Substance Abuse, Behavioral Disorder, and Mental Health Counselors in Cape Girardeau

BLS metro-level wage data places Substance Abuse, Behavioral Disorder, and Mental Health Counselors pay in Cape Girardeau, MO-IL at a median of $48,570 per year ($23.35/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $59,350, Cape Girardeau pays 18% below, which typically tracks with a lower local cost of living or smaller specialized-employer cluster. Approximately 240 substance abuse, behavioral disorder, and mental health counselorss are employed across the Cape Girardeau MSA in SOC 21-1018.

The Cape Girardeau pay distribution spans from $33,230 at the 10th percentile to $80,870 at the 90th, a 2.4× spread that reflects experience tenure, specialization, employer size, and the difference between public-sector, nonprofit, and private-sector compensation inside the metro. The 25th percentile sits at $38,250 and the 75th at $70,710, so half of Cape Girardeau-based substance abuse, behavioral disorder, and mental health counselorss earn within that middle band.

Metro figures capture where you actually work, not just where you live, which matters for commuters. BLS draws metro boundaries from the OMB MSA definitions, so Cape Girardeau, MO-IL covers the central city plus outlying counties tied to the metro economically. Remember that OEWS wages reflect base pay only: employer-provided health insurance, retirement matches, stock options, signing bonuses, overtime, and tips are excluded and can add 20-40% to real total compensation. Before using this metro median as a negotiation anchor, triangulate against the same occupation's national profile (linked below), its state-wide MO data, and peer-metro comparisons, a median is a starting point, not a ceiling.