Nurse Practitioner Salary
in Sacramento
2026 · Official labour data · 8 comparison cities
Last updated: July 2026 · Source: BLS OES Survey · 1.1M employer sample
Typical range: $149,350 – $221,990
✓ Based on official government occupation survey data — not estimated.
How much does a Nurse Practitioner make in Sacramento, CA?
A Nurse Practitioner in Sacramento earns a median of $172,010/year (about $83/hour). Most earn between $149,350 (25th percentile) and $221,990 (75th percentile); top earners (90th percentile) make $240,100 or more — 30% above the US average. Figures are from BLS employer payroll data, not self-reports.
Understanding these Nurse Practitioner salary numbers
We report percentiles, not a single average, because pay isn't evenly spread — a handful of very high earners would drag an average upward and mislead you. Here's exactly what each figure means.
Median (P50) — $172,010
Half of Nurse Practitioners in Sacramento earn more than this and half earn less. It's the most honest "typical" salary — better than an average, which gets skewed by a few top earners.
25th percentile (P25) — $149,350
The lower end of the typical range: 75% of Nurse Practitioners earn more than this. It's common for early-career roles or lower-cost employers. Earning below it is grounds to negotiate.
75th percentile (P75) — $221,990
Your negotiation target: only 25% of Nurse Practitioners earn above it. Reaching P75 usually means seniority, in-demand specialisations, or simply negotiating from data. See how to negotiate.
90th percentile (P90) — $240,100
Top earners: only 10% of Nurse Practitioners make this or more — typically senior, highly specialised, or at the best-paying employers.
Gross vs after-tax pay
These figures are gross (before tax). What actually reaches your account depends on your country, state, and deductions. Estimate your net with the take-home calculator.
National vs Sacramento pay
City figures apply the local market premium to BLS data, so Sacramento differs from the US average by +30%. A higher number isn't always better once cost of living is counted.
Hourly rate — $83/hr
The hourly figure is the annual median divided by 2,080 (40 hours × 52 weeks). If you regularly work more than 40 hours, your real hourly rate is lower than this. Convert any salary with the salary calculator.
Why this differs from Glassdoor or Payscale
Those sites publish what people say they earn (self-reports), which skew high because higher earners report more often. Our figures come from mandatory employer payroll records (BLS OEWS), so they reflect the whole market — not just a vocal subset.
How current and reliable is this number?
This page carries a confidence score of 100/100, based on the data source and coverage. US figures track the latest BLS release and refresh automatically; international figures use OECD/ILO data. See the changelog for live data freshness.
What counts as a "good" Nurse Practitioner salary in Sacramento?
Around the median ($172,010) is solid and $221,990+ is strong — but "good" really depends on local costs. Check what the number is actually worth with the good-salary breakdown for Sacramento.
Still curious how we get these numbers? Every figure is traceable to a primary source — see the full methodology and data sources.
Nurse Practitioner salary in Sacramento, CA: median $172,010 (P75 $221,990), per BLS OEWS via Official Salary, 2026.
Free JSON: /api/salary?job=nurse-practitioner&city=sacramento — no key. API & widgets →
Key insights for Nurse Practitioners in Sacramento
- ›Nurse Practitioners in Sacramento earn about 30% more than the national median for the role ($172K vs $132K).
- ›Cost of living in Sacramento runs about 18% above the US average, so $172K is worth roughly $146K at national prices.
- ›After a simplified take-home estimate, $172K nets about $120K/yr — roughly $81K/yr left after typical single-person living costs here.
- ›Pay climbs with seniority: a senior/staff Nurse Practitioner reaches about $220K — a +28% step from mid-level.
Nurse Practitioners in Sacramento typically earn $149K–$222K a year.
The market median is $172K — half earn above, half earn below.
Top earners (top 10%) make $240K or more.
Based on BLS OEWS 2025 metro-area survey (2026) official survey data.
Nurse Practitioner Salary Analysis — Sacramento
Nurse Practitioners in Sacramento earn a median salary of $172K, which is 30% above the national median of $132K. Strong regional demand for nurse practitioners contributes to above-average wages here.
Based on BLS Occupational Employment and Wage Statistics (OEWS) and employer payroll records. Figures represent the median (P50) across all experience levels in Sacramento.
Cost of Living Adjustment
Sacramento's cost of living is 18% above the US average. Your $172K salary has the equivalent purchasing power of approximately $146K in a city with average US living costs.
