Nurse Practitioner Hourly Pay in Alexandria, VA: $66.50 (2026)
Quick Answer:Hourly pay for a nurse practitioner working in Alexandria, VA runs $66.50 at the median for 2026 — annualizing to $138,315 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1171). Weighted against Alexandria's regional price level (BEA RPP 103.2, 3% above national), each hour of work buys what $64.44 nationally would. A 24-hour part-time schedule grosses $82,989 per year.
Based on BLS state-level estimates · View source
The nurse practitioner hourly pay in Alexandria, Virginia, stands at a competitive $66.50 per hour in 2026, slightly above the national median of $65.80 per hour. This remarkable hourly rate positions nurse practitioners well, particularly for those seeking part-time roles or per-diem opportunities in settings like primary care exam rooms, urgent care facilities, and telehealth platforms. With entry-level practitioners earning around $51.84 per hour and experienced nurses in specialized roles reaching up to $89.92 per hour, there is a broad spectrum of earning potential in the Alexandria region. These hourly rates are derived from annual salary estimates, reflecting the growing demand for nurse practitioners in a dynamic healthcare environment.
About the Alexandria Market
Salary estimated from Virginia average ($124,000) adjusted for local cost of living.
Nurse Practitioner Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $51.84 | $414.71 |
| Lower Range (P25) | $59.71 | $477.69 |
| Median (P50) | $66.50 | $531.98 |
| Upper Range (P75) | $80.29 | $642.30 |
| Top Earners (P90) | $89.92 | $719.35 |
Estimated Annual Income by Work Schedule in Alexandria
Based on $66.50/hr median hourly rate · 2026 est.
At $66.50/hr, a nurse practitioner working full-time (40 hr/wk) in Alexandria, VA can expect to earn approximately $138,315 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $79,797. With a cost-of-living index of 103.20 (above the national average), these earnings may be offset by higher expenses in Alexandria.
Hourly Rate Calculator
Schedule Comparison in Alexandria
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $2,659.91 | $11,526 | $138,315 |
| Part-Time (24 hrs) | $1,595.94 | $6,916 | $82,989 |
| Per Diem (16 hrs) | $1,063.96 | $4,611 | $55,326 |
Compare NP Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Practitioner (Alexandria) | $66.50 |
| 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 Alexandria, VA earn a median of $138,315 per year (2026 est.), which is 1.06% higher than the national median of $136,864 and 6.40% above the Virginia state average of $129,995.
Nurse Practitioner Hourly Pay vs. Cost of Living
Working 24h/week at $66.50/hr = $82,989/year (purchasing power: $80,416).
Working 40h/week (full-time) = $138,315/year (purchasing power: $134,026).
CoL index: 103.2 (100 = national average).
2019 BLS Actual
$53.36/hr
2025 BLS Actual
$64.28/hr
2026 Current Est.
$66.50/hr
2019–2027 Growth
+28.9%
Hourly Rate Trajectory for Nurse Practitioners in Alexandria (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $53.36/hr | Actual |
| 2020 | $54.26/hr | Actual |
| 2021 | $58.63/hr | Actual |
| 2022 | $59.09/hr | Actual |
| 2023 | $61.35/hr | Actual |
| 2024 | $61.61/hr | Actual |
| 2025 | $64.28/hr | Actual |
| 2026(current) | $66.50/hr | Estimated |
| 2027 | $68.79/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse practitioners in Alexandria grew 20.5% from $53.36/hr (2019) to $64.28/hr (2025). At a 3.45% projected growth rate, hourly pay is expected to reach $68.79/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 Alexandria 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 Alexandria
Considering the income potential, a nurse practitioner working 24 hours per week may anticipate a substantial annual income, contrasting sharply with full-time wages. Per diem nurse practitioner pay in Alexandria can vary widely, with locum practitioners charging between $80 to $140 per hour depending on their specialty, while psychiatric mental health NP contractors are reported to make $150 to $200 per hour in telehealth scenarios. Hourly rates also differ by employer type, with hospital outpatient clinics generally offering W-2 positions that include benefits, while independent practices may provide higher wages without similar perks. This contrast presents a trade-off that influences many NPs' decisions about work arrangements. Ideally, those seeking to negotiate their hourly rate should emphasize their qualifications, including any specialties or practice areas, to secure the best compensation in this evolving healthcare market.
More salary data for Alexandria, VA:
Frequently Asked Questions
What is the hourly rate for nurse practitioners in Alexandria in 2026?
How much do part-time nurse practitioners make in Alexandria?
Are nurse practitioners in Alexandria paid hourly or salary?
How much does a full-time nurse practitioner make per year in Alexandria?
Do nurse practitioners earn more per hour working part-time in Alexandria?
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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 Alexandria. 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 Alexandria 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