BLS publishes no occupation called therapist — it publishes three, and in Iowa two sit at or near their national medians while the third sits well below.
Counselors, a combined occupation that also counts substance abuse counselors, had a median of $60,880, 3% above their national median.
Marriage and family therapists had a median of $67,180, within $240 of theirs.
Mental health and substance abuse social workers had a median of $48,530, 19% below.
The counselor and social worker order flips against the national one.
Counselors (combined) · SOC 21-1018
$60,880/yr
+3% vs. national $59,350
$29.27/hr median
Marriage & family therapists · SOC 21-1013
$67,180/yr
0% vs. national $66,940
$32.30/hr median
MH & substance abuse social workers · SOC 21-1023
$48,530/yr
−19% vs. national $60,280
$23.33/hr median
Why three figures, not one
U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 state and national estimates — Iowa, SOCs 21-1018, 21-1013, 21-1023.
Retrieved 2026-09-24 from the BLS Public Data API.
How to read these figures
Each occupation is compared with its own national median from the same May 2025 release (national pages for counselors, marriage and family therapists, and social workers), and the national therapist salary page explains why the figures are never blended.
Ranks count only the jurisdictions (states plus DC) where BLS publishes that occupation’s figure.
Differences are whole percentages of the national figure, rounded half away from zero, computed from the figures shown.
By estimated employment, Iowa ranks 31st of 50 for counselors (combined), 26th of 40 for marriage and family therapists, 30th of 50 for mental health and substance abuse social workers.
Two Iowa medians sit almost on their national figures and one does not.
The counselor median of $60,880 is $1,530 above the national $59,350 and the family therapist median of $67,180 is $240 above the national $66,940; the social worker median of $48,530 is $11,750 below the national $60,280.
The between-occupation gaps move differently.
The national family therapist premium over counselors, $7,590 at the median, nearly holds here at $6,300.
But the national gap runs the other way between counselors and social workers: nationally the social worker median is $930 higher, while in Iowa counselors lead social workers by $12,350.
Family therapists lead social workers by $18,650 here against $6,660 nationally.
Any single Iowa figure for therapists as such would have to hide this spread.
The Iowa counselor edge over the national figures is widest at the floor of the distribution and thinnest at the 75th percentile.
The 10th percentile of $44,450 is $5,510, or 14%, above the national figure of $38,940, while the 25th percentile of $48,420 is $1,320 above and the median of $60,880 is $1,530 above, and the 75th percentile of $77,220 is just $690, or 1%, above the national $76,530.
The 90th percentile of $102,890 is $5,300, or 5%, above the national $97,590.
The middle half of the Iowa distribution spans $28,800, close to the national band of $29,430, and the 10th-to-90th span is $58,440 against the national $58,650, so the overall width of the two distributions is nearly identical.
BLS estimates 3,530 counselors employed in Iowa, and the median ranks 19th of the 51 jurisdictions that publish one for this occupation.
This is a combined occupation: the figures pool licensed mental health counselors with substance abuse and behavioral disorder counselors rather than describing one licence.
What this figure covers: A COMBINED occupation: BLS publishes no wage series for licensed mental health counselors (LPC, LMHC, LPCC, LCPC) alone, so this figure pools them with substance abuse and behavioral disorder counselors.
Nobody can tell from this release which way the blend pulls the figure.
Marriage and family therapists have Iowa's highest median of the three occupations, $67,180, and it sits $240 above the national median of $66,940 — effectively level with it.
The hourly medians are $32.30 in Iowa and $32.18 nationally, $0.12 apart.
At the median, family therapists lead Iowa counselors by $6,300 and social workers by $18,650.
This is the page's small-sample case, though: BLS estimates 240 marriage and family therapists employed in Iowa, a small employment estimate, so the page builds nothing on this occupation's percentiles and works from the median alone.
The median ranks 17th of the 45 jurisdictions that publish one for this occupation, and by employment Iowa ranks 26th of the 40 that publish an estimate.
OEWS does not say why the count is this small, and this page does not guess.
What this figure covers: An occupation of its own for marriage and family therapists — the only one of the three that is not a blend or a split.
⚠️ BLS's employment estimate for this occupation in Iowa is 240 — under 500, so these percentiles rest on a small sample.
Read the median; treat the tails with caution.
Mental health and substance abuse social workers are the Iowa row that sits furthest from its national figures.
The dollar gap widens moving up the distribution: $1,760 at the 10th percentile, $2,440 at the 25th, $11,750 at the median, $13,550 at the 75th and $23,410 at the 90th.
In percentages the printed figures sit 4%, 5%, 19%, 17% and 22% below the national ones, so the relative gap narrows from the median to the 75th percentile before widening again at the 90th.
The state figures are $37,980, $44,630, $48,530, $66,180 and $80,760 against national figures of $39,740, $47,070, $60,280, $79,730 and $104,170.
