Nurse Practitioner Salary in Hawaii: $148,985 (2026)
Quick Answer:Across Hawaii's 10 metropolitan areas, the average median nurse practitioner pay sits at $148,985/year heading into 2026 — a figure projected from 2025 BLS OEWS wage data for SOC 29-1171. Because Hawaii sits at BEA RPP 119.3 (19% above the U.S. baseline), that statewide median translates to roughly $124,883 in nationally-comparable purchasing power. Highest-paying metros: Honolulu ($167,946), Kahului ($164,210), Kaneohe ($156,841).
In 2026, the average median salary for nurse practitioners in Hawaii is projected to be $148,985, which is 8.9% higher than the national median of $136,864. Honolulu is the highest paying city, with salaries reaching $173,740, while Urban Honolulu has the lowest at $140,247, indicating a salary gap of $33,493. This difference can be attributed to variations in living costs, demand for healthcare services, and the density of healthcare facilities in different areas. Hawaii's licensing requirements and scope of practice laws allow nurse practitioners to provide a wide range of services, contributing to the growing demand for their expertise in the state. Key drivers include an increasing population and an aging demographic, which are leading to a greater need for healthcare providers, including nurse practitioners. The job market for nurse practitioners in Hawaii shows a positive outlook, with a projected annual growth rate of 3.45%. With a total of 580 nurse practitioners employed across the state, opportunities are expected to expand in cities like Kahului, with projected salaries of $169,875, and Kaneohe, at $162,252, as Hawaii continues to prioritize enhancing its healthcare workforce.
Hawaii Nurse Practitioner Salary Range
Overall salary range in Hawaii: $110,123 (lowest entry-level) to $232,027 (highest top earner)
Hawaii vs National Average
Hawaii nurse practitioners earn 8.86% more than the national median (+$12,121/year difference).
Hawaii Nurse Practitioner Salary Distribution (2026)
Nurse Practitioner salaries in Hawaii range from $113,937 (entry-level, 10th percentile) to $190,379 (top earners, 90th percentile), with a median of $148,985. The Hawaii median is $12,121 above the US national median of $136,864. The average hourly rate is $71.63/hr. Approximately 580 nurse practitioners are employed across 10 cities.
2019 BLS Actual
$133,720
2025 BLS Actual
$144,016
2026 Current Est.
$148,985
2019–2027 Growth
+15.3%
Salary Trajectory for Nurse Practitioners in Hawaii (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $133,720 | Actual |
| 2020 | $130,320 | Actual |
| 2021 | $131,000 | Actual |
| 2022 | $135,060 | Actual |
| 2023 | $126,632 | Actual |
| 2024 | $139,875 | Actual |
| 2025 | $144,016 | Actual |
| 2026(current) | $148,985 | Estimated |
| 2027 | $154,124 | Projected |
Based on 7 years of BLS OEWS data for the Hawaii metropolitan area, the median nurse practitioner salary grew 7.7% from $133,720 (2019) to $144,016 (2025). At a 3.45% compound annual growth rate, salaries are projected to reach $154,124 by 2027 — a total increase of $20,404 (15.26%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Hawaii 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.
Top 5 Highest Paying Cities in Hawaii
Lowest Paying Cities in Hawaii
| City | Median Salary |
|---|---|
| Urban Honolulu | $140,247 |
| Hilo | $154,941 |
| Pearl City | $158,476 |
| Waipahu | $159,997 |
| East Honolulu | $160,060 |
Best Value Cities for Nurse Practitioners in Hawaii
When adjusted for local cost of living, these Hawaii cities offer the most purchasing power for nurse practitioners.
| City | Nominal Salary | CoL Index | Adjusted Salary |
|---|---|---|---|
| Kahului | $169,875 | 109.393 | $155,289 |
| Honolulu | $173,740 | 119.3 | $145,633 |
| Kaneohe | $162,252 | 119.3 | $136,003 |
| Mililani Town | $161,960 | 119.3 | $135,759 |
| Kailua | $161,859 | 119.3 | $135,674 |
Adjusted salary = nominal salary × (100 / CoL index). CoL index: 100 = national average. Lower index = lower cost of living.
Salary by Experience Level in Hawaii
| Experience Level | Estimated Annual |
|---|---|
| Entry Level (0-2 years) | $113,937 |
| Mid Career (3-7 years) | $148,985 |
| Experienced (7+ years) | $190,379 |
Estimates based on BLS percentile data averaged across Hawaii metro areas. Individual pay varies by employer, certifications, and specialization.
All 10 Cities in Hawaii
| # | City | Median Salary |
|---|---|---|
| 1 | Honolulu | $173,740 |
| 2 | Kahului | $169,875 |
| 3 | Kaneohe | $162,252 |
| 4 | Mililani Town | $161,960 |
| 5 | Kailua | $161,859 |
| 6 | East Honolulu | $160,060 |
| 7 | Waipahu | $159,997 |
| 8 | Pearl City | $158,476 |
| 9 | Hilo | $154,941 |
| 10 | Urban Honolulu | $140,247 |
More Hawaii Salary Data
Senior / Experienced
Top earner salaries for experienced nurse practitioners.
Explore More Nurse Practitioner Salary Data
Frequently Asked Questions
How much do nurse practitioners make in Hawaii in 2026?
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How does Hawaii nurse practitioner pay compare to the national average?
What is the entry-level nurse practitioner salary in Hawaii?
How many nurse practitioners are employed in Hawaii?
Which Hawaii city offers the best value for nurse practitioners?
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
Statewide salary 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 each metro area's reported salary to estimate current 2026 nurse practitioner compensation across Hawaii. State averages are employment-weighted across 10 metro areas — larger metro areas with more nurse practitionerscontribute proportionally more to the average, producing figures that better reflect typical compensation. Individual pay varies by city, employer, certifications, and experience.
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