Nurse Practitioner Pay

Rapid City vs Watertown: Nurse Practitioner Salary (2026)

Compare nurse practitioner salaries between Rapid City, SD and Watertown, SD. All figures are 2026 estimates projected from BLS 2025 data.

Rapid City, SD
$128,444
$61.75/hr
Watertown, SD
$122,126
$58.72/hr

Side-by-Side Comparison

MetricRapid City, SDWatertown, SD
Median Salary$128,444$122,126
Hourly Rate$61.75$58.72
Entry Level (P10)$94,802$99,559
25th Percentile$109,409$111,426
75th Percentile$135,002$141,408
Top Earner (P90)$158,568$152,384
Total Employed1906
Side-by-side bar chart comparing Rapid City ($128,444) and Watertown ($122,126) nurse practitioner salaries.Rapid CityWatertownMedian Salary$128,444$122,126Entry Level (P10)$94,802$99,559Top Earner (P90)$158,568$152,384US Median $136,864

Verdict

Rapid City, SD offers better overall compensation for nurse practitioners, winning 4 out of 4 metrics compared to Watertown.

The salary gap between Rapid City and Watertown is $6,318 (5.17%). Rapid City's median is -6.15% compared to the US national median of $136,864.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Rapid City spans $63,766,Watertown spans $52,825. Rapid City has a wider pay range, meaning more potential for high earners but also more variation.

Rapid City
P10 (Entry)$94,802
P25$109,409
Median$128,444
P75$135,002
P90 (Top)$158,568
Watertown
P10 (Entry)$99,559
P25$111,426
Median$122,126
P75$141,408
P90 (Top)$152,384

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Rapid City ($144,060 effective) pays 9.47% more than Watertown ($131,601 effective).

Rapid City
Nominal: $128,444
CoL Index: 89.16
Adjusted: $144,060
Watertown
Nominal: $122,126
CoL Index: 92.8
Adjusted: $131,601

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

Which City Is Right for You?

Choose Rapid City if…

  • Higher median salary ($128,444/year)
  • Better top-earner potential ($158,568)
  • Larger job market (190 employed)
  • Better purchasing power (CoL-adjusted: $144,060)
  • You prefer the South Dakota area and lifestyle

Choose Watertown if…

  • You prefer the South Dakota area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse practitioner salaries in Rapid City grew 24.4% from 2019 to 2025, compared to 8.4% growth in Watertown over the same period.

Rapid City, SD

+24.4%

$99,840 (2019) → $124,160 (2025)

Watertown, SD

+8.4%

$108,862 (2024) → $118,053 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse practitioners more: Rapid City or Watertown?

Rapid City has a higher median nurse practitioner salary at $128,444/year, compared to Watertown at $122,126/year — a difference of $6,318 (5.17%).

What is the hourly rate difference between Rapid City and Watertown?

Rapid City nurse practitioners earn $61.75/hr while Watertown hygienists earn $58.72/hr (2026 est.).

Should I relocate from Rapid City to Watertown as a nurse practitioner?

Consider more than just salary when comparing Rapid City and Watertown. Factor in cost of living (CoL-adjusted: Rapid City = $144,060, Watertown = $131,601), job availability (190 vs 6 employed), commute, and career growth potential.

What do entry-level nurse practitioners earn in Rapid City vs Watertown?

Entry-level (10th percentile) nurse practitioners earn $94,802 in Rapid City and $99,559 in Watertown. The Watertown 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