Nurse Practitioner Pay

San Diego vs San Mateo: Nurse Practitioner Salary (2026)

Compare nurse practitioner salaries between San Diego, CA and San Mateo, CA. All figures are 2026 estimates projected from BLS 2025 data.

San Diego, CA
$169,513
$81.50/hr
San Mateo, CA
$173,643
$83.48/hr

Side-by-Side Comparison

MetricSan Diego, CASan Mateo, CA
Median Salary$169,513$173,643
Hourly Rate$81.50$83.48
Entry Level (P10)$135,913$124,201
25th Percentile$140,082$157,801
75th Percentile$187,369$204,878
Top Earner (P90)$223,080$237,995
Total Employed2,34021
Side-by-side bar chart comparing San Diego ($169,513) and San Mateo ($173,643) nurse practitioner salaries.San DiegoSan MateoMedian Salary$169,513$173,643Entry Level (P10)$135,913$124,201Top Earner (P90)$223,080$237,995US Median $136,864

Verdict

San Mateo, CA offers better overall compensation for nurse practitioners, winning 3 out of 4 metrics compared to San Diego.

The salary gap between San Diego and San Mateo is $4,130 (2.44%). San Mateo's median is +26.87% compared to the US national median of $136,864.

Salary Range Comparison

The full salary range (10th to 90th percentile) in San Diego spans $87,167,San Mateo spans $113,794. San Mateo has a wider pay range, suggesting more variation in pay between entry-level and experienced nurse practitioners.

San Diego
P10 (Entry)$135,913
P25$140,082
Median$169,513
P75$187,369
P90 (Top)$223,080
San Mateo
P10 (Entry)$124,201
P25$157,801
Median$173,643
P75$204,878
P90 (Top)$237,995

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Mateo ($153,531 effective) pays 1.34% more than San Diego ($151,504 effective).

San Diego
Nominal: $169,513
CoL Index: 111.887
Adjusted: $151,504
San Mateo
Nominal: $173,643
CoL Index: 113.1
Adjusted: $153,531

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

Which City Is Right for You?

Choose San Diego if…

  • Larger job market (2,340 employed)
  • You prefer the California area and lifestyle

Choose San Mateo if…

  • Higher median salary ($173,643/year)
  • Better top-earner potential ($237,995)
  • Better purchasing power (CoL-adjusted: $153,531)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse practitioner salaries in San Diego grew 33.7% from 2019 to 2025, compared to -10.5% growth in San Mateo over the same period.

San Diego, CA

+33.7%

$122,580 (2019) → $163,860 (2025)

San Mateo, CA

+-10.5%

$187,451 (2024) → $167,852 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse practitioners more: San Diego or San Mateo?

San Mateo has a higher median nurse practitioner salary at $173,643/year, compared to San Diego at $169,513/year — a difference of $4,130 (2.44%).

What is the hourly rate difference between San Diego and San Mateo?

San Diego nurse practitioners earn $81.50/hr while San Mateo hygienists earn $83.48/hr (2026 est.).

Should I relocate from San Diego to San Mateo as a nurse practitioner?

Consider more than just salary when comparing San Diego and San Mateo. Factor in cost of living (CoL-adjusted: San Diego = $151,504, San Mateo = $153,531), job availability (2,340 vs 21 employed), commute, and career growth potential.

What do entry-level nurse practitioners earn in San Diego vs San Mateo?

Entry-level (10th percentile) nurse practitioners earn $135,913 in San Diego and $124,201 in San Mateo. The San Diego 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