Nurse Practitioner Pay

Billings vs Helena: Nurse Practitioner Salary (2026)

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

Billings, MT
$143,847
$69.16/hr
Helena, MT
$141,126
$67.85/hr

Side-by-Side Comparison

MetricBillings, MTHelena, MT
Median Salary$143,847$141,126
Hourly Rate$69.16$67.85
Entry Level (P10)$99,353$118,233
25th Percentile$120,157$139,316
75th Percentile$145,730$159,954
Top Earner (P90)$163,979$172,596
Total Employed160110
Side-by-side bar chart comparing Billings ($143,847) and Helena ($141,126) nurse practitioner salaries.BillingsHelenaMedian Salary$143,847$141,126Entry Level (P10)$99,353$118,233Top Earner (P90)$163,979$172,596US Median $136,864

Verdict

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

The salary gap between Billings and Helena is $2,721 (1.93%). 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,Helena spans $54,363. 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
Helena
P10 (Entry)$118,233
P25$139,316
Median$141,126
P75$159,954
P90 (Top)$172,596

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Billings ($153,804 effective) pays 4.27% more than Helena ($147,506 effective).

Billings
Nominal: $143,847
CoL Index: 93.526
Adjusted: $153,804
Helena
Nominal: $141,126
CoL Index: 95.675
Adjusted: $147,506

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 Helena if…

  • Better top-earner potential ($172,596)
  • 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 6.1% growth in Helena over the same period.

Billings, MT

+18.0%

$117,830 (2019) → $139,050 (2025)

Helena, MT

+6.1%

$128,590 (2024) → $136,420 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse practitioners more: Billings or Helena?

Billings has a higher median nurse practitioner salary at $143,847/year, compared to Helena at $141,126/year — a difference of $2,721 (1.93%).

What is the hourly rate difference between Billings and Helena?

Billings nurse practitioners earn $69.16/hr while Helena hygienists earn $67.85/hr (2026 est.).

Should I relocate from Billings to Helena as a nurse practitioner?

Consider more than just salary when comparing Billings and Helena. Factor in cost of living (CoL-adjusted: Billings = $153,804, Helena = $147,506), job availability (160 vs 110 employed), commute, and career growth potential.

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

Entry-level (10th percentile) nurse practitioners earn $99,353 in Billings and $118,233 in Helena. The Helena 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