Nurse Practitioner Salary in Lexington, MA: $136,255 (2026)
Quick Answer:A full-time nurse practitioner in Lexington, MA earns a median $136,255/year (≈ $65.50/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1171). Once you factor in Lexington's price level (9% above national, BEA RPP 108.5), that paycheck buys what $125,581 would nationally. Nominal pay sits 4.3% below the Massachusetts state average.
Based on BLS state-level estimates · View source
In 2026, nurse practitioners in Lexington, Massachusetts, can expect a median annual salary of $136,255, closely aligning with the national figure of $136,864. This salary range spans from $110,196 at the 10th percentile to $174,298 at the 90th percentile, highlighting a significant variability based on experience, specialty, and practice type. The data used for these figures comes from estimates based on 2025 BLS OEWS data and regional cost adjustments, indicating the local market's distinct salary dynamics. A key aspect of this market is the choice between working in traditional W-2 clinic settings versus 1099 telehealth roles, where those in telehealth often face a different compensation structure that can impact hourly rates and overall income.
About the Lexington Market
Salary estimated from Massachusetts average ($147,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $110,196 | $52.98 |
| Lower Range (P25) | $124,690 | $59.95 |
| Median (P50)(typical) | $136,255 | $65.50 |
| Upper Range (P75) | $159,570 | $76.72 |
| Top Earners (P90) | $174,298 | $83.79 |
Median Salary Position
0.44% below the national average
2026 Salary Percentile Distribution in Lexington
In Lexington, MA, the nurse practitioner salary spread from the 10th to 90th percentile is $64,102 (2026 est.). At $136,255, the local median is 0.44% below the national median of $136,864.
Salary Calculator
At 40 hours/week in Lexington: You'd be in the lower-middle range
How Lexington Nurse Practitioner Pay Compares
Lexington median: $136,255/year (2026)
| Compared To | Median Salary | Lexington Pays |
|---|---|---|
| Massachusetts Average | $142,377 | -4.30% less |
| National Average | $136,864 | -0.44% less |
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.
Cost-of-Living Adjusted Salary
Lexington has a cost of living 8.50% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Lexington, MA has a cost-of-living index of 108.5 (above the national average of 100). While the nominal salary of $136,255 is competitive, the higher cost of living reduces purchasing power to an effective $125,581 — a 7.83% reduction.
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2019 BLS Actual
$109,331
2025 BLS Actual
$131,711
2026 Current Est.
$136,255
2019–2027 Growth
+28.9%
Salary Trajectory for Nurse Practitioners in Lexington (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $109,331 | Actual |
| 2020 | $111,183 | Actual |
| 2021 | $120,143 | Actual |
| 2022 | $121,069 | Actual |
| 2023 | $125,698 | Actual |
| 2024 | $152,674 | Actual |
| 2025 | $131,711 | Actual |
| 2026(current) | $136,255 | Estimated |
| 2027 | $140,956 | Projected |
Based on 7 years of BLS OEWS data for the Lexington metropolitan area, the median nurse practitioner salary grew 20.5% from $109,331 (2019) to $131,711 (2025). At a 3.45% compound annual growth rate, salaries are projected to reach $140,956 by 2027 — a total increase of $31,625 (28.93%) from 2019.
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.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $110,196 – $124,690 |
| 3-5 years (Mid Career) | $124,690 – $136,255 |
| 5+ years (Experienced) | $136,255 – $159,570 |
| 10+ years (Top Earner) | $159,570 – $174,298 |
NP salary ranges estimated from BLS percentile data. Individual nurse practitioner compensation varies by employer, certifications, and specialization.
Nurse Practitioner Job Market in Lexington
While only six nurse practitioners are currently employed in Lexington, the demand for healthcare professionals remains robust due to the region's growing population and diverse health needs. With a cost-of-living index of 108.5, the area's living expenses are above the national average, suggesting that the take-home salary may significantly influence lifestyle choices for practitioners. Among local employers, inpatient clinics and hospital outpatient centers tend to offer the highest compensation, particularly for NPs specializing in psychiatric mental health (PMHNP) or acute care. The disparity in pay can be attributed to factors such as specialty focus, full-practice authority status, and productivity-based incentives. To maximize earnings, it's advisable for practitioners in Lexington to strategize on building a niche specialization, considering the lucrative opportunities in telehealth and pursuing additional certifications that enhance marketability.
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
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. The BLS reported a median annual salary of $131,711 for nurse practitionersin the Lexington metropolitan area. A 3.45% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
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