Nurse Practitioner Salary in Billings, MT: $143,847 (2026)
Quick Answer:A full-time nurse practitioner in Billings, MT earns a median $143,847/year (≈ $69.16/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1171). Once you factor in Billings's price level (6% below national, BEA RPP 93.5), that paycheck buys what $153,804 would nationally. Nominal pay sits 1.9% above the Montana state average.
Official BLS data · View source
The projected median annual nurse practitioner salary in Billings, Montana, for 2026 is $143,847, which reflects a competitive position in the market compared to the national median of $136,864. Nurse practitioners in this region can expect to earn between $99,353 at the lower end (P10) and up to $163,979 at the higher end (P90). These figures are drawn from the official Bureau of Labor Statistics (BLS) OEWS data and highlight the favorable earnings potential for NPs in Billings. As the local healthcare system evolves, demand for both in-person and telehealth services is influencing compensation, with varying pay structures between W-2 clinic roles and independent 1099 telehealth positions emerging as a significant factor in overall earnings.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $99,353 | $47.76 |
| Lower Range (P25) | $120,157 | $57.77 |
| Median (P50)(typical) | $143,847 | $69.16 |
| Upper Range (P75) | $145,730 | $70.07 |
| Top Earners (P90) | $163,979 | $78.84 |
Median Salary Position
5.10% above the national average
2026 Salary Percentile Distribution in Billings
In Billings, MT, the nurse practitioner salary spread from the 10th to 90th percentile is $64,626 (2026 est.). At $143,847, the local median is 5.1% above the national median of $136,864.
Salary Calculator
At 40 hours/week in Billings: You'd be above the median
How Billings Nurse Practitioner Pay Compares
Billings median: $143,847/year (2026)
| Compared To | Median Salary | Billings Pays |
|---|---|---|
| Montana Average | $141,165 | +1.90% more |
| National Average | $136,864 | +5.10% more |
Nurse Practitioners in Billings, MT earn a median of $143,847 per year (2026 est.), which is 5.10% higher than the national median of $136,864 and 1.90% above the Montana state average of $141,165.
Cost-of-Living Adjusted Salary
Billings has a cost of living 6.47% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Billings, MT has a cost-of-living index of 93.526 (below the national average of 100). A nurse practitioner earning $143,847 nominally has purchasing power equivalent to $153,804 in an average-cost city — an effective 6.92% boost.
Compare Purchasing Power
Select a city to see how your salary compares after cost of living
Select a city above to compare purchasing power
2019 BLS Actual
$117,830
2025 BLS Actual
$139,050
2026 Current Est.
$143,847
2019–2027 Growth
+26.3%
Salary Trajectory for Nurse Practitioners in Billings (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $117,830 | Actual |
| 2020 | $122,110 | Actual |
| 2021 | $129,510 | Actual |
| 2022 | $133,540 | Actual |
| 2023 | $130,780 | Actual |
| 2024 | $136,050 | Actual |
| 2025 | $139,050 | Actual |
| 2026(current) | $143,847 | Estimated |
| 2027 | $148,810 | Projected |
Based on 7 years of BLS OEWS data for the Billings metropolitan area, the median nurse practitioner salary grew 18.0% from $117,830 (2019) to $139,050 (2025). At a 3.45% compound annual growth rate, salaries are projected to reach $148,810 by 2027 — a total increase of $30,980 (26.29%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Billings 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) | $99,353 – $120,157 |
| 3-5 years (Mid Career) | $120,157 – $143,847 |
| 5+ years (Experienced) | $143,847 – $145,730 |
| 10+ years (Top Earner) | $145,730 – $163,979 |
NP salary ranges estimated from BLS percentile data. Individual nurse practitioner compensation varies by employer, certifications, and specialization.
Nurse Practitioner Job Market in Billings
Analyzing the local job market, Billings employs approximately 160 nurse practitioners, which offers a solid foundation for career opportunities. With a cost-of-living index of 93.526, the economic environment allows for a reasonable purchasing power, making these salaries especially appealing. Among the various types of employers, hospitals and outpatient clinics are often the highest payers, while independent primary care practices and urgent care chains typically provide competitive packages as well. Variations in salary stem from factors such as the demand for specialized skills (with PMHNPs facing the greatest demand), the influence of the state's full-practice authority regulations, and potential productivity bonuses linked to patient visits or RVUs. For those in Billings looking to maximize their earning potential, pursuing advanced certifications, considering roles in high-demand settings, and exploring telehealth opportunities can be effective strategies for increasing nurse practitioner pay in Billings, MT.
More salary data for Billings, MT:
Frequently Asked Questions
How much do nurse practitioners make in Billings, MT in 2026?
Is Billings, MT a good place to work as a nurse practitioner?
Can nurse practitioners make $100K in Billings?
What is the cost-of-living adjusted nurse practitioner salary in Billings?
How much does a nurse practitioner make per hour in Billings?
Related Pages
Compare Salaries
Career Resources
Nearby Cities in Montana
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 $139,050 for nurse practitionersin the Billings 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
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