Dialysis Technician Salary in Spearfish, SD: $35,487 (2026)
Quick Answer:A full-time dialysis technician in Spearfish, SD earns a median $35,487/year (≈ $17.06/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2099). Once you factor in Spearfish's price level (7% below national, BEA RPP 92.8), that paycheck buys what $38,240 would nationally. Nominal pay sits 4.1% below the South Dakota state average.
Based on BLS state-level estimates · View source
In Spearfish, South Dakota, the role of a dialysis technician comes with a median annual salary of $35,487, reflecting the growing demand for home dialysis trainers amid the shift towards specialized care. The salary range within the profession varies significantly, with entry-level positions starting at around $27,398 and experienced technicians earning up to $55,005. These figures represent local estimates based on 2025 BLS data, adjusted for regional price parity. While the compensation may appear lower than the national median of $45,322, the local job market for dialysis technicians remains competitive, particularly given the evolving healthcare landscape and the focus on home-based treatment solutions.
About the Spearfish Market
Salary estimated from South Dakota average ($40,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $27,398 | $13.17 |
| Lower Range (P25) | $33,151 | $15.93 |
| Median (P50)(typical) | $35,487 | $17.06 |
| Upper Range (P75) | $43,485 | $20.90 |
| Top Earners (P90) | $55,005 | $26.44 |
Median Salary Position
21.7% below the national average
2026 Salary Percentile Distribution in Spearfish
In Spearfish, SD, the dialysis technician salary spread from the 10th to 90th percentile is $27,607 (2026 est.). At $35,487, the local median is 21.7% below the national median of $45,322.
Salary Calculator
At 40 hours/week in Spearfish: You'd be in the lower-middle range
How Spearfish Dialysis Technician Pay Compares
Spearfish median: $35,487/year (2026)
| Compared To | Median Salary | Spearfish Pays |
|---|---|---|
| South Dakota Average | $37,004 | -4.10% less |
| National Average | $45,322 | -21.70% less |
Dialysis Technicians in Spearfish, SD earn a median of $35,487 per year (2026 est.), which is 21.70% lower than the national median of $45,322 and 4.10% below the South Dakota state average of $37,004.
Cost-of-Living Adjusted Salary
Spearfish has a cost of living 7.20% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Spearfish, SD has a cost-of-living index of 92.8 (below the national average of 100). A dialysis technician earning $35,487 nominally has purchasing power equivalent to $38,240 in an average-cost city — an effective 7.76% boost.
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2021 BLS Actual
$31,503
2025 BLS Actual
$34,652
2026 Current Est.
$35,487
2021–2027 Growth
+15.4%
Salary Trajectory for Dialysis Technicians in Spearfish (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.41% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $31,503 | Actual |
| 2022 | $31,000 | Actual |
| 2023 | $32,709 | Actual |
| 2024 | $35,592 | Actual |
| 2025 | $34,652 | Actual |
| 2026(current) | $35,487 | Estimated |
| 2027 | $36,342 | Projected |
Based on 5 years of BLS OEWS data for the Spearfish metropolitan area, the median dialysis technician salary grew 10.0% from $31,503 (2021) to $34,652 (2025). At a 2.41% compound annual growth rate, salaries are projected to reach $36,342 by 2027 — a total increase of $4,839 (15.36%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Spearfish metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 2.41% CAGR derived from 5-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $27,398 – $33,151 |
| 3-5 years (Mid Career) | $33,151 – $35,487 |
| 5+ years (Experienced) | $35,487 – $43,485 |
| 10+ years (Top Earner) | $43,485 – $55,005 |
DT salary ranges estimated from BLS percentile data. Individual dialysis technician compensation varies by employer, certifications, and specialization.
Dialysis Technician Job Market in Spearfish
A total of five dialysis technicians are currently employed in Spearfish, underscoring a small but potentially stable market for this profession. The cost of living in the area is approximately 92.8 on the index scale, indicating a below-average living expense compared to the national average, which can positively influence take-home pay and purchasing power. Major employers like Fresenius and DaVita dominate the dialysis space locally, typically offering the highest wages in the market. Factors driving the salary spread include shift differentials, responsibilities related to training home dialysis patients, and potential stipends for additional skills like biomedical equipment operation. To maximize earnings, technicians may benefit from seeking cross-training opportunities at these outpatient chains and exploring roles that involve home training responsibilities or lead positions, positioning themselves advantageously within Spearfish's evolving healthcare job market.
More salary data for Spearfish, SD:
Frequently Asked Questions
How much do dialysis technicians make in Spearfish, SD in 2026?
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Can dialysis technicians make $100K in Spearfish?
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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
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $34,652 for dialysis techniciansin the Spearfish metropolitan area. A 2.41% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for Spearfish is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 2.41%, derived from historical BLS wage trends for dialysis technicians (SOC 29-2099).
Compiled and verified by Jessica Tran, CCRN, a licensed dialysis technician with 10+ years of clinical experience. · View source data at BLS.gov