Speech Therapist Salary in St. Louis

2026 compensation data for Speech Therapist positions in St. Louis, MO. Ranges from $48,000 (entry-level) to $97,000 (senior). Median: $74,000.

Median (Mid)

$74,000

$35.58/hr

vs National

-1%

US: $75,000

COL Index

92

vs US avg = 100

Senior Max

$97,000

Top of band

Salary Ranges by Experience Level

Entry-Level (0–2 years)$48,000$60,000
$48KMedian: $53,000$60K
Mid-Level (3–5 years)$64,000$85,000
$64KMedian: $74,000$85K
Senior (6+ years)$81,000$97,000
$81KMedian: $87,000$97K

Detailed Compensation Breakdown

LevelAnnual MinAnnual MedianAnnual MaxHourly (Median)
Entry-Level (0–2 yrs)$48,000$53,000$60,000$25.48/hr
Mid-Level (3–5 yrs)$64,000$74,000$85,000$35.58/hr
Senior (6+ yrs)$81,000$87,000$97,000$41.83/hr

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What Your Salary Is Really Worth in St. Louis

A mid-level speech therapist earning $74,000 in St. Louis has the same buying power as $80,000 in an average US city, after adjusting for the local cost of living (COL index 92).

Cost of living comparisons use a base of 100 (US national average). Higher index = higher housing, transport, and consumer prices.

About Speech Therapist Salaries in St. Louis

Assess and treat communication, language, voice, and swallowing disorders across pediatric and adult populations. This page covers speech therapist compensation specifically in St. Louis, MO.

The median speech therapist salary in St. Louis, MO is $74,000 for mid-level professionals, which is 1% below the national median. With a cost of living index of 92 (national average = 100), St. Louis offers an affordable cost of living, making these salaries stretch further.

Entry-level speech therapists in St. Louis can expect to earn between $48,000 and $60,000 (about $25.48/hour), while senior professionals with 6+ years of experience earn up to $97,000 ($97K annually, or about $46.63/hour).

These figures represent base salary only and do not include bonuses, equity, or benefits, which can add 20–50% to total compensation — especially at technology companies and in competitive markets like St. Louis.

Frequently Asked Questions: Speech Therapist Salary in St. Louis

What is the average Speech Therapist salary in St. Louis?+

The average Speech Therapist salary in St. Louis is $74,000 for a mid-level professional (3–5 years of experience). Entry-level pay starts around $53,000 and senior-level pay reaches $87,000.

How much does an entry-level speech therapist make in St. Louis?+

Entry-level speech therapists in St. Louis earn between $48,000 and $60,000, with a median of $53,000 per year (about $25.48/hour).

What is the hourly rate for a Speech Therapist in St. Louis?+

Based on a 2,080-hour work year, a Speech Therapist in St. Louis earns roughly $25.48/hour at entry-level, $35.58/hour at mid-level, and $41.83/hour at senior-level.

Is the Speech Therapist salary in St. Louis higher than the US average?+

Speech Therapist salaries in St. Louis are about 1% below the US national median. The lower cost of living often makes take-home buying power competitive.

Does this include bonuses or equity?+

No — these figures are base salary only. Total compensation (base + bonus + equity + benefits) is typically 20–50% higher, and can be 2–3x at top technology and finance employers.

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