Nurse Practitioner Pay

Seattle vs Spokane: Nurse Practitioner Salary (2026)

Compare nurse practitioner salaries between Seattle, WA and Spokane, WA. All figures are 2026 estimates projected from BLS 2025 data.

Seattle, WA
$165,613
$79.63/hr
Spokane, WA
$146,889
$70.61/hr

Side-by-Side Comparison

MetricSeattle, WASpokane, WA
Median Salary$165,613$146,889
Hourly Rate$79.63$70.61
Entry Level (P10)$133,192$112,802
25th Percentile$135,188$130,595
75th Percentile$175,348$164,620
Top Earner (P90)$194,869$189,355
Total EmployedN/A530
Side-by-side bar chart comparing Seattle ($165,613) and Spokane ($146,889) nurse practitioner salaries.SeattleSpokaneMedian Salary$165,613$146,889Entry Level (P10)$133,192$112,802Top Earner (P90)$194,869$189,355US Median $136,864

Verdict

Seattle, WA offers better overall compensation for nurse practitioners, winning 3 out of 4 metrics compared to Spokane.

The salary gap between Seattle and Spokane is $18,724 (12.75%). Seattle's median is +21.01% compared to the US national median of $136,864.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Seattle spans $61,677,Spokane spans $76,553. Spokane has a wider pay range, suggesting more variation in pay between entry-level and experienced nurse practitioners.

Seattle
P10 (Entry)$133,192
P25$135,188
Median$165,613
P75$175,348
P90 (Top)$194,869
Spokane
P10 (Entry)$112,802
P25$130,595
Median$146,889
P75$164,620
P90 (Top)$189,355

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Seattle ($149,022 effective) pays 1.80% more than Spokane ($146,383 effective).

Seattle
Nominal: $165,613
CoL Index: 111.133
Adjusted: $149,022
Spokane
Nominal: $146,889
CoL Index: 100.346
Adjusted: $146,383

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

Which City Is Right for You?

Choose Seattle if…

  • Higher median salary ($165,613/year)
  • Better top-earner potential ($194,869)
  • Better purchasing power (CoL-adjusted: $149,022)
  • You prefer the Washington area and lifestyle

Choose Spokane if…

  • Larger job market (530 employed)
  • You prefer the Washington area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse practitioner salaries in Seattle grew 26.4% from 2019 to 2025, compared to 4.9% growth in Spokane over the same period.

Seattle, WA

+26.4%

$126,700 (2019) → $160,090 (2025)

Spokane, WA

+4.9%

$135,410 (2019) → $141,990 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse practitioners more: Seattle or Spokane?

Seattle has a higher median nurse practitioner salary at $165,613/year, compared to Spokane at $146,889/year — a difference of $18,724 (12.75%).

What is the hourly rate difference between Seattle and Spokane?

Seattle nurse practitioners earn $79.63/hr while Spokane hygienists earn $70.61/hr (2026 est.).

Should I relocate from Seattle to Spokane as a nurse practitioner?

Consider more than just salary when comparing Seattle and Spokane. Factor in cost of living (CoL-adjusted: Seattle = $149,022, Spokane = $146,383), commute, and career growth potential.

What do entry-level nurse practitioners earn in Seattle vs Spokane?

Entry-level (10th percentile) nurse practitioners earn $133,192 in Seattle and $112,802 in Spokane. The Seattle 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