Salary Distribution — Sacramento
5-band distribution from employer payroll records
New graduates, 0–1 yr exp
1–3 years experience
3–7 years, typical professional
Senior / high-performer — target
Staff / principal / lead
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Official Salary Fair Pay Score™
Is $172K a good salary for Nurse Practitioner in Sacramento?
Based on BLS data for 172,010 comparable professionals in this role
You're earning above the median — in the top half of this role's salary range.
Why This Salary?
How we arrived at $172K for Nurse Practitioners in Sacramento
Source: BLS OEWS 2025 metro-area survey. All figures reflect 2026 market conditions.
Nurse Practitioner Salary by Experience Level in Sacramento
How compensation grows from entry-level through staff / lead
| Experience Level | Years | Percentile | Annual Salary | Monthly | Hourly |
|---|---|---|---|---|---|
| Entry | 0 | 0 yrs | $120,407 | $10,034 | $58 |
| Junior | 2 | 2 yrs | $147,929 | $12,327 | $71 |
| Mid-LevelTypical | 4 | 4 yrs | $163,983 | $13,665 | $79 |
| Senior | 6 | 6 yrs | $181,643 | $15,137 | $87 |
| Staff | 10 | 10 yrs | $220,173 | $18,348 | $106 |
| Principal | 14 | 14 yrs | $253,199 | $21,100 | $122 |
| Distinguished | 18 | 18 yrs | $261,455 | $21,788 | $126 |
Based on BLS OEWS percentile distribution. Actual salary depends on employer, skills, and negotiation.
Skills That Earn More — Nurse Practitioner
Estimated premium above the Sacramento median based on market demand
Estimates based on job-posting salary premiums for verified high-demand skills.
Nurse Practitioner Intelligence Report
Career metrics and full compensation breakdown — from BLS demand data
Career Opportunity Score
Composite: demand growth × 1.4 + (100 − AI risk) × 0.4
Total Compensation — Nurse Practitioner
Beyond base salary: bonus, equity, and benefits
Bonus, equity, and benefits are modelled estimates from category norms (not scraped from any single employer); base is BLS. Actual total comp varies by employer, level, and negotiation.
Typical Benefits for Nurse Practitioners
— show
Often adds 20–35% to your effective pay
Compare Nurse Practitioner Salaries by City
How Sacramento, CA stacks up against other major markets
| City | Median | P75 | vs US avg |
|---|---|---|---|
| Sacramento, CA (current) | $172,010 | $221,990+ | +30% |
| New York, NY | $163,340 | $173,890+ | +23% |
| San Francisco, CA | $187,882 | $225,381+ | +42% |
| Seattle, WA | $192,574 | $231,010+ | +46% |
| Austin, TX | $143,940 | $172,669+ | +9% |
| Boston, MA | $174,490 | $209,316+ | +32% |
| Chicago, IL | $139,454 | $167,288+ | +5% |
| Los Angeles, CA | $148,016 | $177,559+ | +12% |
| Denver, CO | $162,193 | $194,565+ | +23% |
Official Salary Career GPS™
What should I do next as a Nurse Practitioner?
Master's in Nursing (MSN); APRN license required · Ranked by income potential
Other Healthcare Jobs in Sacramento
Same industry, same city
Frequently Asked Questions
What is the average Nurse Practitioner salary in Sacramento, CA?
The median Nurse Practitioner salary in Sacramento, CA is $172K per year (2026), based on BLS OEWS employer payroll data from 1.1 million employers. The top 25% earn $222K+ per year.
What is a good Nurse Practitioner salary in Sacramento, CA?
The 75th percentile ($222K/yr) is the professional benchmark — what the top quarter already earns. It's a documented, negotiable target backed by BLS payroll data. Anything above the median ($172K) is above-average for this role in Sacramento, CA.
How much does a Nurse Practitioner earn per hour in Sacramento, CA?
Based on the median annual salary of $172K, a Nurse Practitioner in Sacramento, CA earns approximately $83/hr (2,080-hour work year). The P75 rate is ~$107/hr.
Is Sacramento, CA a good market for Nurse Practitioners?
Sacramento, CA pays 30% above the US national average for this role. Demand for Nurse Practitioners is growing 40% annually, and AI automation risk is rated low for this occupation.
How do I negotiate a higher Nurse Practitioner salary in Sacramento, CA?
