Sioux Falls vs Spearfish: Radiologist Salary (2026)
Compare radiologist salaries between Sioux Falls, SD and Spearfish, SD. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Sioux Falls, SD | Spearfish, SD |
|---|---|---|
| Median Salary | $702,471▲ | $393,206 |
| Hourly Rate | $337.72▲ | $189.04 |
| Entry Level (P10) | $245,301▲ | $228,060 |
| 25th Percentile | $534,671▲ | $283,108 |
| 75th Percentile | $702,471▲ | $452,448 |
| Top Earner (P90) | $702,471▲ | $509,760 |
| Total Employed | 50▲ | 5 |
Verdict
Sioux Falls, SD offers better overall compensation for radiologists, winning 4 out of 4 metrics compared to Spearfish.
The salary gap between Sioux Falls and Spearfish is $309,265 (78.65%). Sioux Falls's median is +58.96% compared to the US national median of $441,903.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Sioux Falls spans $457,170,Spearfish spans $281,700. Sioux Falls 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, Sioux Falls ($775,089 effective) pays 82.93% more than Spearfish ($423,713 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Sioux Falls if…
- ✓Higher median salary ($702,471/year)
- ✓Better top-earner potential ($702,471)
- ✓Larger job market (50 employed)
- ✓Better purchasing power (CoL-adjusted: $775,089)
- ✓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, radiologist salaries in Sioux Falls grew 100.8% from 2024 to 2025, compared to 18.6% growth in Spearfish over the same period.
Sioux Falls, SD
$333,120 (2024) → $669,020 (2025)
Spearfish, SD
$315,879 (2024) → $374,482 (2025)
View Full Salary Data
Sioux Falls, SD
Spearfish, SD
Frequently Asked Questions
Which city pays radiologists more: Sioux Falls or Spearfish?
What is the hourly rate difference between Sioux Falls and Spearfish?
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Written by Dr. Maria Chen, MD
Career Analyst
Dr. Chen has 10 years of experience in diagnostic radiology. She specializes in imaging techniques for oncology. She works at a regional medical center.
Methodology & Data Source
All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 5.00% 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 Dr. Maria Chen, MD, a licensed radiologist with 10+ years of clinical experience. · View source data at BLS.gov