Nurse Practitioner Salaries, by Specialty and State

Nurses who want to take their careers to a new level often pursue a Master of Science degree in Nursing, sometimes referred to as an MS in Nursing. The advanced degree gives them the education and training they need to become a Nurse Practitioner (NP) and the opportunity to specialize in a specific area, such as family practice or Nurse-Midwifery, if they choose.

NPs are able to diagnose patients and prescribe medications in a clinical environment. Nurses enter the profession because they are passionate about patient care and community health, and earning a master’s degree can help prepare nurses for leadership roles and boost earning potential.

It is helpful to understand acronyms for nursing degrees when exploring graduate programs. Generally, any nurse who has earned a Master of Science degree in Nursing is considered an Advanced Practice Registered Nurse or APRN. Nurse Practitioners (NP), Family Nurse Practitioners (FNP), Adult Gerontology Acute Care Nurse Practitioners (AG-ACNPs), Certified Nurse-Midwives (CNM), Certified Registered Nurse Anesthetists (CRNA), and Clinical Nurse Specialists (CNS) are under the umbrella of an APRN.

Nurses in each specialty area take specific graduate-level courses and training while earning their MS in Nursing to enhance their knowledge. They also take certification exams in their areas of expertise and any state-required continuing education courses. APRN salaries, or NP salaries, can vary based on specialty area, education level, the number of years a nurse has practiced, type of practice, and the state where they work.

Nurse Practitioner Salaries, by Specialty

Following is a description of the job and salary potential for NPs, FNPs, AG-ACNPs, and CNMs.

Nurse Practitioner Salary

Nurse Practitioners work in a variety of health care settings across the United States, including physician offices, hospitals, outpatient care centers, medical specialist offices, and schools. While the salary for a Nurse Practitioner who holds a valid RN license, a graduate nursing degree, and national certification varies by state, the mean annual wage for an NP in 2018 was $110,030, according to the U.S. Bureau of Labor Statistics (BLS).

Family Nurse Practitioner Salary

Like other graduate-level nursing degrees, a Master of Science degree in Nursing can be earned through either online or campus-based Family Nurse Practitioner (FNP) programs, in which nurses learn to diagnose and treat patients of all ages. FNP students gain skills that help them teach patients about disease prevention across the lifespan. FNPs treat patients in primary care settings and can find work opportunities in almost any region, including urban, suburban, and rural areas.

While the BLS does not break down average salaries by specialty, they do offer information based on environments. For example, an NP working in a physician’s office made an average annual salary of $107,530 in 2018. It’s important to note that salary numbers specific to FNPs are dependent on location and experience level. A background in emergency patient care, case management, and geriatrics can help boost a Family Nurse Practitioner’s salary.

Adult Gerontology Acute Care Nurse Practitioner

An Adult Gerontology Acute Care Nurse Practitioner (AG-ACNP) program prepares RNs to manage the care of patients who have acute and chronic conditions. These are commonly hospital patients, but AG-ACNPs practice in other settings, too.

Candidates generally enter an AG-ACNP program with at least a year of experience in an intensive care unit, emergency department, telemetry unit, or progressive care unit. Through a combination of classroom and hands-on clinical training, students learn to communicate and actively listen to patients and families and manage complex — even life-threatening — medical situations. AG-ACNPs also develop practical skills that help them stabilize seriously ill patients, manage and interpret diagnostic tests, and troubleshoot further complications.

As previously mentioned, the BLS does not break down salaries by specialty. However, the BLS reports that an NP working in a general medical or surgical hospital — as many AG-ACNPs do — had an average yearly salary of $113,900 in 2018.

Certified Nurse-Midwife Salary

Certified Nurse-Midwife (CNM) programs prepare registered nurses (RNs) to manage a woman’s reproductive care during her childbearing years. According to the American College of Nurse-Midwives, the midwife cares for babies up to four weeks old and offers care to pregnant women before, when, and after the child is delivered. In 2018, the mean annual wage for a Nurse-Midwife was $106,910, according to the BLS. Out of the industries with the highest levels of employment, outpatient care centers had the highest annual mean wage for Nurse-Midwives ($114,450).

How Nurse Practitioner Salaries Compare, by State

California boasts the top salary for the job with an annual mean wage of $133,780. Alaska ($122,880) comes in second, and Massachusetts ($122,740) stands at third. (Note: Salary averages are based on BLS 2018 data.) Texas isn't far behind, with an average nurse practitioner salary of $111,330 in 2018.

Below are state-by-state average salaries for Nurse Practitioners, based on 2018 BLS data:

The State-by-state average salaries for Nurse Practitioners
State Annual Average Salary
Alabama $95,970
Alaska $122,880
Arizona $110,750
Arkansas $104,300
California $133,780
Colorado $111,210
Connecticut $118,020
Delaware $108,340
District of Columbia $109,800
Florida $101,100
Georgia $106,750
Hawaii $120,570
Idaho $102,600
Illinois $105,800
Indiana $103,200
Iowa $106,290
Kansas $99,430
Kentucky $99,790
Louisiana $105,340
Maine $103,220
Maryland $115,060
Massachusetts $122,740
Michigan $106,880
Minnesota $119,160
Mississippi $109,700
Missouri $102,470
Montana $103,510
Nebraska $103,800
Nevada $112,540
New Hampshire $109,460
New Jersey $122,100
New Mexico $109,810
New York $120,970
North Carolina $104,100
North Dakota $106,200
Ohio $101,970
Oklahoma $103,280
Oregon $110,010
Pennsylvania $98,250
Puerto Rico $20,910
Rhode Island $109,290
South Carolina $99,910
South Dakota $100,690
Tennessee $95,990
Texas $111,060
Utah $105,840
Vermont $106,000
Virginia $105,170
Washington $117,650
West Virginia $100,690
Wisconsin $106,790
Wyoming $116,030

Below are state-by-state average salaries for Certified Nurse-Midwives, based on 2018 BLS data. 2018 data from the BLS is not available for Alabama, Arkansas, Hawaii, Iowa, Kansas, Louisiana, Maine, Mississippi, Missouri, Montana, Nebraska, Nevada, North Dakota, Oklahoma, Puerto Rico, South Dakota, and Wyoming.

The State-by-state average salaries for Certified Nurse-Midwives
State Annual Average Salary
Arizona $114,900
California $139,990
Colorado $107,100
Connecticut $111,340
Delaware $96,340
District of Columbia $95,730
Florida $88,060
Georgia $109,640
Idaho $67,950
Illinois $105,640
Indiana $110,040
Kentucky $101,990
Maryland $115,440
Massachusetts $119,380
Michigan $92,030
Minnesota $113,440
New Hampshire $105,120
New Jersey $113,980
New Mexico $97,930
New York $110,150
North Carolina $106,570
Ohio $106,830
Oregon $108,950
Pennsylvania $96,710
Rhode Island $107,700
South Carolina $89,150
Tennessee $85,040
Texas $85,900
Utah $106,590
Vermont $89,700
Virginia $89,870
Washington $102,670
West Virginia $113,720
Wisconsin $108,690

Citation for this content: Nursing@Georgetown, the online Women's Health Nurse Practitioner program from the School of Nursing & Health Studies