The middle half of the Iowa distribution spans $21,550 against the national band of $32,660, so Iowa pay in this occupation clusters more tightly around its median.
The hourly median is $23.33 against $28.98 nationally.
BLS estimates 1,200 social workers employed in Iowa; that count ranks 30th of the 50 jurisdictions that publish an employment estimate for this occupation, and the median ranks 38th of 51.
What this figure covers: Clinical social workers (LCSWs) are counted either here or in SOC 21-1022, healthcare social workers, depending on the setting of the job.
This page shows 21-1023 only, so it does not describe every LCSW.
Read an offer against the row for the occupation the job would be counted in, not against a blended number.
The Iowa hourly medians make the spread concrete: $32.30 for marriage and family therapists, $29.27 for counselors and $23.33 for mental health and substance abuse social workers, so the same hourly rate reads differently against each row.
An annual offer of $60,880 sits exactly at the Iowa counselor median and $1,530 above the national counselor median of $59,350; offered for a social work position it would sit $12,350 above the Iowa social worker median of $48,530.
A percentile is a position in the state's distribution for that occupation, not a pay step or a judgement about the person hired, so an offer at the 25th percentile says where it sits among Iowa jobs in that occupation.
None of the three rows is a licence figure, and Iowa's own titles make the splits concrete.
The counselor row pools LMHCs — Iowa licenses mental health counselors as the LMHC — with substance abuse and behavioral disorder counselors, and BLS publishes no LMHC-only median for Iowa.
The family therapist row is the closest to a single licence: Iowa licenses this occupation as the LMFT, the licensed marital and family therapist, but OEWS does not split it by licence stage, so it cannot say what a therapist on Iowa's temporary marital and family therapy licence earns.
Iowa licenses social workers at the LBSW, LMSW and LISW tiers, with the LISW the independent tier.
Social workers holding the LISW are counted either in this row or in healthcare social work, depending on the setting, so the $48,530 median does not describe every LISW.
The licensure pages linked below carry each licence's requirements.
What each licence requires in Iowa is summarized in counselor licensure in Iowa, social work licensure in Iowa, and MFT licensure in Iowa.
Before you weigh an offer, check which licence the posting asks for — browse therapist jobs in Iowa.
One of the three Iowa rows carries a small-sample flag.
The marriage and family therapist row is the case: BLS estimates 240 marriage and family therapists employed in Iowa, and an employment estimate that small is why this page builds nothing on that occupation's percentile figures and works from its median, hourly median and the gaps between medians instead.
The counselor row, with an estimated 3,530 workers, and the social worker row, with 1,200, carry no flag, and their percentiles are used throughout the sections above.
The flag appears under the family therapist table on this page as well.
From the 16 active therapist listings on BehavioralHires as of October 29, 2026.
Source: active therapist listings on BehavioralHires, updated daily. Pay figures use only listings that state pay (midpoint of each posted range). Benefits count listings that name the benefit; a listing that doesn’t mention one may still offer it.
Browse 16 jobs →There is no single figure, because BLS publishes no occupation called therapist.
For May 2025 it publishes three Iowa medians: $60,880 for counselors (a combined occupation that also counts substance abuse counselors), $67,180 for marriage and family therapists and $48,530 for mental health and substance abuse social workers.
The counselor median is 3% above its national median, the family therapist median is within $240 of its national figure, and the social worker median is 19% below its national median.
Use the row for the occupation the job would be counted in.
At the median, marriage and family therapists: $67,180 against $60,880, a gap of $6,300.
That mirrors the national picture, where the family therapist median of $66,940 leads the counselor median of $59,350 by $7,590; the Iowa premium is narrower but points the same way.
Employment differs far more than pay does: 240 family therapists against 3,530 counselors, which is why the family therapist row carries the page's small-sample flag.
The Iowa 90th percentile is $102,890 for counselors and $80,760 for mental health and substance abuse social workers — 5% above and 22% below their national counterparts of $97,590 and $104,170.
For marriage and family therapists this page does not reason from percentiles, because the occupation's Iowa employment estimate of 240 is small; its full table is printed above with the page's small-sample flag.
One worker in ten in an occupation earned more than that occupation's 90th percentile figure.
BLS estimates 3,530 counselors in the combined occupation, 240 marriage and family therapists and 1,200 mental health and substance abuse social workers employed in Iowa.
Those are headcounts of people in jobs during the survey period, not open positions.
By employment Iowa ranks 31st of the 50 jurisdictions that publish an estimate for counselors, 26th of 40 for family therapists and 30th of 50 for social workers.
The 240 is also why the family therapist row carries this page's small-sample flag.
Sources
Wage figures: BLS OEWS May 2025 state and national estimates, SOCs 21-1018, 21-1013, 21-1023, retrieved 2026-09-24.
Page last updated 2026-09-25.