Nurse Practitioner Pay

San Francisco vs Sunnyvale: Nurse Practitioner Salary (2026)

Compare nurse practitioner salaries between San Francisco, CA and Sunnyvale, CA. All figures are 2026 estimates projected from BLS 2025 data.

San Francisco, CA
$226,638
$108.96/hr
Sunnyvale, CA
$245,173
$117.87/hr

Side-by-Side Comparison

MetricSan Francisco, CASunnyvale, CA
Median Salary$226,638$245,173
Hourly Rate$108.96$117.87
Entry Level (P10)$158,568$184,409
25th Percentile$182,579$214,904
75th Percentile$250,256$295,883
Top Earner (P90)$283,412$332,234
Total Employed3,11026
Side-by-side bar chart comparing San Francisco ($226,638) and Sunnyvale ($245,173) nurse practitioner salaries.San FranciscoSunnyvaleMedian Salary$226,638$245,173Entry Level (P10)$158,568$184,409Top Earner (P90)$283,412$332,234US Median $136,864

Verdict

Sunnyvale, CA offers better overall compensation for nurse practitioners, winning 3 out of 4 metrics compared to San Francisco.

The salary gap between San Francisco and Sunnyvale is $18,535 (8.18%). Sunnyvale's median is +79.14% compared to the US national median of $136,864.

Salary Range Comparison

The full salary range (10th to 90th percentile) in San Francisco spans $124,844,Sunnyvale spans $147,825. Sunnyvale has a wider pay range, suggesting more variation in pay between entry-level and experienced nurse practitioners.

San Francisco
P10 (Entry)$158,568
P25$182,579
Median$226,638
P75$250,256
P90 (Top)$283,412
Sunnyvale
P10 (Entry)$184,409
P25$214,904
Median$245,173
P75$295,883
P90 (Top)$332,234

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Sunnyvale ($216,775 effective) pays 10.58% more than San Francisco ($196,032 effective).

San Francisco
Nominal: $226,638
CoL Index: 115.613
Adjusted: $196,032
Sunnyvale
Nominal: $245,173
CoL Index: 113.1
Adjusted: $216,775

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

Which City Is Right for You?

Choose San Francisco if…

  • Larger job market (3,110 employed)
  • You prefer the California area and lifestyle

Choose Sunnyvale if…

  • Higher median salary ($245,173/year)
  • Better top-earner potential ($332,234)
  • Better purchasing power (CoL-adjusted: $216,775)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse practitioner salaries in San Francisco grew 58.6% from 2019 to 2025, compared to 23.6% growth in Sunnyvale over the same period.

San Francisco, CA

+58.6%

$138,100 (2019) → $219,080 (2025)

Sunnyvale, CA

+23.6%

$191,738 (2024) → $236,997 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse practitioners more: San Francisco or Sunnyvale?

Sunnyvale has a higher median nurse practitioner salary at $245,173/year, compared to San Francisco at $226,638/year — a difference of $18,535 (8.18%).

What is the hourly rate difference between San Francisco and Sunnyvale?

San Francisco nurse practitioners earn $108.96/hr while Sunnyvale hygienists earn $117.87/hr (2026 est.).

Should I relocate from San Francisco to Sunnyvale as a nurse practitioner?

Consider more than just salary when comparing San Francisco and Sunnyvale. Factor in cost of living (CoL-adjusted: San Francisco = $196,032, Sunnyvale = $216,775), job availability (3,110 vs 26 employed), commute, and career growth potential.

What do entry-level nurse practitioners earn in San Francisco vs Sunnyvale?

Entry-level (10th percentile) nurse practitioners earn $158,568 in San Francisco and $184,409 in Sunnyvale. The Sunnyvale area offers higher starting salaries.

Related Comparisons

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