Nurse Practitioner Salary in Rochester, NY: $132,530 (2026)
Quick Answer:A full-time nurse practitioner in Rochester, NY earns a median $132,530/year (≈ $63.71/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1171). Once you factor in Rochester's price level (3% below national, BEA RPP 97.0), that paycheck buys what $136,580 would nationally. Nominal pay sits 5.7% below the New York state average.
Official BLS data · View source
In 2026, nurse practitioners in Rochester, New York, earn a median annual salary of $132,530, reflecting a localized pay structure that skews slightly below the national median of $136,864. This salary range extends from $108,974 at the 10th percentile to $159,944 at the 90th percentile, illustrating the diversity in compensation depending on experience and specialty. Those in specialized roles, such as psychiatric mental health nurse practitioners (PMHNPs), typically earn higher wages compared to family nurse practitioners (FNPs) and acute care nurse practitioners (AGACNPs), largely due to increasing demand for mental health services in the region. This data is derived from official BLS OEWS surveys, highlighting the nuanced dynamics of the local healthcare job market.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $108,974 | $52.39 |
| Lower Range (P25) | $110,878 | $53.31 |
| Median (P50)(typical) | $132,530 | $63.71 |
| Upper Range (P75) | $136,616 | $65.68 |
| Top Earners (P90) | $159,944 | $76.89 |
Median Salary Position
3.17% below the national average
2026 Salary Percentile Distribution in Rochester
In Rochester, NY, the nurse practitioner salary spread from the 10th to 90th percentile is $50,970 (2026 est.). At $132,530, the local median is 3.17% below the national median of $136,864.
Salary Calculator
At 40 hours/week in Rochester: You'd be in the lower-middle range
How Rochester Nurse Practitioner Pay Compares
Rochester median: $132,530/year (2026)
| Compared To | Median Salary | Rochester Pays |
|---|---|---|
| New York Average | $140,541 | -5.70% less |
| National Average | $136,864 | -3.17% less |
Nurse Practitioners in Rochester, NY earn a median of $132,530 per year (2026 est.), which is 3.17% lower than the national median of $136,864 and 5.70% below the New York state average of $140,541.
Cost-of-Living Adjusted Salary
Rochester has a cost of living 2.97% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Rochester, NY has a cost-of-living index of 97.035 (below the national average of 100). A nurse practitioner earning $132,530 nominally has purchasing power equivalent to $136,580 in an average-cost city — an effective 3.06% boost.
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2019 BLS Actual
$101,990
2025 BLS Actual
$128,110
2026 Current Est.
$132,530
2019–2027 Growth
+34.4%
Salary Trajectory for Nurse Practitioners in Rochester (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $101,990 | Actual |
| 2020 | $104,400 | Actual |
| 2021 | $104,410 | Actual |
| 2022 | $122,170 | Actual |
| 2023 | $115,980 | Actual |
| 2024 | $125,600 | Actual |
| 2025 | $128,110 | Actual |
| 2026(current) | $132,530 | Estimated |
| 2027 | $137,102 | Projected |
Based on 7 years of BLS OEWS data for the Rochester metropolitan area, the median nurse practitioner salary grew 25.6% from $101,990 (2019) to $128,110 (2025). At a 3.45% compound annual growth rate, salaries are projected to reach $137,102 by 2027 — a total increase of $35,112 (34.43%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Rochester 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) | $108,974 – $110,878 |
| 3-5 years (Mid Career) | $110,878 – $132,530 |
| 5+ years (Experienced) | $132,530 – $136,616 |
| 10+ years (Top Earner) | $136,616 – $159,944 |
NP salary ranges estimated from BLS percentile data. Individual nurse practitioner compensation varies by employer, certifications, and specialization.
Nurse Practitioner Job Market in Rochester
Analyzing the job market, Rochester employs approximately 1,890 nurse practitioners, which signals a robust demand in the healthcare sector. The cost of living, indexed at 97.035, is below the national average, allowing practitioners a greater purchasing power with their salaries despite the slightly lower compensation. Local employers that tend to pay the highest include specialized clinics and hospital outpatient services, followed by retail chain clinics like CVS MinuteClinic and urgent care facilities such as CityMD. The variability in salaries can be attributed to factors like the type of patient population served, the state’s restrictions on practice authority, and opportunities for additional income through telehealth platforms. To maximize earnings in this market, nurse practitioners should consider pursuing additional certifications, focusing on high-demand specialties, and engaging in positions that offer productivity bonuses or the potential for 1099 independent contracting engagements.
More salary data for Rochester, NY:
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 $128,110 for nurse practitionersin the Rochester 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