Nurse Practitioner Hourly Pay in Bethesda, MD: $69.47 (2026)
Quick Answer:Hourly pay for a nurse practitioner working in Bethesda, MD runs $69.47 at the median for 2026 — annualizing to $144,490 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1171). Weighted against Bethesda's regional price level (BEA RPP 109.3, 9% above national), each hour of work buys what $63.56 nationally would. A 24-hour part-time schedule grosses $86,694 per year.
Based on BLS state-level estimates · View source
In 2026, the nurse practitioner hourly pay in Bethesda, Maryland, is projected to reach $69.47, offering a competitive edge over the national hourly median of $65.80. This rate can be particularly advantageous for those working part-time or per-diem, especially in settings like primary care exam rooms and urgent care centers, where flexibility is often valued. With an hourly range starting at $53.25 for the entry level and going up to $92.59 for the top earners, there are varied opportunities tailored to different experience levels. The hourly rate reflects the higher cost of living in Bethesda, further underscoring the financial incentives for nurse practitioners to establish themselves in this urban hub.
About the Bethesda Market
Salary estimated from Maryland average ($128,000) adjusted for local cost of living.
Nurse Practitioner Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $53.25 | $425.97 |
| Lower Range (P25) | $61.68 | $493.42 |
| Median (P50) | $69.47 | $555.73 |
| Upper Range (P75) | $83.18 | $665.47 |
| Top Earners (P90) | $92.59 | $740.70 |
Estimated Annual Income by Work Schedule in Bethesda
Based on $69.47/hr median hourly rate · 2026 est.
At $69.47/hr, a nurse practitioner working full-time (40 hr/wk) in Bethesda, MD can expect to earn approximately $144,491 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $83,360. With a cost-of-living index of 109.30 (above the national average), these earnings may be offset by higher expenses in Bethesda.
Hourly Rate Calculator
Schedule Comparison in Bethesda
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $2,778.67 | $12,041 | $144,491 |
| Part-Time (24 hrs) | $1,667.20 | $7,225 | $86,694 |
| Per Diem (16 hrs) | $1,111.47 | $4,816 | $57,796 |
Compare NP Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Practitioner (Bethesda) | $69.47 |
| 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 Bethesda, MD earn a median of $144,490 per year (2026 est.), which is 5.57% higher than the national median of $136,864 and 3.40% below the Maryland state average of $149,575.
Nurse Practitioner Hourly Pay vs. Cost of Living
Working 24h/week at $69.47/hr = $86,694/year (purchasing power: $79,318).
Working 40h/week (full-time) = $144,491/year (purchasing power: $132,196).
CoL index: 109.3 (100 = national average).
2019 BLS Actual
$55.74/hr
2025 BLS Actual
$67.15/hr
2026 Current Est.
$69.47/hr
2019–2027 Growth
+28.9%
Hourly Rate Trajectory for Nurse Practitioners in Bethesda (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $55.74/hr | Actual |
| 2020 | $56.68/hr | Actual |
| 2021 | $61.25/hr | Actual |
| 2022 | $61.72/hr | Actual |
| 2023 | $64.08/hr | Actual |
| 2024 | $64.97/hr | Actual |
| 2025 | $67.15/hr | Actual |
| 2026(current) | $69.47/hr | Estimated |
| 2027 | $71.86/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse practitioners in Bethesda grew 20.5% from $55.74/hr (2019) to $67.15/hr (2025). At a 3.45% projected growth rate, hourly pay is expected to reach $71.86/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 Bethesda 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 Bethesda
Earning potential in Bethesda extends beyond the standard hourly pay structure. A nurse practitioner working three days a week for 24 hours can expect to bring home an impressive annual income, although it will be significantly less than that of a full-time counterpart. Per diem nurse practitioner pay in Bethesda can also vary widely depending on the setting; for instance, locum tenens NPs can bill anywhere from $80 to $140 per hour, with specific telehealth contracts reaching up to $200 per hour, particularly in psychiatric medication management. Different types of employers, such as retail clinics like CVS MinuteClinic and telehealth platforms, tend to offer disparities in hourly compensation, often balancing higher pay against the absence of benefits. Nurse practitioners should consider health insurance and retirement plans while negotiating pay rates. Effectively communicating their value and understanding market norms will be crucial during salary discussions.
More salary data for Bethesda, MD:
Frequently Asked Questions
What is the hourly rate for nurse practitioners in Bethesda in 2026?
How much do part-time nurse practitioners make in Bethesda?
Are nurse practitioners in Bethesda paid hourly or salary?
How much does a full-time nurse practitioner make per year in Bethesda?
Do nurse practitioners earn more per hour working part-time in Bethesda?
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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 Bethesda. 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 Bethesda 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