Nurse Practitioner Pay

Des Moines vs Dubuque: Nurse Practitioner Salary (2026)

Compare nurse practitioner salaries between Des Moines, IA and Dubuque, IA. All figures are 2026 estimates projected from BLS 2025 data.

Des Moines, IA
$136,792
$65.76/hr
Dubuque, IA
$134,092
$64.47/hr

Side-by-Side Comparison

MetricDes Moines, IADubuque, IA
Median Salary$136,792$134,092
Hourly Rate$65.76$64.47
Entry Level (P10)$117,385$113,836
25th Percentile$132,530$125,888
75th Percentile$146,847$156,406
Top Earner (P90)$172,720$174,293
Total Employed820130
Side-by-side bar chart comparing Des Moines ($136,792) and Dubuque ($134,092) nurse practitioner salaries.Des MoinesDubuqueMedian Salary$136,792$134,092Entry Level (P10)$117,385$113,836Top Earner (P90)$172,720$174,293US Median $136,864

Verdict

Des Moines, IA offers better overall compensation for nurse practitioners, winning 3 out of 4 metrics compared to Dubuque.

The salary gap between Des Moines and Dubuque is $2,700 (2.01%). Des Moines's median is -0.05% compared to the US national median of $136,864.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Des Moines spans $55,335,Dubuque spans $60,457. Dubuque has a wider pay range, suggesting more variation in pay between entry-level and experienced nurse practitioners.

Des Moines
P10 (Entry)$117,385
P25$132,530
Median$136,792
P75$146,847
P90 (Top)$172,720
Dubuque
P10 (Entry)$113,836
P25$125,888
Median$134,092
P75$156,406
P90 (Top)$174,293

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Dubuque ($153,550 effective) pays 2.93% more than Des Moines ($149,172 effective).

Des Moines
Nominal: $136,792
CoL Index: 91.701
Adjusted: $149,172
Dubuque
Nominal: $134,092
CoL Index: 87.328
Adjusted: $153,550

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

Which City Is Right for You?

Choose Des Moines if…

  • Higher median salary ($136,792/year)
  • Larger job market (820 employed)
  • You prefer the Iowa area and lifestyle

Choose Dubuque if…

  • Better top-earner potential ($174,293)
  • Better purchasing power (CoL-adjusted: $153,550)
  • You prefer the Iowa area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse practitioner salaries in Des Moines grew 32.5% from 2019 to 2025, compared to 11.2% growth in Dubuque over the same period.

Des Moines, IA

+32.5%

$99,770 (2019) → $132,230 (2025)

Dubuque, IA

+11.2%

$116,550 (2019) → $129,620 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse practitioners more: Des Moines or Dubuque?

Des Moines has a higher median nurse practitioner salary at $136,792/year, compared to Dubuque at $134,092/year — a difference of $2,700 (2.01%).

What is the hourly rate difference between Des Moines and Dubuque?

Des Moines nurse practitioners earn $65.76/hr while Dubuque hygienists earn $64.47/hr (2026 est.).

Should I relocate from Des Moines to Dubuque as a nurse practitioner?

Consider more than just salary when comparing Des Moines and Dubuque. Factor in cost of living (CoL-adjusted: Des Moines = $149,172, Dubuque = $153,550), job availability (820 vs 130 employed), commute, and career growth potential.

What do entry-level nurse practitioners earn in Des Moines vs Dubuque?

Entry-level (10th percentile) nurse practitioners earn $117,385 in Des Moines and $113,836 in Dubuque. The Des Moines 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