Nurse Practitioner Hourly Pay in Honolulu, HI: $83.53 (2026)
Quick Answer:Hourly pay for a nurse practitioner working in Honolulu, HI runs $83.53 at the median for 2026 — annualizing to $173,740 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1171). Weighted against Honolulu's regional price level (BEA RPP 119.3, 19% above national), each hour of work buys what $70.01 nationally would. A 24-hour part-time schedule grosses $104,240 per year.
Based on BLS state-level estimates · View source
In Honolulu, the projected nurse practitioner hourly pay in 2026 stands at $83.53, significantly above the national median hourly rate of $65.80. This competitive wage is advantageous for nurse practitioners working in various settings such as primary care exam rooms, hospital outpatient clinics, urgent care centers, and telehealth services. For those seeking part-time roles, such as three days a week, this hourly rate translates into important financial flexibility, particularly for per-diem nurse practitioners accustomed to varying their work schedules. The hourly earnings can range from $59.75 for entry-level positions to as much as $111.55 for top earners, reflecting the wide availability of opportunities in Honolulu's healthcare market.
About the Honolulu Market
Salary estimated from Hawaii average ($137,000) adjusted for local cost of living.
Nurse Practitioner Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $59.75 | $478.02 |
| Lower Range (P25) | $71.17 | $569.39 |
| Median (P50) | $83.53 | $668.20 |
| Upper Range (P75) | $101.25 | $809.97 |
| Top Earners (P90) | $111.55 | $892.40 |
Estimated Annual Income by Work Schedule in Honolulu
Based on $83.53/hr median hourly rate · 2026 est.
At $83.53/hr, a nurse practitioner working full-time (40 hr/wk) in Honolulu, HI can expect to earn approximately $173,733 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $100,231. With a cost-of-living index of 119.30 (above the national average), these earnings may be offset by higher expenses in Honolulu.
Hourly Rate Calculator
Schedule Comparison in Honolulu
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $3,341.02 | $14,478 | $173,733 |
| Part-Time (24 hrs) | $2,004.61 | $8,687 | $104,240 |
| Per Diem (16 hrs) | $1,336.41 | $5,791 | $69,493 |
Compare NP Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Practitioner (Honolulu) | $83.53 |
| Registered Nurse (National Avg) | $42.80 |
| Physician Assistant (National Avg) | $63.20 |
| Nurse Anesthetist (National Avg) | $103.40 |
| Nurse Midwife (National Avg) | $63.85 |
Nurse Practitioners in Honolulu, HI earn a median of $173,740 per year (2026 est.), which is 26.94% higher than the national median of $136,864 and 6.40% above the Hawaii state average of $163,290.
Nurse Practitioner Hourly Pay vs. Cost of Living
Working 24h/week at $83.53/hr = $104,240/year (purchasing power: $87,376).
Working 40h/week (full-time) = $173,733/year (purchasing power: $145,627).
CoL index: 119.3 (100 = national average).
2019 BLS Actual
$67.02/hr
2025 BLS Actual
$80.74/hr
2026 Current Est.
$83.53/hr
2019–2027 Growth
+28.9%
Hourly Rate Trajectory for Nurse Practitioners in Honolulu (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $67.02/hr | Actual |
| 2020 | $68.16/hr | Actual |
| 2021 | $73.65/hr | Actual |
| 2022 | $74.22/hr | Actual |
| 2023 | $77.05/hr | Actual |
| 2024 | $83.61/hr | Actual |
| 2025 | $80.74/hr | Actual |
| 2026(current) | $83.53/hr | Estimated |
| 2027 | $86.41/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse practitioners in Honolulu grew 20.5% from $67.02/hr (2019) to $80.74/hr (2025). At a 3.45% projected growth rate, hourly pay is expected to reach $86.41/hr by 2027. Part-time and per-diem nurse practitioners can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Honolulu metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 3.45% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Working as an Hourly Nurse Practitioner in Honolulu
Beyond the foundational hourly pay, there are rich veins of earning potential for part-time and per-diem nurse practitioners in Honolulu. A nurse practitioner working 24 hours a week can make a significant income, while full-time practitioners capitalize even more on overtime opportunities. The per diem route offers varied compensation, with many locum tenens roles billing $80 to $140 an hour based on specialty; psychiatric mental health nurse practitioners (PMHNPs) frequently earn $150 to $200 an hour through telehealth platforms. Additionally, hourly wages fluctuate depending on the type of employer, with hospital outpatient clinics, independent practices, and telehealth platforms presenting different earnings landscapes. Some nurse practitioners may choose lower hourly rates for the security of health insurance benefits versus higher hourly pay devoid of benefits. For those negotiating pay in Honolulu, it’s essential to weigh your personal and professional priorities to secure terms that align with your career ambitions and financial goals.
More salary data for Honolulu, HI:
Frequently Asked Questions
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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
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 3.45% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for nurse practitioners in Honolulu. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for Honolulu is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 3.45%, derived from historical BLS wage trends for nurse practitioners (SOC 29-1171).
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