GeraJobs / US Real Pay Index / Nurse Practitioners
Best States to Be a Nurse Practitioners
After 2025 state income tax and 2024 cost of living, a nurse practitioners salary goes furthest in Alaska — a $155,170 BLS median worth $151,594 in real terms (Gera US Real Pay Index 114.3).
Which US states are best for a nurse practitioners after cost of living and tax?
For a nurse practitioners, the Gera US Real Pay Index ranks Alaska #1: a $155,170 BLS median becomes $151,594 in cost-of-living-and-tax-adjusted terms (index 114.3). Alabama ranks last ($113,402, index 85.5). Real BLS OEWS May 2025 across 51 states; re-dated annually.
Gera US Real Pay Index
Alaska ranks #1 of 51 states for a nurse practitioners. Index 100 = the average state; 114.3 means pay goes 14.3% further after tax and cost of living.
How this is calculatedNurse Practitioners — real pay by state (best first)
| # | State | BLS median | State tax | Cost (RPP) | Real pay | Index |
|---|---|---|---|---|---|---|
| 1 | Alaska | $155,170 | — | 102.4 | $151,594 | 114.3 |
| 2 | Washington | $156,100 | — | 107.0 | $145,870 | 109.9 |
| 3 | South Dakota | $128,840 | — | 88.6 | $145,441 | 109.6 |
| 4 | Oklahoma | $133,390 | $5,798 | 87.8 | $145,250 | 109.5 |
| 5 | North Dakota | $130,070 | $1,299 | 89.0 | $144,754 | 109.1 |
| 6 | New Mexico | $137,520 | $5,461 | 92.2 | $143,212 | 107.9 |
| 7 | Iowa | $130,160 | $4,906 | 87.8 | $142,720 | 107.6 |
| 8 | Wyoming | $132,200 | — | 92.7 | $142,624 | 107.5 |
| 9 | California | $168,520 | $11,551 | 110.7 | $141,772 | 106.9 |
| 10 | Nevada | $140,670 | — | 100.0 | $140,700 | 106.0 |
| 11 | Nebraska | $132,130 | $5,775 | 90.1 | $140,234 | 105.7 |
| 12 | Arkansas | $125,660 | $4,692 | 86.9 | $139,144 | 104.9 |
| 13 | New Jersey | $159,310 | $7,958 | 108.8 | $139,104 | 104.8 |
| 14 | Louisiana | $125,600 | $3,393 | 88.2 | $138,546 | 104.4 |
| 15 | Mississippi | $124,730 | $4,683 | 87.0 | $138,060 | 104.1 |
| 16 | Oregon | $155,680 | $13,139 | 103.4 | $137,906 | 103.9 |
| 17 | Montana | $137,210 | $6,957 | 94.6 | $137,622 | 103.7 |
| 18 | Missouri | $129,930 | $5,226 | 90.8 | $137,314 | 103.5 |
| 19 | West Virginia | $127,320 | $5,202 | 89.5 | $136,449 | 102.8 |
| 20 | Texas | $131,670 | — | 97.1 | $135,663 | 102.2 |
| 21 | New York | $153,510 | $8,162 | 107.9 | $134,680 | 101.5 |
| 22 | Wisconsin | $131,980 | $5,843 | 94.1 | $134,053 | 101.0 |
| 23 | Indiana | $128,830 | $3,835 | 93.3 | $133,930 | 100.9 |
| 24 | Kansas | $126,650 | $6,267 | 90.1 | $133,657 | 100.7 |
| 25 | Idaho | $132,540 | $6,428 | 95.5 | $132,063 | 99.5 |
| 26 | New Hampshire | $137,550 | — | 104.2 | $132,050 | 99.5 |
| 27 | Ohio | $124,870 | $2,820 | 92.8 | $131,556 | 99.2 |
| 28 | North Carolina | $128,990 | $4,940 | 94.3 | $131,512 | 99.1 |
| 29 | Michigan | $131,450 | $5,340 | 96.2 | $131,068 | 98.8 |
| 30 | Kentucky | $122,870 | $4,784 | 90.2 | $130,975 | 98.7 |
| 31 | Vermont | $134,740 | $6,573 | 98.0 | $130,838 | 98.6 |
| 32 | Arizona | $134,420 | $2,886 | 100.7 | $130,650 | 98.5 |
| 33 | Pennsylvania | $130,140 | $3,995 | 97.6 | $129,284 | 97.4 |
| 34 | Massachusetts | $142,440 | $6,902 | 105.8 | $128,160 | 96.6 |
| 35 | Rhode Island | $135,970 | $4,900 | 102.3 | $128,149 | 96.6 |
| 36 | Tennessee | $117,590 | — | 91.9 | $127,996 | 96.5 |
| 37 | Georgia | $129,430 | $6,329 | 96.3 | $127,840 | 96.4 |
| 38 | Connecticut | $138,470 | $6,158 | 103.6 | $127,702 | 96.2 |
| 39 | Minnesota | $133,260 | $7,692 | 98.6 | $127,324 | 96.0 |
| 40 | Maine | $130,260 | $7,364 | 97.0 | $126,631 | 95.4 |
| 41 | Utah | $130,920 | $5,957 | 98.9 | $126,399 | 95.3 |
| 42 | Florida | $129,510 | — | 103.4 | $125,234 | 94.4 |
| 43 | South Carolina | $123,290 | $6,037 | 93.7 | $125,072 | 94.3 |
| 44 | Illinois | $130,680 | $6,328 | 100.0 | $124,405 | 93.8 |
| 45 | Delaware | $131,040 | $7,308 | 99.8 | $123,970 | 93.4 |
| 46 | Colorado | $132,930 | $5,189 | 103.1 | $123,958 | 93.4 |
| 47 | Virginia | $127,810 | $6,549 | 101.1 | $119,937 | 90.4 |
| 48 | Maryland | $131,110 | $5,959 | 105.0 | $119,238 | 89.9 |
| 49 | District of Columbia | $135,880 | $8,675 | 109.9 | $115,745 | 87.2 |
| 50 | Hawaii | $135,570 | $8,788 | 110.0 | $115,307 | 86.9 |
| 51 | Alabama | $105,750 | $5,023 | 88.8 | $113,402 | 85.5 |
"Real pay" = BLS median − 2025 state income tax, divided by the state's 2024 BEA cost of living (US = 100). Only the 51 states for which BLS publishes a median for this occupation are ranked; suppressed cells are excluded, never set to zero.
