Rapid City vs Spearfish: Nurse Practitioner Salary (2026)
Compare nurse practitioner salaries between Rapid City, SD and Spearfish, SD. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Rapid City, SD | Spearfish, SD |
|---|---|---|
| Median Salary | $128,444▲ | $121,781 |
| Hourly Rate | $61.75▲ | $58.55 |
| Entry Level (P10) | $94,802 | $94,901▲ |
| 25th Percentile | $109,409 | $115,465▲ |
| 75th Percentile | $135,002 | $138,017▲ |
| Top Earner (P90) | $158,568▲ | $147,119 |
| Total Employed | 190▲ | 5 |
Verdict
Rapid City, SD offers better overall compensation for nurse practitioners, winning 4 out of 4 metrics compared to Spearfish.
The salary gap between Rapid City and Spearfish is $6,663 (5.47%). Rapid City's median is -6.15% compared to the US national median of $136,864.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Rapid City spans $63,766,Spearfish spans $52,218. Rapid City has a wider pay range, meaning more potential for high earners but also more variation.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Rapid City ($144,060 effective) pays 9.78% more than Spearfish ($131,230 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Rapid City if…
- ✓Higher median salary ($128,444/year)
- ✓Better top-earner potential ($158,568)
- ✓Larger job market (190 employed)
- ✓Better purchasing power (CoL-adjusted: $144,060)
- ✓You prefer the South Dakota area and lifestyle
Choose Spearfish if…
- ✓You prefer the South Dakota area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, nurse practitioner salaries in Rapid City grew 24.4% from 2019 to 2025, compared to 8.4% growth in Spearfish over the same period.
Rapid City, SD
$99,840 (2019) → $124,160 (2025)
Spearfish, SD
$108,556 (2024) → $117,720 (2025)
View Full Salary Data
Rapid City, SD
Spearfish, SD
Frequently Asked Questions
Which city pays nurse practitioners more: Rapid City or Spearfish?
What is the hourly rate difference between Rapid City and Spearfish?
Should I relocate from Rapid City to Spearfish as a nurse practitioner?
What do entry-level nurse practitioners earn in Rapid City vs Spearfish?
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.
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