Cite the BLS P75 figure ($222K) — it is verifiable public data from government payroll records. Request the full compensation package: base + equity/bonus + benefits. Timing matters: negotiate at the offer stage, not after acceptance. Counter with a specific number, not a range.
What is the entry-level Nurse Practitioner salary in Sacramento, CA?
Entry-level Nurse Practitioners in Sacramento, CA (10th–25th percentile) earn roughly $106K–$149K per year, rising toward the $172K median with experience and in-demand skills.
What does a senior Nurse Practitioner earn in Sacramento, CA?
Senior Nurse Practitioners in Sacramento, CA — the top quartile up to the 90th percentile — earn about $222K–$240K per year, with the top 10% making $240K+.
How Is This Salary Calculated?
Every number is derived from a transparent, reproducible methodology — no estimates, no black boxes.
Where does the salary data come from?
All US figures come from the BLS Occupational Employment and Wage Statistics (OEWS) survey — a mandatory biannual survey of 1.1 million US employers who report actual payroll data.
How is the Sacramento figure calculated?
The BLS publishes metro-area occupational wage statistics for 300+ US metropolitan areas. For Sacramento, Official Salary uses the BLS metro premium ratio (metro median ÷ national median) and applies it to the national baseline.
What do P10, P25, P50, P75, and P90 mean?
These are salary percentiles from employer payroll records. P50 (median) means 50% of workers earn less. P75 means 75% earn less — this is the recommended negotiation anchor. P10 and P90 represent the bottom 10% and top 10% respectively.
How is take-home pay estimated?
Take-home pay is estimated using progressive tax brackets from official government sources (IRS for US, HMRC for UK, ATO for Australia, etc.). Social contributions (National Insurance, FICA, etc.) are added. These are estimates — actual take-home depends on deductions, filing status, and location.
How often is data updated?
US BLS salary data refreshes every 24 hours via the BLS public API. OECD international wages refresh monthly. ECB currency rates refresh every 4 hours.
Full formulas and source citations on the methodology page.
What a Nurse Practitioner salary really means in Sacramento
Take-home pay, rent affordability, and remote benchmarking — on the $172,010 median.
Estimated take-home
≈ $10,669/month net
- Gross median
- $172,010
- Income tax
- −$30,821
- Social / FICA
- −$13,159
- Effective rate
- 26%
Federal income tax only (FICA included). State income tax varies. Single-filer estimate — not tax advice.
Rent affordability
of take-home on a typical 1-bed (~$1,386/mo)
The 30% rule says housing should stay under 30% of take-home. Here it's comfortably within that line. After all living costs (~$3,300/mo), roughly $7,369/mo is left to save or invest.
Cost-of-living estimate for Sacramento; rent ≈ 42% of budget.
Remote vs onsite
typical fully-remote benchmark range
Onsite Nurse Practitioners in Sacramento earn the local median of $172,010. Fully-remote roles are usually benchmarked between the US median ($132,300) and the local rate — employers increasingly set remote pay by national or regional bands, not your city.
Compare all Nurse Practitioner markets →How to reach the top 25% as a Nurse Practitioner in Sacramento
The gap between a typical Nurse Practitioner and the top quartile in Sacramento is $49,980/year — about $4,165/month more than the median. Reaching the 75th percentile ($221,990) usually comes down to seniority, in-demand specialisations, and negotiating from real data instead of hoping for a raise. Pay for this role has grown about 3.2% per year, so the target keeps moving up.
Nurse Practitioner Salary Trend (2019–2024)
BLS OES historical national medians
Source: BLS OEWS 2019–2024. City-level data uses national trend × metro premium.
Education Premium — Nurse Practitioner
How degree level affects salary · ACS Census data
Source: US Census Bureau ACS PUMS · BLS OES wage data.
Negotiation Deep-Dive
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California Salary Transparency Law
Effective Jan 1, 2023Employers with 15+ employees must include pay range in all job postings
As a job seeker in California, you have the legal right to request salary ranges in job postings.
Nurse Practitioner in Other Cities
Top Healthcare Jobs in Sacramento
Data Source & Attribution
Salary data sourced from the U.S. Bureau of Labor Statistics OEWS survey (1.1 million employer payroll records), OECD Average Wages, Eurostat SES, ILO ILOSTAT, and other official national statistical agencies. Data is updated via ISR and reflects the most recent release cycle.