Nurse Practitioner Hourly Pay in Lexington, MA: $65.50 (2026)
Quick Answer:Hourly pay for a nurse practitioner working in Lexington, MA runs $65.50 at the median for 2026 — annualizing to $136,255 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1171). Weighted against Lexington's regional price level (BEA RPP 108.5, 9% above national), each hour of work buys what $60.37 nationally would. A 24-hour part-time schedule grosses $81,750 per year.
Based on BLS state-level estimates · View source
In Lexington, Massachusetts, the estimated nurse practitioner hourly pay stands at $65.50, slightly below the national hourly median of $65.80. This competitive rate reflects the demand for nurse practitioners in local medical settings, including primary care exam rooms, outpatient clinics, urgent care facilities, and telehealth platforms. For those working part-time at three days a week, this hourly rate translates well in terms of weekly earnings and can easily provide a substantial income, especially for per-diem professionals who have flexibility in their schedules. Entry-level practitioners can expect to earn around $52.98 per hour, while top earners in the area can command up to $83.79 per hour, indicating a healthy earning range for this profession. The projected rates, derived from 2025 BLS data and adjusted to 2026, highlight both the opportunities and potential growth in the sector for practitioners in Lexington.
About the Lexington Market
Salary estimated from Massachusetts average ($147,000) adjusted for local cost of living.
Nurse Practitioner Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $52.98 | $423.81 |
| Lower Range (P25) | $59.95 | $479.59 |
| Median (P50) | $65.50 | $524.04 |
| Upper Range (P75) | $76.72 | $613.75 |
| Top Earners (P90) | $83.79 | $670.36 |
Estimated Annual Income by Work Schedule in Lexington
Based on $65.50/hr median hourly rate · 2026 est.
At $65.50/hr, a nurse practitioner working full-time (40 hr/wk) in Lexington, MA can expect to earn approximately $136,249 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $78,605. With a cost-of-living index of 108.50 (above the national average), these earnings may be offset by higher expenses in Lexington.
Hourly Rate Calculator
Schedule Comparison in Lexington
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $2,620.18 | $11,354 | $136,249 |
| Part-Time (24 hrs) | $1,572.11 | $6,812 | $81,750 |
| Per Diem (16 hrs) | $1,048.07 | $4,542 | $54,500 |
Compare NP Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Practitioner (Lexington) | $65.50 |
| 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 Lexington, MA earn a median of $136,255 per year (2026 est.), which is 0.44% lower than the national median of $136,864 and 4.30% below the Massachusetts state average of $142,377.
Nurse Practitioner Hourly Pay vs. Cost of Living
Working 24h/week at $65.50/hr = $81,750/year (purchasing power: $75,345).
Working 40h/week (full-time) = $136,249/year (purchasing power: $125,576).
CoL index: 108.5 (100 = national average).
2019 BLS Actual
$52.56/hr
2025 BLS Actual
$63.32/hr
2026 Current Est.
$65.50/hr
2019–2027 Growth
+28.9%
Hourly Rate Trajectory for Nurse Practitioners in Lexington (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $52.56/hr | Actual |
| 2020 | $53.45/hr | Actual |
| 2021 | $57.76/hr | Actual |
| 2022 | $58.20/hr | Actual |
| 2023 | $60.43/hr | Actual |
| 2024 | $73.40/hr | Actual |
| 2025 | $63.32/hr | Actual |
| 2026(current) | $65.50/hr | Estimated |
| 2027 | $67.76/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse practitioners in Lexington grew 20.5% from $52.56/hr (2019) to $63.32/hr (2025). At a 3.45% projected growth rate, hourly pay is expected to reach $67.76/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 Lexington 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 Lexington
For nurse practitioners in Lexington opting for part-time work, specifically a 3-day workweek totaling 24 hours, their annual take-home could significantly differentiate from a full-time income. While a full-time nurse practitioner might earn a stable income in a structured environment, part-timers enjoy flexibility that can enhance work-life balance. Those who choose per-diem positions or agency roles can see even greater variations, with rates being as high as $140 an hour for locum tenens roles, particularly based on specialization. Telehealth roles, particularly in psychiatric medication management, can command even steeper rates, sometimes reaching $200 per hour. Hourly pay varies widely among employer types in Lexington; traditional practices often offer lower hourly rates but include benefits, while larger urgent care chains or telehealth platforms may provide higher pay without such perks. Understanding these options and the trade-offs involved is crucial for making informed decisions about job offers and potential earnings, particularly when negotiating rates.
More salary data for Lexington, MA:
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 Lexington. 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 Lexington 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