Nurse Practitioner Pay

Billings vs Great Falls: Nurse Practitioner Salary (2026)

Compare nurse practitioner salaries between Billings, MT and Great Falls, MT. All figures are 2026 estimates projected from BLS 2025 data.

Billings, MT
$143,847
$69.16/hr
Great Falls, MT
$134,826
$64.82/hr

Side-by-Side Comparison

MetricBillings, MTGreat Falls, MT
Median Salary$143,847$134,826
Hourly Rate$69.16$64.82
Entry Level (P10)$99,353$112,098
25th Percentile$120,157$127,171
75th Percentile$145,730$139,430
Top Earner (P90)$163,979$167,537
Total Employed160150
Side-by-side bar chart comparing Billings ($143,847) and Great Falls ($134,826) nurse practitioner salaries.BillingsGreat FallsMedian Salary$143,847$134,826Entry Level (P10)$99,353$112,098Top Earner (P90)$163,979$167,537US Median $136,864

Verdict

Billings, MT offers better overall compensation for nurse practitioners, winning 3 out of 4 metrics compared to Great Falls.

The salary gap between Billings and Great Falls is $9,021 (6.69%). Billings's median is +5.10% compared to the US national median of $136,864.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Billings spans $64,626,Great Falls spans $55,439. Billings has a wider pay range, meaning more potential for high earners but also more variation.

Billings
P10 (Entry)$99,353
P25$120,157
Median$143,847
P75$145,730
P90 (Top)$163,979
Great Falls
P10 (Entry)$112,098
P25$127,171
Median$134,826
P75$139,430
P90 (Top)$167,537

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Billings ($153,804 effective) pays 10.48% more than Great Falls ($139,218 effective).

Billings
Nominal: $143,847
CoL Index: 93.526
Adjusted: $153,804
Great Falls
Nominal: $134,826
CoL Index: 96.845
Adjusted: $139,218

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

Which City Is Right for You?

Choose Billings if…

  • Higher median salary ($143,847/year)
  • Larger job market (160 employed)
  • Better purchasing power (CoL-adjusted: $153,804)
  • You prefer the Montana area and lifestyle

Choose Great Falls if…

  • Better top-earner potential ($167,537)
  • You prefer the Montana area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse practitioner salaries in Billings grew 18.0% from 2019 to 2025, compared to 29.8% growth in Great Falls over the same period.

Billings, MT

+18.0%

$117,830 (2019) → $139,050 (2025)

Great Falls, MT

+29.8%

$100,420 (2019) → $130,330 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse practitioners more: Billings or Great Falls?

Billings has a higher median nurse practitioner salary at $143,847/year, compared to Great Falls at $134,826/year — a difference of $9,021 (6.69%).

What is the hourly rate difference between Billings and Great Falls?

Billings nurse practitioners earn $69.16/hr while Great Falls hygienists earn $64.82/hr (2026 est.).

Should I relocate from Billings to Great Falls as a nurse practitioner?

Consider more than just salary when comparing Billings and Great Falls. Factor in cost of living (CoL-adjusted: Billings = $153,804, Great Falls = $139,218), job availability (160 vs 150 employed), commute, and career growth potential.

What do entry-level nurse practitioners earn in Billings vs Great Falls?

Entry-level (10th percentile) nurse practitioners earn $99,353 in Billings and $112,098 in Great Falls. The Great Falls 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