Nurse Practitioner Salary by State (2026)

Nurse Practitioners earn the most in California at $168,520 a year and the least in Alabama at $105,750 (BLS OEWS, May 2025). The national median is $132,300. All 52 states and territories with reported data are ranked below, with a cost-of-living adjusted column.

Highest median
$168,520

California

National median
$132,300

BLS OEWS, May 2025

Lowest median
$105,750

Alabama

States reporting
52

of 54 OEWS areas

Top 5 states for Nurse Practitioners

  1. 1. California$168,520 median · $152,204 adjusted · 25,120 employed
  2. 2. New Jersey$159,310 median · $146,418 adjusted · 9,950 employed
  3. 3. Washington$156,100 median · $145,870 adjusted · 6,700 employed
  4. 4. Oregon$155,680 median · $150,618 adjusted · 2,820 employed
  5. 5. Alaska$155,170 median · $151,594 adjusted · 710 employed

Lowest-paying states for Nurse Practitioners

  1. 52. Alabama$105,750 median · $119,057 adjusted · 5,640 employed
  2. 51. Tennessee$117,590 median · $127,996 adjusted · 12,150 employed
  3. 50. Guam$118,670 median · no price parity · 90 employed
  4. 49. Kentucky$122,870 median · $136,281 adjusted · 4,770 employed
  5. 48. South Carolina$123,290 median · $131,511 adjusted · 5,670 employed

Nurse Practitioner salary in every state

Sort by any column. Employment is the number of nurse practitioners OEWS estimates in that state; blank cells are estimates BLS suppressed because the sample was too small.

Annual wages by state, sortable by median, quartiles, employment and cost-of-living adjusted median
#
1California$168,520$145,980$209,35025,120$152,204
2New Jersey$159,310$136,740$170,5309,950$146,418
3Washington$156,100$129,670$169,5006,700$145,870
4Oregon$155,680$134,840$168,7002,820$150,618
5Alaska$155,170$126,080$172,000710$151,594
6New York$153,510$132,490$170,29022,890$142,243
7Massachusetts$142,440$132,460$168,1008,070$134,686
8Nevada$140,670$110,160$161,7601,930$140,700
9Connecticut$138,470$124,870$160,7003,750$133,645
10New Hampshire$137,550$125,030$155,6201,770$132,050
11New Mexico$137,520$124,740$160,9501,770$149,135
12Montana$137,210$123,260$151,8601,260$144,973
13Rhode Island$135,970$131,310$163,4501,180$132,939
14District of Columbia$135,880$125,490$160,950680$123,639
15Hawaii$135,570$124,530$165,810550$123,300
16Vermont$134,740$127,340$157,000700$137,549
17Arizona$134,420$126,880$159,7807,220$133,516
18Oklahoma$133,390$122,530$152,3303,620$151,850
19Minnesota$133,260$111,750$155,2607,780$135,123
20Colorado$132,930$118,410$150,9904,270$128,993
21Idaho$132,540$123,920$151,6001,750$138,794
22Wyoming$132,200$116,430$143,420440$142,624
23Nebraska$132,130$118,440$140,9002,340$146,643
24Wisconsin$131,980$123,410$147,9705,160$140,263
25Texas$131,670$113,840$147,66025,970$135,663
26Michigan$131,450$117,990$140,8508,290$136,618
27Maryland$131,110$119,660$147,1406,710$124,915
28Delaware$131,040$112,020$153,0501,430$131,292
29Utah$130,920$120,740$150,9402,740$132,424
30Illinois$130,680$113,320$142,0009,270$130,735
31Maine$130,260$120,830$141,4401,650$134,219
32Iowa$130,160$122,720$141,9403,240$148,310
33Pennsylvania$130,140$110,960$142,72010,670$133,378
34North Dakota$130,070$107,290$135,6201,290$146,213
35Missouri$129,930$119,910$144,6407,710$143,068
36Florida$129,510$112,380$137,61021,790$125,234
37Georgia$129,430$110,360$141,24010,460$134,413
38North Carolina$128,990$114,260$142,1809,800$136,749
39South Dakota$128,840$108,190$136,1801,020$145,441
40Indiana$128,830$111,310$135,9907,450$138,039
41Virginia$127,810$109,180$139,5007,110$126,414
42West Virginia$127,320$108,520$133,2202,550$142,262
43Kansas$126,650$108,460$133,9403,780$140,616
44Arkansas$125,660$105,450$137,5503,970$144,541
45Louisiana$125,600$109,850$135,6105,380$142,392
46Ohio$124,870$106,670$134,75015,400$134,596
47Mississippi$124,730$106,660$134,0204,690$143,445
48South Carolina$123,290$107,930$132,2205,670$131,511
49Kentucky$122,870$106,240$132,7204,770$136,281
50Guam$118,670$93,880$146,02090N/A
51Tennessee$117,590$102,640$130,33012,150$127,996
52Alabama$105,750$97,960$123,9705,640$119,057

How the cost-of-living adjustment works

The adjusted column divides each state median by that state's BEA Regional Price Parity (RPP) and multiplies by 100. RPPs measure how much a fixed basket of goods, services and rents costs in one state relative to the national average, so the result restates local pay in national-average dollars.

For Nurse Practitioners, that changes the ranking: California leads on raw pay at $168,520, while California leads once prices are taken into account at $152,204.

Source: BEA Regional Price Parities by State, 2024 (public domain). The adjustment is NueCareer's calculation, not a BLS or BEA published statistic.

Nurse Practitioner pay by state: FAQ

Which state pays Nurse Practitioners the most?

California reports the highest median wage for Nurse Practitioners at $168,520 a year (BLS OEWS, May 2025), followed by New Jersey ($159,310) and Washington ($156,100).

Which state pays Nurse Practitioners the least?

Alabama reports the lowest median for Nurse Practitioners at $105,750 a year, $62,770 below the highest-paying state (BLS OEWS, May 2025).

Where do Nurse Practitioners earn the most after cost of living?

Dividing each state median by that state's BEA Regional Price Parity puts California first at $152,204 in national-average dollars, from a raw median of $168,520. BEA Regional Price Parities, 2024.

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