Where does your salary go furthest?
Enter a salary and a state. We adjust for 2025 state income tax and the 2024 BEA cost of living to show your real, purchasing-power-equivalent pay — then rank every state.
In Alaska, a $155,170 salary is worth about $151,594 in cost-of-living-and-tax-adjusted terms.
State income tax $0 (no state income tax) · take-home $155,170 · BEA cost of living 102.4 (US = 100).
The same salary goes furthest in South Dakota — worth $175,163, a $23,569 gain over Alaska.
| # | State | Real value | Cost (RPP) |
|---|---|---|---|
| 1 | South Dakota | $175,163 | 88.6 |
| 2 | Arkansas | $171,525 | 86.9 |
| 3 | Louisiana | $170,638 | 88.2 |
| 4 | Mississippi | $170,601 | 87.0 |
| 5 | Iowa | $170,089 | 87.8 |
| 6 | North Dakota | $170,068 | 89.0 |
| 7 | Tennessee | $168,902 | 91.9 |
| 8 | Oklahoma | $168,254 | 87.8 |
| 9 | Wyoming | $167,406 | 92.7 |
| 10 | Alabama | $165,961 | 88.8 |
| 11 | Kentucky | $165,223 | 90.2 |
| 12 | West Virginia | $165,023 | 89.5 |
Estimate only. State income tax is approximated from each state's 2025 flat rate (or top marginal rate as an upper bound for graduated states) and ignores federal tax, deductions and credits. The pre-published occupation and state pages use exact 2025 bracket math. Cost of living is the 2024 BEA Regional Price Parity (All Items).
Nurse Practitioners — real pay FAQ
- What is the best state to be a nurse practitioners?
- By the Gera US Real Pay Index, Alaska is the best state for a nurse practitioners: a BLS median of $155,170 is worth $151,594 after the 2025 state income tax ($0) and the 2024 BEA cost-of-living adjustment (RPP 102.4), an index of 114.3 where the average state is 100.
- Does the highest-paying state also leave you best off?
- Not necessarily. California has the highest headline BLS median for a nurse practitioners at $168,520, but after state tax and cost of living it ranks #9 of 51 on real pay (index 106.9). That gap is exactly what the Gera US Real Pay Index reveals.
- Where does a nurse practitioners salary go least far?
- Alabama ranks last of 51 states for a nurse practitioners: a $105,750 BLS median is worth only $113,402 after tax and cost of living (index 85.5). Higher local prices and/or income tax less far than the national average erode the headline pay.
Compare other occupations
- Home Health and Personal Care AidesWashington
- Retail SalespersonsNorth Dakota
- Fast Food and Counter WorkersCalifornia
- General and Operations ManagersSouth Dakota
- Registered NursesCalifornia
- CashiersWashington
- Laborers and Freight, Stock, and Material Movers, HandNorth Dakota
- Stockers and Order FillersWyoming
- Customer Service RepresentativesIowa
- Office Clerks, GeneralNorth Dakota
- Waiters and WaitressesVermont
- Janitors and Cleaners, Except Maids and Housekeeping CleanersWashington
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Related on GeraJobs
- Gera US Real Pay Index — all states ranked — and how the index is calculated.
- Methodology — the exact BLS + BEA + tax computation.
- Browse US jobs with salary ranges — roles hiring now.
Sources: U.S. Bureau of Labor Statistics — Occupational Employment and Wage Statistics (OEWS) (May 2025 state estimates, US federal public domain); U.S. Bureau of Economic Analysis — Regional Price Parities (All Items), by state (2024 (US = 100)); Tax Foundation — 2025 State Individual Income Tax Rates and Brackets. The Gera US Real Pay Index for a nurse practitioners is computed by GeraJobs from these figures; no figure is modelled or interpolated.