Nurse Practitioner Pay

Buffalo vs Niagara Falls: Nurse Practitioner Salary (2026)

Compare nurse practitioner salaries between Buffalo, NY and Niagara Falls, NY. All figures are 2026 estimates projected from BLS 2025 data.

Buffalo, NY
$136,782
$65.76/hr
Niagara Falls, NY
$138,391
$66.54/hr

Side-by-Side Comparison

MetricBuffalo, NYNiagara Falls, NY
Median Salary$136,782$138,391
Hourly Rate$65.76$66.54
Entry Level (P10)$108,074$107,669
25th Percentile$115,750$123,070
75th Percentile$155,589$158,813
Top Earner (P90)$172,037$170,996
Total Employed1,19010
Side-by-side bar chart comparing Buffalo ($136,782) and Niagara Falls ($138,391) nurse practitioner salaries.BuffaloNiagara FallsMedian Salary$136,782$138,391Entry Level (P10)$108,074$107,669Top Earner (P90)$172,037$170,996US Median $136,864

Verdict

Buffalo and Niagara Falls are closely matched on overall nurse practitioner compensation, each winning on different metrics.

The salary gap between Buffalo and Niagara Falls is $1,609 (1.18%). Niagara Falls's median is +1.12% compared to the US national median of $136,864.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Buffalo spans $63,963,Niagara Falls spans $63,327. Buffalo has a wider pay range, meaning more potential for high earners but also more variation.

Buffalo
P10 (Entry)$108,074
P25$115,750
Median$136,782
P75$155,589
P90 (Top)$172,037
Niagara Falls
P10 (Entry)$107,669
P25$123,070
Median$138,391
P75$158,813
P90 (Top)$170,996

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Buffalo ($142,713 effective) pays 19.52% more than Niagara Falls ($119,406 effective).

Buffalo
Nominal: $136,782
CoL Index: 95.844
Adjusted: $142,713
Niagara Falls
Nominal: $138,391
CoL Index: 115.9
Adjusted: $119,406

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

Which City Is Right for You?

Choose Buffalo if…

  • Better top-earner potential ($172,037)
  • Larger job market (1,190 employed)
  • Better purchasing power (CoL-adjusted: $142,713)
  • You prefer the New York area and lifestyle

Choose Niagara Falls if…

  • Higher median salary ($138,391/year)
  • You prefer the New York area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse practitioner salaries in Buffalo grew 28.3% from 2019 to 2025, compared to -19.2% growth in Niagara Falls over the same period.

Buffalo, NY

+28.3%

$103,050 (2019) → $132,220 (2025)

Niagara Falls, NY

+-19.2%

$165,563 (2024) → $133,776 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse practitioners more: Buffalo or Niagara Falls?

Niagara Falls has a higher median nurse practitioner salary at $138,391/year, compared to Buffalo at $136,782/year — a difference of $1,609 (1.18%).

What is the hourly rate difference between Buffalo and Niagara Falls?

Buffalo nurse practitioners earn $65.76/hr while Niagara Falls hygienists earn $66.54/hr (2026 est.).

Should I relocate from Buffalo to Niagara Falls as a nurse practitioner?

Consider more than just salary when comparing Buffalo and Niagara Falls. Factor in cost of living (CoL-adjusted: Buffalo = $142,713, Niagara Falls = $119,406), job availability (1,190 vs 10 employed), commute, and career growth potential.

What do entry-level nurse practitioners earn in Buffalo vs Niagara Falls?

Entry-level (10th percentile) nurse practitioners earn $108,074 in Buffalo and $107,669 in Niagara Falls. The Buffalo area offers higher starting salaries.

Related Comparisons

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