Healthcare Iowa (IA) Rank #40 of 50

Substance Abuse Counselor Salary in Iowa

The median substance abuse counselor salary in Iowa is $44,242 per year, which is 11% below the national median of $49,710.

Median Salary
$44,242
vs National
$-5,468
State Rank
#40 of 50
Cost of Living
89%

Substance Abuse Counselor Salary Overview in Iowa (2026)

Iowa ranks #40 out of 50 states for substance abuse counselor compensation. Substance Abuse Counselor salaries in Iowa are below the national median, though the lower cost of living can offset the difference. At $44,242 per year, substance abuse counselors in Iowa earn $5,468 less than the national median of $49,710.

A key advantage of working in Iowa is its below-average cost of living (89% of the national index). This means the $44,242 salary has the purchasing power of roughly $49,710 in an average-cost area.

The salary spread in Iowa is significant: substance abuse counselors at the 10th percentile earn $26,700, while those at the 90th percentile bring home $72,980 — a $46,280 gap that reflects differences in experience, specialization, employer type, and metro area. The highest-paying city in Iowa for this role is Iowa City, where the median reaches $47,225.

Nationally, substance abuse counselor employment is projected to grow 22% over the next decade (much faster than average). This strong growth suggests increasing demand and competitive salaries in Iowa and beyond.

Substance Abuse Counselor Salary in Iowa by Experience

In Iowa, an entry-level substance abuse counselor earns around $29,370, while experienced professionals earn up to $69,420 per year. The cost of living index in Iowa is 89% of the national average.

Entry Level (0-2 yrs)
$29,370
$-3,630 vs national
Mid Level (3-7 yrs)
$45,390
$-5,610 vs national
Senior Level (8+ yrs)
$69,420
$-8,580 vs national

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Salary Percentiles in Iowa

Percentile IA Salary
10th Percentile $26,700
25th Percentile $33,820
Median (50th) $44,242
75th Percentile $57,850
90th Percentile $72,980

Substance Abuse Counselor Salary by City in Iowa

The largest employment areas for substance abuse counselors in Iowa include Des Moines, Cedar Rapids, Davenport, and Sioux City. Salaries vary by city based on local cost of living and demand.

How to Become a Substance Abuse Counselor in Iowa

Education

Most substance abuse counselor positions require a bachelor's degree. Iowa has several accredited institutions offering relevant programs.

Key Skills

Addiction CounselingCBT/MIGroup TherapyCrisis InterventionDocumentationEmpathy

Job Outlook in Iowa

Nationally, substance abuse counselor employment is projected to grow 22% over the next decade (much faster than average). Iowa's demand may vary based on local industry trends.

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Frequently Asked Questions: Substance Abuse Counselor Salary in Iowa

How much does a Substance Abuse Counselor make in Iowa? ▼
The median substance abuse counselor salary in Iowa is $44,242 per year, which is 11% below the national median of $49,710. Salaries range from $26,700 (10th percentile) to $72,980 (90th percentile).
How much does a Substance Abuse Counselor make per hour in Iowa? ▼
Based on the median annual salary of $44,242, a substance abuse counselor in Iowa earns approximately $21 per hour assuming a standard 2,080-hour work year.
Is Iowa a good state for substance abuse counselors? ▼
Iowa ranks #40 out of 50 states for substance abuse counselor pay. The cost of living index is 89% of the national average. Entry-level substance abuse counselors earn $29,370, while senior professionals earn $69,420.
How does Iowa compare to other states for substance abuse counselor salary? ▼
The highest paying state for substance abuse counselors is Hawaii at $88,484. Iowa's median of $44,242 ranks #40 nationally. Nearby-ranked states include North Dakota ($44,739) and Wyoming ($44,739).
What is the entry-level substance abuse counselor salary in Iowa? ▼
An entry-level substance abuse counselor in Iowa earns approximately $29,370 per year. With 3-7 years of experience, pay increases to around $45,390. Senior-level professionals with 8+ years earn up to $69,420.
What city in Iowa pays substance abuse counselors the most? ▼
Iowa City is the highest paying city in Iowa for substance abuse counselors, with a median salary of $47,225. Other cities include Des Moines and Cedar Rapids.