Nurse Practitioner Hourly Pay in Sioux City, IA: $64.19 (2026)
Quick Answer:Hourly pay for a nurse practitioner working in Sioux City, IA runs $64.19 at the median for 2026 — annualizing to $133,513 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1171). Weighted against Sioux City's regional price level (BEA RPP 86.5, 14% below national), each hour of work buys what $74.25 nationally would. A 24-hour part-time schedule grosses $80,110 per year.
Official BLS data · View source

In Sioux City, IA, the nurse practitioner hourly pay is projected to be $64.19 in 2026, slightly below the national median hourly rate of $65.80. This median rate provides a competitive earning potential for part-time nurse practitioners working three days a week in settings such as primary care exam rooms, urgent care facilities, and psychiatric medication management offices. For those considering per-diem roles, hourly compensation can vary significantly, with a range from $53.09 for entry-level positions up to $80.84 for experienced practitioners. This variation allows for flexibility, making it possible for nurse practitioners to shape their schedules according to personal and professional needs while capitalizing on the growing demand for their services.
Nurse Practitioner Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $53.09 | $424.72 |
| Lower Range (P25) | $59.66 | $477.28 |
| Median (P50) | $64.19 | $513.53 |
| Upper Range (P75) | $71.04 | $568.31 |
| Top Earners (P90) | $80.84 | $646.69 |
Estimated Annual Income by Work Schedule in Sioux City
Based on $64.19/hr median hourly rate · 2026 est.
At $64.19/hr, a nurse practitioner working full-time (40 hr/wk) in Sioux City, IA can expect to earn approximately $133,517 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $77,029. With a cost-of-living index of 86.45 (below the national average), these earnings stretch further in Sioux City.
Hourly Rate Calculator
Schedule Comparison in Sioux City
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $2,567.63 | $11,126 | $133,517 |
| Part-Time (24 hrs) | $1,540.58 | $6,676 | $80,110 |
| Per Diem (16 hrs) | $1,027.05 | $4,451 | $53,407 |
Compare NP Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Practitioner (Sioux City) | $64.19 |
| 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 Sioux City, IA earn a median of $133,513 per year (2026 est.), which is 2.45% lower than the national median of $136,864 and 0.20% below the Iowa state average of $133,780.
Nurse Practitioner Hourly Pay vs. Cost of Living
Working 24h/week at $64.19/hr = $80,110/year (purchasing power: $92,662).
Working 40h/week (full-time) = $133,517/year (purchasing power: $154,437).
CoL index: 86.454 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$52.00/hr
2025 BLS Actual
$62.05/hr
2026 Current Est.
$64.19/hr
2019–2027 Growth
+27.7%
Hourly Rate Trajectory for Nurse Practitioners in Sioux City (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $52.00/hr | Actual |
| 2020 | $50.04/hr | Actual |
| 2021 | $59.46/hr | Actual |
| 2022 | $62.51/hr | Actual |
| 2023 | $63.35/hr | Actual |
| 2024 | $62.18/hr | Actual |
| 2025 | $62.05/hr | Actual |
| 2026(current) | $64.19/hr | Estimated |
| 2027 | $66.41/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse practitioners in Sioux City grew 19.3% from $52.00/hr (2019) to $62.05/hr (2025). At a 3.45% projected growth rate, hourly pay is expected to reach $66.41/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 Sioux City 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 Sioux City
Assessing part-time earnings, a nurse practitioner working 24 hours a week would take home about $79,697 annually, significantly less than their full-time counterparts but still a considerable income. For those pursuing per diem opportunities, such as locum tenens or telehealth positions, compensation can escalate rapidly—locum NPs often bill between $80 and $140 per hour, while specialized PMHNPs contracted for telehealth roles can command rates as high as $150 to $200 per hour. The hourly rates can also differ depending on the employer type; clinics, hospitals, and urgent care chains may offer varying salaries based on benefits packages. Some NPs may accept lower hourly rates for the security of health insurance, while others may prefer higher pay without benefits for short-term work. Effective negotiation strategies are crucial in this market, with local trends emphasizing the importance of knowing the going rate for different specialties and employer types in Sioux City.
More salary data for Sioux City, IA:
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 Sioux City. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Source: BLS, OEWS, 7-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
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