Average Nurse Practitioners Salary in the United States
The national median salary for Nurse Practitioners is $132,300 per year. The middle 50% earn between $117,990 and $156,700, with 323,040 workers employed nationally.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics survey, May 2025 estimates . Data covers 51 states and 383 metro areas.
Pay distribution
Here is how Nurse Practitioners pay is distributed across workers nationally. The 10th percentile typically reflects entry-level or early-career pay, the median is the midpoint, and the 90th percentile represents the top earners in the field.
- 10th
- $101,340
- 25th
- $117,990
- Median
- $132,300
- 75th
- $156,700
- 90th
- $174,420
All values are percentiles of annual wages.
Nurse Practitioners are among the highest-paid occupations tracked by BLS, well into the top decile of US wages.
Pay is tightly clustered around the median. Most nurse practitioners earn within a narrow band, with less variation than many other occupations. That is often a sign of standardized roles or union and public-sector pay scales.
Job outlook
BLS projects employment for nurse practitioners from 2024 to 2034. Nurse Practitioners are projected to grow much faster than average, more than double the roughly 4% growth rate for all US occupations. Demand is strong and outpacing most of the labor market.
- Projected growth
- +40.1%
- 128,400 net jobs over the projection period.
- Annual openings
- 29,500
- Includes growth plus replacements for workers who leave. Annual openings reflect typical replacement demand alongside any growth.
- Typical entry education
- Master's degree
A master's degree is the typical entry point, which tends to limit supply and support higher pay.
Where Nurse Practitioners earn the most
Location matters a lot. The gap between top-paying and bottom-paying states is large, so where nurse practitioners work can reshape their total compensation. Right now, the top-paying state is California at $168,520, about 27.4% above the national median. At the metro level, San Jose-Sunnyvale-Santa Clara, CA leads with a median of $231,560.
Top-paying states
| State | Median salary | Employment |
|---|---|---|
| California | $168,520 | 25,120 |
| New Jersey | $159,310 | 9,950 |
| Washington | $156,100 | 6,700 |
| Oregon | $155,680 | 2,820 |
| Alaska | $155,170 | 710 |
| New York | $153,510 | 22,890 |
| Massachusetts | $142,440 | 8,070 |
| Nevada | $140,670 | 1,930 |
Top-paying metros
| Metro area | Median salary | Employment |
|---|---|---|
| San Jose-Sunnyvale-Santa Clara, CA | $231,560 | 1,580 |
| San Francisco-Oakland-Fremont, CA | $219,080 | 3,110 |
| Vallejo, CA | $182,370 | 180 |
| Napa, CA | $176,270 | 60 |
| Modesto, CA | $173,380 | 380 |
| Sacramento-Roseville-Folsom, CA | $172,010 | 1,170 |
| Riverside-San Bernardino-Ontario, CA | $169,920 | 1,710 |
| Hanford-Corcoran, CA | $168,540 | 70 |
Compare two locations side by side
Pick two states or metros to see nurse practitioners pay in each, along with a cost-of-living adjusted view.
Salary trend and related occupations
Between 2019 and 2025, the national median salary for Nurse Practitioners rose from $109,820 to $132,300, a gain of +20.5% in nominal dollars.
Over the same period, US consumer prices rose by +25.9%. Just to keep pace with inflation, the 2019 median of $109,820 would need to be worth $138,294 in 2025 dollars.
The actual 2025 median of $132,300 is −$5,994 below that inflation-adjusted benchmark, a real change of -4.3% in purchasing power.
Adjusted for inflation, pay has lost ground. Nominal growth of 20.5% has not kept up with rising prices.
- Nominal change
- +20.5%
- 2019–2025
- Cumulative inflation
- +25.9%
- US CPI, 2019–2025
- Real change
- -4.3%
- After adjusting for inflation
Median salary over time
Nurse Practitioners median pay by year, going back through the available BLS releases.
- 2025
- $132,300
- 2024
- $129,210
- 2023
- $126,260
- 2022
- $121,610
- 2021
- $120,680
- 2020
- $111,680
- 2019
- $109,820
BLS did not publish a median for 2000–2018, so those years are omitted.
Related occupations
Other occupations in the same field, with median pay for comparison.
- Nurse Midwives
- $134,040
- Veterinarians
- $130,100
- Radiation Therapists
- $105,310
- Physical Therapists
- $102,760
- Occupational Therapists
- $100,330
- Speech-Language Pathologists
- $97,870
- Registered Nurses
- $97,550
- Audiologists
- $95,780
Common salary questions for Nurse Practitioners
What does the median salary mean? +
The median is the midpoint of all wages. Half of Nurse Practitioners workers earn more and half earn less. It is a better measure of typical pay than the average, which can be skewed by very high or very low earners.
Why does pay vary so much by location? +
Local labor markets, cost of living, industry concentration, and employer competition all affect wages. High-cost metros like San Francisco and New York often pay more in nominal terms, though some of that premium is offset by higher living costs.
How current is this salary data? +
This page uses the May 2025 BLS Occupational Employment and Wage Statistics release. BLS publishes OEWS data once per year, typically in the spring for the previous May reference period.
What do the percentile ranges tell me? +
The 10th and 90th percentiles show the full pay band. The 25th to 75th percentile range, the middle 50%, is where most workers fall. A wide spread usually means experience, specialization, or location matter a lot for this occupation.