Nurse Practitioner Pay

Alexandria vs Richmond: Nurse Practitioner Salary (2026)

Compare nurse practitioner salaries between Alexandria, VA and Richmond, VA. All figures are 2026 estimates projected from BLS 2025 data.

Alexandria, VA
$138,315
$66.50/hr
Richmond, VA
$132,230
$63.57/hr

Side-by-Side Comparison

MetricAlexandria, VARichmond, VA
Median Salary$138,315$132,230
Hourly Rate$66.50$63.57
Entry Level (P10)$107,819$100,057
25th Percentile$124,209$111,550
75th Percentile$167,003$140,082
Top Earner (P90)$187,024$152,703
Total Employed261,440
Side-by-side bar chart comparing Alexandria ($138,315) and Richmond ($132,230) nurse practitioner salaries.AlexandriaRichmondMedian Salary$138,315$132,230Entry Level (P10)$107,819$100,057Top Earner (P90)$187,024$152,703US Median $136,864

Verdict

Alexandria, VA offers better overall compensation for nurse practitioners, winning 3 out of 4 metrics compared to Richmond.

The salary gap between Alexandria and Richmond is $6,085 (4.60%). Alexandria's median is +1.06% compared to the US national median of $136,864.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Alexandria spans $79,205,Richmond spans $52,646. Alexandria has a wider pay range, meaning more potential for high earners but also more variation.

Alexandria
P10 (Entry)$107,819
P25$124,209
Median$138,315
P75$167,003
P90 (Top)$187,024
Richmond
P10 (Entry)$100,057
P25$111,550
Median$132,230
P75$140,082
P90 (Top)$152,703

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Richmond ($135,124 effective) pays 0.82% more than Alexandria ($134,026 effective).

Alexandria
Nominal: $138,315
CoL Index: 103.2
Adjusted: $134,026
Richmond
Nominal: $132,230
CoL Index: 97.858
Adjusted: $135,124

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Alexandria if…

  • Higher median salary ($138,315/year)
  • Better top-earner potential ($187,024)
  • You prefer the Virginia area and lifestyle

Choose Richmond if…

  • Larger job market (1,440 employed)
  • Better purchasing power (CoL-adjusted: $135,124)
  • You prefer the Virginia area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse practitioner salaries in Alexandria grew 4.3% from 2024 to 2025, compared to 14.0% growth in Richmond over the same period.

Alexandria, VA

+4.3%

$128,157 (2024) → $133,702 (2025)

Richmond, VA

+14.0%

$112,100 (2019) → $127,820 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse practitioners more: Alexandria or Richmond?

Alexandria has a higher median nurse practitioner salary at $138,315/year, compared to Richmond at $132,230/year — a difference of $6,085 (4.60%).

What is the hourly rate difference between Alexandria and Richmond?

Alexandria nurse practitioners earn $66.50/hr while Richmond hygienists earn $63.57/hr (2026 est.).

Should I relocate from Alexandria to Richmond as a nurse practitioner?

Consider more than just salary when comparing Alexandria and Richmond. Factor in cost of living (CoL-adjusted: Alexandria = $134,026, Richmond = $135,124), job availability (26 vs 1,440 employed), commute, and career growth potential.

What do entry-level nurse practitioners earn in Alexandria vs Richmond?

Entry-level (10th percentile) nurse practitioners earn $107,819 in Alexandria and $100,057 in Richmond. The Alexandria area offers higher starting salaries.
MG

Written by Maria Gonzalez, MSN, NP-C

Career Analyst

Maria has 10 years of experience in adult healthcare. She works in a community health clinic. Her specialty is chronic disease management.

Clinically reviewed by James Patel, DNP, APRNData verified by Aisha Khan, MSN, FNP-BC

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.45% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Maria Gonzalez, MSN, NP-C, a licensed nurse practitioner with 10+ years of clinical experience. · View source data at BLS.gov