Entry-Level Medical and Clinical Laboratory Technologist Salary in Rapid City, SD: $41,013 (2026)
Quick Answer:New medical and clinical laboratory technologists entering the Rapid City, SD job market in 2026 can expect a starting salary around $41,013 (BLS 10th-percentile benchmark for SOC 29-2010, projected from 2025 OEWS data). Stripping out Rapid City's local price level (BEA RPP 89.2 — 11% below national), a first-year paycheck buys what $45,999 would in average-cost America. Most reach the city median ($51,596) within a few years of clinical practice.
Official BLS data · View source

In 2026, entry-level medical and clinical laboratory technologists in Rapid City can expect a starting salary around $41,013. This figure is notably lower than the city median of $51,596, indicating a gap that new graduates may need to strategize around in their early careers. While entering the field may present a modest paycheck initially, there is potential for growth as professionals gain experience. Over the next few years, entry-level salaries in this region can realistically progress towards the 25th percentile, eventually reaching the median as individuals enhance their skills and credentials. Rapid City remains a reasonable market for recent graduates seeking their first jobs, given its steady demand for healthcare professionals and a projected 3.04% annual growth rate in employment opportunities.
Career Earnings Timeline in Rapid City
New Graduate
Early Career
Mid Career
Experienced
Salary progression estimated from BLS percentile data. Actual progression varies by employer, certifications, and specialization.
2026 Salary Percentile Distribution in Rapid City
Entry-level medical and clinical laboratory technologists in Rapid City, SD typically start between $41,013 and $41,013 per year (2026 est.). The full salary range spans $51,400 from the 10th to 90th percentile, with the local median at $51,596 — 24.93% below the national median.
Return on Investment
The average clinical laboratory science program cost in South Dakota of $42,000 represents just 102.41% of the starting medical and clinical laboratory technologist pay ($41,013/year) in Rapid City. Most graduates begin earning back their investment from day one, though actual ROI varies based on living expenses, loan interest, and the 2-year opportunity cost of schooling.
Program cost estimates based on NAACLS-accredited MLS bachelor's programs and state university tuition data. The role is sometimes called Medical Technologist (MT) or Clinical Laboratory Scientist (CLS); BLS aggregates these under the broader OCC 29-2010 'Clinical Laboratory Technologists and Technicians' group code, which also covers MLT (associate-degree technicians, OCC 29-2012). National data and state-level wages reflect the combined group, since the 2024 BLS national OEWS file does not separately publish 29-2011 (Technologists) and 29-2012 (Technicians) at the national level.
MLS Salary Negotiation Tips for New Graduates in Rapid City
- 1Research the Rapid City market: entry-level medical and clinical laboratory technologist pay ranges from $41,013 to $41,013, so aim for at least the 25th percentile if you have strong credentials.
- 2Highlight any additional certifications or specialty training within the clinical laboratory science field — employers in SD often pay a premium for expanded scope of work.
- 3Evaluate the full compensation package — in Rapid City, benefits like health insurance, continuing-education allowances, and schedule flexibility can add 20-30% to your effective compensation.
- 4Consider starting with a larger hospital system or multi-site employer in Rapid City for competitive entry-level pay and structured mentorship, then move to a smaller employer once you have 2-3 years of experience.
- 5Rapid City's below-average cost of living means your starting salary goes further here compared to many larger metro areas.
Medical and Clinical Laboratory Technologist Compensation Range
The medical and clinical laboratory technologist wage spread in Rapid City is $51,400 ( 125.33%) between entry-level and top earners. Starting at $41,013, experienced hygienists can earn up to $92,413.
Represents the current salary spread across experience levels, not projected career growth rate.
2019 BLS Actual
$27,370
2025 BLS Actual
$39,803
2026 Current Est.
$41,013
2019–2027 Growth
+54.4%
Salary Trajectory for Medical and Clinical Laboratory Technologists in Rapid City (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.04% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $27,370 | Actual |
| 2020 | $27,860 | Actual |
| 2021 | $29,470 | Actual |
| 2022 | $28,680 | Actual |
| 2023 | $30,480 | Actual |
| 2024 | $31,680 | Actual |
| 2025 | $39,803 | Actual |
| 2026(current) | $41,013 | Estimated |
| 2027 | $42,260 | Projected |
Entry-level medical and clinical laboratory technologist compensation (10th percentile) in Rapid City, SD grew 45.4% over 7 years based on actual BLS metropolitan area surveys, rising from $27,370 in 2019 to $39,803 in 2025. By 2027, starting salaries are projected to reach $42,260. New graduates entering the Rapid City job market can expect continued year-over-year gains.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Rapid City metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 3.04% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Starting Your clinical laboratory science Career in Rapid City
In this city, new graduates should consider applying at local hospitals and corporate group practices known to actively recruit entry-level talent. These employers often offer structured onboarding programs that are beneficial for newly licensed professionals. Obtaining state licensure is a necessary stepping stone, and pursuing optional advanced certifications recognized by the national body can further augment starting pay in South Dakota. In the first three years, salary growth can be steady but may vary greatly depending on the employer type and additional credentials. Many early-career technologists find that the most significant salary increases come with acquiring experience and specialized skills, making early career decisions crucial for long-term financial success in the medical and clinical laboratory field in Rapid City, SD.
More salary data for Rapid City, SD:
Frequently Asked Questions
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Written by Alexandra Choi, MS, MT(ASCP)
Career Analyst
Alexandra has 10 years of experience in clinical laboratory science. She specializes in molecular diagnostics. She works at a large metropolitan hospital.
Methodology & Data Source
Entry-level salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The 10th percentile (entry-level) is used as the starting salary benchmark for new clinical laboratory science graduates. A 3.04% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to project current 2026 entry-level compensation in Rapid City. Program costs are averages and actual tuition varies by institution. ROI calculations are simplified estimates.
Data Sources & Methodology
Source: BLS, OEWS, 7-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 3.04%, derived from historical BLS wage trends for medical and clinical laboratory technologists (SOC 29-2010).
Compiled and verified by Alexandra Choi, MS, MT(ASCP), a licensed medical and clinical laboratory technologist with 10+ years of clinical experience. · View source data at BLS.gov