Dietitian Pay

Sioux Falls vs Spearfish: Dietitian and Nutritionist Salary (2026)

Compare dietitian and nutritionist salaries between Sioux Falls, SD and Spearfish, SD. All figures are 2026 estimates projected from BLS 2025 data.

Sioux Falls, SD
$67,421
$32.42/hr
Spearfish, SD
$70,632
$33.95/hr

Side-by-Side Comparison

MetricSioux Falls, SDSpearfish, SD
Median Salary$67,421$70,632
Hourly Rate$32.42$33.95
Entry Level (P10)$52,220$45,766
25th Percentile$62,621$62,147
75th Percentile$80,865$79,017
Top Earner (P90)$82,185$87,932
Total Employed1105
Side-by-side bar chart comparing Sioux Falls ($67,421) and Spearfish ($70,632) dietitian and nutritionist salaries.Sioux FallsSpearfishMedian Salary$67,421$70,632Entry Level (P10)$52,220$45,766Top Earner (P90)$82,185$87,932US Median $79,380

Verdict

Spearfish, SD offers better overall compensation for dietitians and nutritionists, winning 3 out of 4 metrics compared to Sioux Falls.

The salary gap between Sioux Falls and Spearfish is $3,211 (4.76%). Spearfish's median is -11.02% compared to the US national median of $79,380.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Sioux Falls spans $29,965,Spearfish spans $42,166. Spearfish has a wider pay range, suggesting more variation in pay between entry-level and experienced dietitian and nutritionists.

Sioux Falls
P10 (Entry)$52,220
P25$62,621
Median$67,421
P75$80,865
P90 (Top)$82,185
Spearfish
P10 (Entry)$45,766
P25$62,147
Median$70,632
P75$79,017
P90 (Top)$87,932

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Spearfish ($76,112 effective) pays 2.31% more than Sioux Falls ($74,391 effective).

Sioux Falls
Nominal: $67,421
CoL Index: 90.631
Adjusted: $74,391
Spearfish
Nominal: $70,632
CoL Index: 92.8
Adjusted: $76,112

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

Which City Is Right for You?

Choose Sioux Falls if…

  • Larger job market (110 employed)
  • You prefer the South Dakota area and lifestyle

Choose Spearfish if…

  • Higher median salary ($70,632/year)
  • Better top-earner potential ($87,932)
  • Better purchasing power (CoL-adjusted: $76,112)
  • You prefer the South Dakota area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, dietitian and nutritionist salaries in Sioux Falls grew 21.9% from 2019 to 2025, compared to 23.2% growth in Spearfish over the same period.

Sioux Falls, SD

+21.9%

$53,230 (2019) → $64,890 (2025)

Spearfish, SD

+23.2%

$55,168 (2024) → $67,981 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays dietitian and nutritionists more: Sioux Falls or Spearfish?

Spearfish has a higher median dietitian and nutritionist salary at $70,632/year, compared to Sioux Falls at $67,421/year — a difference of $3,211 (4.76%).

What is the hourly rate difference between Sioux Falls and Spearfish?

Sioux Falls dietitian and nutritionists earn $32.42/hr while Spearfish hygienists earn $33.95/hr (2026 est.).

Should I relocate from Sioux Falls to Spearfish as a dietitian and nutritionist?

Consider more than just salary when comparing Sioux Falls and Spearfish. Factor in cost of living (CoL-adjusted: Sioux Falls = $74,391, Spearfish = $76,112), job availability (110 vs 5 employed), commute, and career growth potential.

What do entry-level dietitian and nutritionists earn in Sioux Falls vs Spearfish?

Entry-level (10th percentile) dietitian and nutritionists earn $52,220 in Sioux Falls and $45,766 in Spearfish. The Sioux Falls area offers higher starting salaries.
AP

Written by Aisha Patel, MS, RD

Career Analyst

Aisha has 10 years of experience as a nutrition consultant. She specializes in sports nutrition. Aisha works with professional athletes and teams.

Clinically reviewed by Carlos Gomez, RDNData verified by Emily Chen, MS, RDN

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.90% 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 Aisha Patel, MS, RD, a licensed dietitian and nutritionist with 10+ years of clinical experience. · View source data at BLS.gov