Nurse Practitioner Pay

Billings vs Missoula: Nurse Practitioner Salary (2026)

Compare nurse practitioner salaries between Billings, MT and Missoula, MT. All figures are 2026 estimates projected from BLS 2025 data.

Billings, MT
$143,847
$69.16/hr
Missoula, MT
$136,192
$65.47/hr

Side-by-Side Comparison

MetricBillings, MTMissoula, MT
Median Salary$143,847$136,192
Hourly Rate$69.16$65.47
Entry Level (P10)$99,353$110,247
25th Percentile$120,157$128,526
75th Percentile$145,730$143,185
Top Earner (P90)$163,979$161,154
Total Employed160140
Side-by-side bar chart comparing Billings ($143,847) and Missoula ($136,192) nurse practitioner salaries.BillingsMissoulaMedian Salary$143,847$136,192Entry Level (P10)$99,353$110,247Top Earner (P90)$163,979$161,154US Median $136,864

Verdict

Billings, MT offers better overall compensation for nurse practitioners, winning 4 out of 4 metrics compared to Missoula.

The salary gap between Billings and Missoula is $7,655 (5.62%). Billings's median is +5.10% compared to the US national median of $136,864.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Billings spans $64,626,Missoula spans $50,907. Billings has a wider pay range, meaning more potential for high earners but also more variation.

Billings
P10 (Entry)$99,353
P25$120,157
Median$143,847
P75$145,730
P90 (Top)$163,979
Missoula
P10 (Entry)$110,247
P25$128,526
Median$136,192
P75$143,185
P90 (Top)$161,154

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Billings ($153,804 effective) pays 8.92% more than Missoula ($141,212 effective).

Billings
Nominal: $143,847
CoL Index: 93.526
Adjusted: $153,804
Missoula
Nominal: $136,192
CoL Index: 96.445
Adjusted: $141,212

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Billings if…

  • Higher median salary ($143,847/year)
  • Better top-earner potential ($163,979)
  • Larger job market (160 employed)
  • Better purchasing power (CoL-adjusted: $153,804)
  • You prefer the Montana area and lifestyle

Choose Missoula if…

  • You prefer the Montana area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse practitioner salaries in Billings grew 18.0% from 2019 to 2025, compared to 27.1% growth in Missoula over the same period.

Billings, MT

+18.0%

$117,830 (2019) → $139,050 (2025)

Missoula, MT

+27.1%

$103,570 (2019) → $131,650 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse practitioners more: Billings or Missoula?

Billings has a higher median nurse practitioner salary at $143,847/year, compared to Missoula at $136,192/year — a difference of $7,655 (5.62%).

What is the hourly rate difference between Billings and Missoula?

Billings nurse practitioners earn $69.16/hr while Missoula hygienists earn $65.47/hr (2026 est.).

Should I relocate from Billings to Missoula as a nurse practitioner?

Consider more than just salary when comparing Billings and Missoula. Factor in cost of living (CoL-adjusted: Billings = $153,804, Missoula = $141,212), job availability (160 vs 140 employed), commute, and career growth potential.

What do entry-level nurse practitioners earn in Billings vs Missoula?

Entry-level (10th percentile) nurse practitioners earn $99,353 in Billings and $110,247 in Missoula. The Missoula area offers higher starting salaries.
MG

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.

Clinically reviewed by James Patel, DNP, APRNData verified by Aisha Khan, MSN, FNP-BC

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.45% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

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