Nurse Practitioner Pay

Iowa City vs Waterloo: Nurse Practitioner Salary (2026)

Compare nurse practitioner salaries between Iowa City, IA and Waterloo, IA. All figures are 2026 estimates projected from BLS 2025 data.

Iowa City, IA
$133,482
$64.18/hr
Waterloo, IA
$130,688
$62.83/hr

Side-by-Side Comparison

MetricIowa City, IAWaterloo, IA
Median Salary$133,482$130,688
Hourly Rate$64.18$62.83
Entry Level (P10)$117,995$107,929
25th Percentile$133,482$121,574
75th Percentile$146,165$140,961
Top Earner (P90)$161,920$178,368
Total Employed330260
Side-by-side bar chart comparing Iowa City ($133,482) and Waterloo ($130,688) nurse practitioner salaries.Iowa CityWaterlooMedian Salary$133,482$130,688Entry Level (P10)$117,995$107,929Top Earner (P90)$161,920$178,368US Median $136,864

Verdict

Iowa City, IA offers better overall compensation for nurse practitioners, winning 3 out of 4 metrics compared to Waterloo.

The salary gap between Iowa City and Waterloo is $2,794 (2.14%). Iowa City's median is -2.47% compared to the US national median of $136,864.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Iowa City spans $43,925,Waterloo spans $70,439. Waterloo has a wider pay range, suggesting more variation in pay between entry-level and experienced nurse practitioners.

Iowa City
P10 (Entry)$117,995
P25$133,482
Median$133,482
P75$146,165
P90 (Top)$161,920
Waterloo
P10 (Entry)$107,929
P25$121,574
Median$130,688
P75$140,961
P90 (Top)$178,368

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Waterloo ($150,118 effective) pays 2.91% more than Iowa City ($145,868 effective).

Iowa City
Nominal: $133,482
CoL Index: 91.509
Adjusted: $145,868
Waterloo
Nominal: $130,688
CoL Index: 87.057
Adjusted: $150,118

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

Which City Is Right for You?

Choose Iowa City if…

  • Higher median salary ($133,482/year)
  • Larger job market (330 employed)
  • You prefer the Iowa area and lifestyle

Choose Waterloo if…

  • Better top-earner potential ($178,368)
  • Better purchasing power (CoL-adjusted: $150,118)
  • You prefer the Iowa area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse practitioner salaries in Iowa City grew 11.8% from 2019 to 2025, compared to 18.3% growth in Waterloo over the same period.

Iowa City, IA

+11.8%

$115,370 (2019) → $129,030 (2025)

Waterloo, IA

+18.3%

$106,780 (2019) → $126,330 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse practitioners more: Iowa City or Waterloo?

Iowa City has a higher median nurse practitioner salary at $133,482/year, compared to Waterloo at $130,688/year — a difference of $2,794 (2.14%).

What is the hourly rate difference between Iowa City and Waterloo?

Iowa City nurse practitioners earn $64.18/hr while Waterloo hygienists earn $62.83/hr (2026 est.).

Should I relocate from Iowa City to Waterloo as a nurse practitioner?

Consider more than just salary when comparing Iowa City and Waterloo. Factor in cost of living (CoL-adjusted: Iowa City = $145,868, Waterloo = $150,118), job availability (330 vs 260 employed), commute, and career growth potential.

What do entry-level nurse practitioners earn in Iowa City vs Waterloo?

Entry-level (10th percentile) nurse practitioners earn $117,995 in Iowa City and $107,929 in Waterloo. The Iowa City 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