Nurse Practitioner Pay

Sioux Falls vs Watertown: Nurse Practitioner Salary (2026)

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

Sioux Falls, SD
$134,888
$64.85/hr
Watertown, SD
$122,126
$58.72/hr

Side-by-Side Comparison

MetricSioux Falls, SDWatertown, SD
Median Salary$134,888$122,126
Hourly Rate$64.85$58.72
Entry Level (P10)$107,816$99,559
25th Percentile$113,464$111,426
75th Percentile$142,347$141,408
Top Earner (P90)$164,827$152,384
Total Employed5006
Side-by-side bar chart comparing Sioux Falls ($134,888) and Watertown ($122,126) nurse practitioner salaries.Sioux FallsWatertownMedian Salary$134,888$122,126Entry Level (P10)$107,816$99,559Top Earner (P90)$164,827$152,384US Median $136,864

Verdict

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

The salary gap between Sioux Falls and Watertown is $12,762 (10.45%). 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 Sioux Falls spans $57,011,Watertown spans $52,825. Sioux Falls has a wider pay range, meaning more potential for high earners but also more variation.

Sioux Falls
P10 (Entry)$107,816
P25$113,464
Median$134,888
P75$142,347
P90 (Top)$164,827
Watertown
P10 (Entry)$99,559
P25$111,426
Median$122,126
P75$141,408
P90 (Top)$152,384

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Sioux Falls ($148,832 effective) pays 13.09% more than Watertown ($131,601 effective).

Sioux Falls
Nominal: $134,888
CoL Index: 90.631
Adjusted: $148,832
Watertown
Nominal: $122,126
CoL Index: 92.8
Adjusted: $131,601

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

Which City Is Right for You?

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

Choose Watertown if…

  • You prefer the South Dakota area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse practitioner salaries in Sioux Falls grew 27.7% from 2019 to 2025, compared to 8.4% growth in Watertown over the same period.

Sioux Falls, SD

+27.7%

$102,070 (2019) → $130,390 (2025)

Watertown, SD

+8.4%

$108,862 (2024) → $118,053 (2025)

View Full Salary Data

Frequently Asked Questions

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

Sioux Falls has a higher median nurse practitioner salary at $134,888/year, compared to Watertown at $122,126/year — a difference of $12,762 (10.45%).

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

Sioux Falls nurse practitioners earn $64.85/hr while Watertown hygienists earn $58.72/hr (2026 est.).

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

Consider more than just salary when comparing Sioux Falls and Watertown. Factor in cost of living (CoL-adjusted: Sioux Falls = $148,832, Watertown = $131,601), job availability (500 vs 6 employed), commute, and career growth potential.

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

Entry-level (10th percentile) nurse practitioners earn $107,816 in Sioux Falls and $99,559 in Watertown. 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