Nurse Practitioner Pay

Mitchell vs Sioux Falls: Nurse Practitioner Salary (2026)

Compare nurse practitioner salaries between Mitchell, SD and Sioux Falls, SD. All figures are 2026 estimates projected from BLS 2025 data.

Mitchell, SD
$120,903
$58.13/hr
Sioux Falls, SD
$134,888
$64.85/hr

Side-by-Side Comparison

MetricMitchell, SDSioux Falls, SD
Median Salary$120,903$134,888
Hourly Rate$58.13$64.85
Entry Level (P10)$96,455$107,816
25th Percentile$108,778$113,464
75th Percentile$138,552$142,347
Top Earner (P90)$148,530$164,827
Total Employed6500
Side-by-side bar chart comparing Mitchell ($120,903) and Sioux Falls ($134,888) nurse practitioner salaries.MitchellSioux FallsMedian Salary$120,903$134,888Entry Level (P10)$96,455$107,816Top Earner (P90)$148,530$164,827US Median $136,864

Verdict

Sioux Falls, SD offers better overall compensation for nurse practitioners, winning 4 out of 4 metrics compared to Mitchell.

The salary gap between Mitchell and Sioux Falls is $13,985 (11.57%). Sioux Falls's median is -1.44% compared to the US national median of $136,864.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Mitchell spans $52,075,Sioux Falls spans $57,011. Sioux Falls has a wider pay range, suggesting more variation in pay between entry-level and experienced nurse practitioners.

Mitchell
P10 (Entry)$96,455
P25$108,778
Median$120,903
P75$138,552
P90 (Top)$148,530
Sioux Falls
P10 (Entry)$107,816
P25$113,464
Median$134,888
P75$142,347
P90 (Top)$164,827

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Sioux Falls ($148,832 effective) pays 14.24% more than Mitchell ($130,283 effective).

Mitchell
Nominal: $120,903
CoL Index: 92.8
Adjusted: $130,283
Sioux Falls
Nominal: $134,888
CoL Index: 90.631
Adjusted: $148,832

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

Which City Is Right for You?

Choose Mitchell if…

  • You prefer the South Dakota area and lifestyle

Choose Sioux Falls if…

  • Higher median salary ($134,888/year)
  • Better top-earner potential ($164,827)
  • Larger job market (500 employed)
  • Better purchasing power (CoL-adjusted: $148,832)
  • You prefer the South Dakota area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse practitioner salaries in Mitchell grew 8.4% from 2024 to 2025, compared to 27.7% growth in Sioux Falls over the same period.

Mitchell, SD

+8.4%

$107,772 (2024) → $116,871 (2025)

Sioux Falls, SD

+27.7%

$102,070 (2019) → $130,390 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse practitioners more: Mitchell or Sioux Falls?

Sioux Falls has a higher median nurse practitioner salary at $134,888/year, compared to Mitchell at $120,903/year — a difference of $13,985 (11.57%).

What is the hourly rate difference between Mitchell and Sioux Falls?

Mitchell nurse practitioners earn $58.13/hr while Sioux Falls hygienists earn $64.85/hr (2026 est.).

Should I relocate from Mitchell to Sioux Falls as a nurse practitioner?

Consider more than just salary when comparing Mitchell and Sioux Falls. Factor in cost of living (CoL-adjusted: Mitchell = $130,283, Sioux Falls = $148,832), job availability (6 vs 500 employed), commute, and career growth potential.

What do entry-level nurse practitioners earn in Mitchell vs Sioux Falls?

Entry-level (10th percentile) nurse practitioners earn $96,455 in Mitchell and $107,816 in Sioux Falls. The Sioux 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