocate from Rapid City to Spearfish as a dialysis technician?
What do entry-level dialysis technicians earn in Rapid City vs Spearfish?
Written by Jessica Tran, CCRN
Career Analyst
Jessica has over 10 years as a dialysis technician. She specializes in chronic kidney disease management. She works at a community hospital.
Methodology & Data Source
All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.41% 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 Jessica Tran, CCRN, a licensed dialysis technician with 10+ years of clinical experience. · View source data at BLS.gov