Mental health therapist salary in South Dakota
Open mental health therapist jobs in South Dakota post a median of $34.50 an hour, the middle half $31.75–$38.25 (about $71,800 a year full time), the same as the national posted median. From 11 jobs at 4 employers that state their pay.
The jobs themselves: Mental health therapist jobs in South Dakota · Mental health therapist pay nationwide
What mental health therapists are paid in South Dakota
Each bar counts the open jobs posting an hourly rate in its step of pay (a range at its midpoint).
Posted on open jobs in South Dakota
Middle half of 7 employer rates (each employer's advertised range once), median $34.50. 55% of the 20 open mental health therapist jobs in South Dakota state an hourly rate.
Therapist in South Dakota: new openings every week
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Mental health therapist pay by town in South Dakota
Towns where at least three open jobs state an hourly rate, the towns with the most such jobs first.
| Town | Median posted | Posted range | Jobs (employers) |
|---|---|---|---|
| Sioux Falls | $34.50 | $21.75–$48.50 | 3 (2) |
| Rapid City | $31.75 | $26.14–$39.53 | 3 (1) |
Median of employers' rates in the town, the lowest and highest rate posted, and the jobs and employers behind them. A town opens its own job page.
Mental health therapist pay by employer in South Dakota
What each employer posts for mental health therapists here, the employers with the most jobs stating pay first.
| Employer | Median posted | Posted range | Jobs stating pay |
|---|---|---|---|
| BetterHelp | $56.50 | $43–$70 | 4 |
| Avera Health | $37 | $21.75–$48.50 | 3 |
| Monument Health | $34.25 | $26.14–$39.53 | 3 |
| Sanford Health | $34.50 | $27.50–$41.50 | 1 |
Median of each employer's jobs in South Dakota (a range at its midpoint), and its lowest and highest rate here. An employer's name opens its pay for mental health therapists nationwide when it has such a page.
Best-paid open mental health therapist jobs in South Dakota
The open jobs posting the highest hourly rates tonight, at most two from one employer.

Licensed Mental Health Therapist - Remote
BetterHelp · South Dakota· 3mo ago
$43–$70/hr
Licensed Professional Counselor (LPC) - Remote
BetterHelp · South Dakota· 4mo ago
$43–$70/hr
Avera Health · Parkston, Tripp and 1 more, SD· 3w ago
$30.75–$48.50/hr
Inpatient Counselor Admission Specialist/Utilization Review
Avera Health · Sioux Falls, SD· 4w ago
$25.50–$48.50/hr
Sanford Health · Sioux Falls, SD· 3w ago
$27.50–$41.50/hr
Mental Health Counselor or Mental Health Therapist | Behavioral Health
Monument Health · Rapid City, SD· 1mo ago
$28.74–$39.53/hr
Mental Health Counselor or Therapist | Behavioral Health
Monument Health · Rapid City, SD· 3mo ago
$28.74–$39.53/hr
What BLS measures in South Dakota
What people employed in the occupation earned in the state, at every level of experience, from the BLS survey. A posting advertises what a new hire is offered.
BLS median by metro area
- Sioux Falls, SD-MN$27.44/hr (source: BLS OEWS, Sioux Falls, SD-MN, opens in a new tab)
- Rapid City, SD$22.90/hr (source: BLS OEWS, Rapid City, SD, opens in a new tab)
- Sioux City, IA-NE-SD$28.96/hr (source: BLS OEWS, Sioux City, IA-NE-SD, opens in a new tab)
Mental health therapist salary in South Dakota: common questions
How much does a mental health therapist make in South Dakota?
Open mental health therapist jobs in South Dakota that state an hourly rate post a median of $34.50, the middle half $31.75–$38.25 (11 jobs from 4 employers). Full time that is about $71,800 a year. BLS measured a median of $25.79/hr ($53,650 a year) for people employed in the occupation in South Dakota (May 2025).
Where in South Dakota do mental health therapists earn the most?
By the median rate open jobs post, in the towns with the most jobs stating pay: Sioux Falls ($34.50) and Rapid City ($31.75). The town table lists 2.
Which employers in South Dakota pay mental health therapists the most?
Among employers stating a rate on at least three open jobs here: BetterHelp ($56.50), Avera Health ($37) and Monument Health ($34.25).
How does South Dakota compare with the rest of the country?
The posted median in South Dakota ($34.50) is the same as the national posted median of $34.50. In the BLS survey South Dakota ranks 43 of 52 by median wage.
Where do these figures come from?
From the pay open jobs state, read every night from each employer's own job board: 11 of 20 open mental health therapist jobs in South Dakota (55%) state an hourly rate. No pay is estimated for a job that states none; "up to" ceilings and weekly travel rates are left out.
Mental health therapist pay in other states
Sources and method
- CareJobs.Now job board: the pay open jobs state, read nightly from each employer's own careers site, published October 24, 2026
- BLS OEWS May 2025: Substance Abuse, Behavioral Disorder, and Mental Health Counselors (SOC 21-1018), every state, published May 15, 2026
- BLS OEWS May 2025: Marriage and Family Therapists (SOC 21-1013), every state, published May 15, 2026
- BLS OEWS May 2025: Mental Health and Substance Abuse Social Workers (SOC 21-1023), every state, published May 15, 2026
- BLS OEWS May 2025: Substance Abuse, Behavioral Disorder, and Mental Health Counselors, national, published May 15, 2026
- BLS OEWS May 2025: Substance Abuse, Behavioral Disorder, and Mental Health Counselors by metropolitan area, published May 15, 2026
Cite this page
CareJobs.Now. (2026). Mental health therapist salary in South Dakota. Data as of October 24, 2026. https://carejobs.now/salaries/mental-health-therapist/south-dakota