Physical Therapist.
Billings.
$83,000
median salary, 8% below the national average
$67,000 to $100,000. Last updated April 2026.
Get the job.
Data points to own the conversation.
If you are evaluating a Physical Therapist offer in Billings, MT, here is the reality: $67,000 to $100,000, with $83,000 as the midpoint. 8% below the national average. Setting drives the biggest pay differences, with home health and travel PT positions paying 15 to 25% above outpatient clinics. Do not accept the first number.
Salary range
Where do you fall?
Salary by experience
The gap between entry and lead level is typically $75,000. Where you land depends on years of experience and what you bring to the table.
Entry (0-2 yrs)
$54,000
to $66,000
Mid (3-5 yrs)
$71,000
to $87,000
Senior (6-9 yrs)
$91,000
to $108,000
Lead (10+ yrs)
$104,000
to $129,000
Salary trend
+4% YoYTotal compensation
Base salary is not the full picture. Equity, bonus, and signing can add $21,000 to the total package.
Base
$83,000
Equity
$12,000
Bonus
$7,000
Signing
$2,000
Estimated total: $104,000
How Billings compares
Billings, MT
$83,000
Cost of living: 11% below average
National Average
$90,000
Billings is $7,000 below
Physical Therapist salary by city
Salary by role in Billings
What you should know
Here is what the Physical Therapist market actually looks like in Billings. Billings is Montana's largest city and economic hub, driven by energy, agriculture, and healthcare. The city serves as a regional center for the Northern Plains. Remote work has brought a wave of tech professionals seeking Montana's quality of life, gradually diversifying the local job market. Setting drives the biggest pay differences, with home health and travel PT positions paying 15 to 25% above outpatient clinics. Board-certified specialists in areas like orthopedics or neurology earn premiums. Geographic cost of living and state reimbursement rates also create significant variance across markets.
New-graduate PTs start at $70,000 to $80,000 in outpatient settings. With board certification and five years of experience, salaries reach $90,000 to $105,000. Clinical directors and practice owners can earn $110,000 to $130,000 depending on practice size and revenue. In Billings, your dollars stretch further. Cost of living runs 11% below the national average, which means even a median salary buys a stronger lifestyle.
Base salary is not the full picture. Benefits typically include CEU reimbursement of $1,500 to $3,000, student loan repayment assistance, and health insurance. Travel PTs receive housing stipends and per diems that can add $15,000 to $25,000 in effective annual compensation. And on the tax side: montana has a top income tax rate of 5.9% but no state sales tax. Billings has no city income tax. The no sales tax benefit helps offset the state income tax. When someone quotes you $83,000, ask what the total package looks like. The gap between base and total comp is where real money hides.
On negotiation: Negotiate remote work arrangements. Billings employers are increasingly open to remote and hybrid setups to attract talent from larger metros. The range for Physical Therapists in Billings runs from $67,000 to $100,000. That is not a narrow window. Where you land inside it depends almost entirely on whether you negotiate and how well you prepare.
Sources: SEC filings, H-1B LCA (DOL), BLS OES, 50+ job posting platforms. COL: BEA Regional Price Parities (2025). Data verified by Justin Bartak, Founder & Chief AI Officer. Last verified April 8, 2026. Full methodology
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Common questions.
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